I am post menopausal (for 4 years). 2 weeks ago, after ONLY urinating, and only wiping the front, there has been a ~2-inch gob of brown goo on the toilet paper. My doctor sent me to the ER in the event is was stool - I had a rectocele repair 2 years ago. It was not stool. ER referred me to an OB-GYN who examined me and did a biopsy and said everything looked normal. Then it happened again last night. It smells bad, so I had presumed it was stool, but obviously it is not. I am also having cramps (for the past 3-4 months) which I've mentioned to my primary care doctor. Is this anything to be concerned about or just normal post-menopause junk coming out? Thank you.
Doctor's Answer
hi, considering you had undergone a rectocele repair 2 years ago, there are high chances that this discharge me be stool unless proved otherwise. This may come due to a condition called Recto-vaginal fistula. You need to send the discharge coming out from the vagina for 'Culture and Antibiotic Sensitivity' testing. If the culture (where they grow the bacteria in the sample) shows E.Coli as one of the organisms / bacteria, then you have to undergo a series of tests for diagnosis of recto-vaginal ...
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