Many things...: Too many to cover in detail, but includes: fibroids of the uterus, ovarian cysts, (both benign or malignant), gastrointestinal issues can cause the bloating and pelvic pain, and in women beyond menopause blood tinged vaginal discharge can come from a very thinned uterine lining. Infections of the reproductive tract, can also cause those symptoms. Vaginitis can cause the discharge as well.
Answered 5/6/2015
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