Differential Diagnosis for Chronic Pelvic Pain, Bloody Urine, Bloody Stools, and Limited Range of Motion in Glute Muscles
Single Most Likely Diagnosis
- Endometriosis: This condition is a leading cause of chronic pelvic pain in women and can also cause bloody urine and stools if the endometrial implants are located near the urinary or gastrointestinal tracts. The limited range of motion in the glute muscles could be due to the pain and inflammation caused by endometriosis.
Other Likely Diagnoses
- Pelvic Inflammatory Disease (PID): PID can cause chronic pelvic pain, and if the infection spreads to the urinary or gastrointestinal tracts, it could cause bloody urine and stools. The pain and inflammation from PID could also limit the range of motion in the glute muscles.
- Interstitial Cystitis: This condition causes chronic pain in the pelvic area and can also cause bloody urine. If the pain radiates to the glute muscles, it could limit their range of motion.
- Inflammatory Bowel Disease (IBD): IBD, including conditions like Crohn's disease and ulcerative colitis, can cause bloody stools and chronic pelvic pain. The pain and inflammation from IBD could also affect the glute muscles.
Do Not Miss Diagnoses
- Ovarian Cancer: Although less likely, ovarian cancer can cause chronic pelvic pain, bloody urine, and stools if the cancer has spread to the urinary or gastrointestinal tracts. It's crucial to rule out cancer due to its severe consequences.
- Appendicitis: If the appendix is located near the pelvic area, appendicitis could cause chronic pelvic pain, bloody stools, and limited range of motion in the glute muscles due to the pain and inflammation.
- Diverticulitis: This condition can cause bloody stools and chronic pelvic pain, especially if the diverticula are located in the sigmoid colon. The pain could also radiate to the glute muscles, limiting their range of motion.
Rare Diagnoses
- Ectopic Pregnancy: Although rare, an ectopic pregnancy can cause chronic pelvic pain, bloody urine, and stools if the pregnancy has ruptured and is affecting the urinary or gastrointestinal tracts.
- Tarlov Cysts: These are rare cysts that can form on the nerve roots in the spine, causing chronic pelvic pain and limited range of motion in the glute muscles.
- Pudendal Neuralgia: This is a rare condition that causes chronic pain in the pelvic area, which could be exacerbated by certain activities and limit the range of motion in the glute muscles.