NREMT Paramedic Practice

What condition is associated with painful defecation and suprapubic soreness?

1. Cystitis

2. Endometriosis

3. Ovarian torsion

4. Pelvic inflammatory disease

The correct answer is: Endometriosis

The condition associated with painful defecation and suprapubic soreness is endometriosis. In endometriosis, the tissue similar to the lining of the uterus grows outside of the uterus, often affecting the ovaries, fallopian tubes, and surrounding pelvic structures. This abnormal tissue growth can lead to significant pain, particularly during menstrual periods, and it may also cause discomfort during bowel movements due to its proximity to the intestines. The inflammation and adhesions caused by endometrial tissue outside the uterus can lead to painful sensations in the pelvic region, contributing to suprapubic soreness. Additionally, the condition can lead to bowel-related symptoms, such as painful defecation, which is a common complaint among those affected. In contrast, while cystitis might cause suprapubic pain, it typically does not lead to painful defecation. Ovarian torsion, though acutely painful, is characterized by sudden onset pain and would not typically present with defecation-related discomfort. Pelvic inflammatory disease can cause pelvic pain and possibly discomfort during bowel movements, but the hallmark pain of endometriosis is more closely associated with menstrual cycles and related symptoms.