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Doctor insights on: What Do Doctors Look For When They Do A Rectovaginal Exam

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What do doctors look for when they do a rectovaginal exam?

What do doctors look for when they do a rectovaginal exam?

Back of the pelvis: A rectal exam checks the rectum and the back of the uterus and the ovaries. It is a normal part of the pelvic exam. It can detect a cancer just inside the rectum and masses deep in the pelvis which might be otherwise missed with just a vaginal exam. ...Read more

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Should your doctor do a rectovaginal exam when you go in for your pap, just to be thorough?

Should your doctor do a rectovaginal exam when you go in for your pap, just to be thorough?

Probably hot.: Unless symptoms and complaints of things like hemorrhoids or changes in bowel habits warrant it, this exam would probably not be done, and not with a pap, which is a swab of the cervix. This would have no connection/involvement with the rectum, unless by some possible abnormality. ...Read more

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Best doctor for rectovaginal fistula?

A Urogynecologist: A urogynecologist if you can find one. Otherwise a gynecologisit. ...Read more

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Does a rectovaginal exam give you a funny feeling?

Does a rectovaginal exam give you a funny feeling?

Like a bowel movemen: A rectal exam often can make you feel like you need to have a bowel movement. If you have a large amount of stool in your rectum, often it can stimulate a bowel movement to happen a little later. ...Read more

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Isn't a rectovaginal exam always a part of a pelvic exam?

Isn't a rectovaginal exam always a part of a pelvic exam?

No: More than a decade ago it was. But little is gained on rectal exam as part of a routine gyne visit. If there are rectal symptoms, then this is a different story. ...Read more

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Why did palpating the rectovaginal wall during the digital rectal exam to diagnose a fistula cause me sharp short-lived pain? Is it common in females?

No.: Not at all common. Just embarrassing and uncomfortable, but not painful with KY lubricant use. Better return to the doctor and discuss it. Perhaps there is a painful lesion there to make a fistula a possibility which causes pain? ...Read more

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Am I crazy to want to stay in all the time because of rectovaginal fistula?

Should repair: Rectovaginal fistula can be repair easily by a surgeon. You should see a surgeon to get problems corrected. You should not stay in all the time just because of it. It is very simple to repair. ...Read more

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What are the most common symptoms of rectovaginal fistula?

What are the most common symptoms of rectovaginal fistula?

Discharge, irritation: A rectovaginal fistula is an abnormal connection between the rectum and the vagina. This could cause discharge of stool from the vagina, as well as irritation and pain around the area. If you have a rectovaginal fistula, you should be evaluated by a physician who can help you. ...Read more

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Do you have any suggestions/medications details that would help for rectovaginal fistula?

Rectovaginal fistula: This is a complex problem where you have developed an abnormal connection between the rectum (or other part of the colon) and the vagina. Depending on the cause of the fistfuls would dictate best treatment options. For Example if this was from diverticulitis, surgery would be the best option but if this was from Cohn's then medications may heal this. I suggest discussing with a surgeon ...Read more

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Can IBS cause rectovaginal fistulas. What should I do?

No: Ibs is physiologic not pathologic. However, I am assuming that is the correct diagnosis: ie both the ibs and the r-v fistula. See a colorectal surgeon for confirmation and options for treatment. ...Read more

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Is it safe to have a colonoscopy if you had rectovaginal fistula?

Yes: If you have a rectovaginal fistula or have had one repaired there should be no problems with a colonoscopy. The colonoscope should pass right by the area without any problems. In rare instances, the fistula may be so large, the colonoscope can pass through this fistula. Even in this instance, a trained endoscopist should be able to manage this. A colorectal surgeon can repair this for you. ...Read more

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Can IBS cause a rectovaginal fistula?

Can IBS cause a rectovaginal fistula?

Should not; see doc: Ibs is a functional disorder--means the organs (stomach/intestine) are not sick. They just don't work properly and so they cause your misery--bloating, cramping, nausea/flatulence etc.... Fistula often forms due to diseased organs that are closed to each other--as rectum and vagina, forming rectovaginal fistula--crohn's disease is a famous one for this condition. Consult doc. Good luck. ...Read more

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Would a rectovaginal fistula be obvious on a pelvic MRI if it wasn't something you were looking for?

No: Rectovaginal fistulas are notoriously hard to find. One would not be obvious on a Pelvic MRI--especially if you weren't looking for it. Sometimes enemas with methylene blue dye or protoscopy are needed. Best wishes! ...Read more

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Rectovaginal fistula hole is getting bigger causing problems?

Need surgery: The fistula will never close spontaneously and will continue to progress. You need surgery sooner than later. ...Read more

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What's the best treatment to get rid of rectovaginal fistula?

What's the best treatment to get rid of rectovaginal fistula?

Surgery: This can be corrected by a gynecologist, uro-gynecologist, or colo-rectal surgeon. Depending on the exact condition, it may require more than one of these specialists. ...Read more

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Would a pelvic ultrasound be able to detect a rectovaginal fistula?

Would a pelvic ultrasound be able to detect a rectovaginal fistula?

Probably not: The diagnosis of a rectovaginal fistula (or a hole between the rectum and the vagina) is usually made by pelvic exam. Ultrasound would not be helpful for this. ...Read more