[18F] Experiencing nausea, cramps, and unusual menstrual bleeding

Patient Description

An 18-year-old female presents with nausea rated 7 out of 10 in severity, which has been occurring intermittently for 2 weeks, exacerbated by driving. The patient also reports experiencing cramps and menstrual bleeding characterized by black blood, with the last menstrual period starting approximately one month ago. The patient is unsure about the possibility of pregnancy. Headaches were mentioned but not elaborated upon. No relief measures for nausea have been identified, and the nausea does not appear to be related to meal times.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Pregnancy: Given your age, sex, and symptoms (nausea, cramps, and missed period), it is possible that you might be pregnant. Some women experience implantation bleeding, which can appear as dark or black blood, and nausea (commonly known as morning sickness) is a common symptom of early pregnancy.

    • Pregnancy can be confirmed with a home pregnancy test or a blood test at your doctor's office.
  • Menstrual irregularities: If you're not pregnant, your symptoms could be due to hormonal fluctuations that can cause changes in your menstrual cycle, leading to symptoms like cramping and changes in the color of your menstrual blood.

    • Treatment often involves hormonal therapy, such as birth control pills, to regulate your menstrual cycle.
  • Gastrointestinal issues: Nausea and cramping can also be symptoms of a variety of gastrointestinal conditions, such as gastritis or peptic ulcers.

    • These conditions are usually diagnosed with an upper endoscopy and treated with medications to reduce stomach acid.

What you can do

  1. Take a home pregnancy test: Given your symptoms and the timing of your last period, it would be a good idea to take a home pregnancy test to rule out or confirm pregnancy.

  2. Schedule an appointment with your doctor: Regardless of the result of the pregnancy test, it's important to see your doctor to discuss your symptoms. They can provide a more accurate diagnosis and appropriate treatment options.

  3. Stay hydrated and eat small, frequent meals: This can help manage your nausea. Avoid foods that are high in fat, spicy, or have strong odors, as these can sometimes make nausea worse.

What you should look out for

If your symptoms worsen or you develop new symptoms, such as severe abdominal pain, vomiting, dizziness, or fainting, you should seek medical attention immediately. These could be signs of a more serious condition, such as an ectopic pregnancy or a gastrointestinal emergency.

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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10 mo ago

People Also Ask


What could cause nausea and cramps in an 18-year-old female?

Nausea and cramps in an 18-year-old female could be due to several reasons, including pregnancy, menstrual irregularities, or gastrointestinal issues. It's important to consider the context of other symptoms and consult a healthcare provider for an accurate diagnosis.


Is black menstrual blood a cause for concern?

Black menstrual blood is often old blood that has taken longer to exit the uterus and is usually not a cause for concern. However, if it is accompanied by other symptoms like severe pain or unusual discharge, it is advisable to consult a healthcare provider.


How can I confirm if I am pregnant?

Pregnancy can be confirmed with a home pregnancy test, which detects the hormone hCG in urine. For more accurate results, a blood test at a doctor's office can be performed.


What are some ways to manage nausea?

To manage nausea, try staying hydrated, eating small and frequent meals, and avoiding foods that are high in fat, spicy, or have strong odors. If nausea persists, consult a healthcare provider for further advice.


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