[18F] Experiencing persistent fatigue, irritability, and other symptoms

Patient Description

An 18-year-old female reports persistent fatigue, irritability, increased hunger, aversion to sweets, headaches, pasty discharge, and body soreness and swelling. She has a regular menstrual cycle lasting 5-7 days every 21 days, with her last period starting on February 4th. She has experienced a few days of menstrual delay in the past year and has daily cramps and occasional urges to vomit. The patient is on daily birth control pills taken in the evening, is allergic to pineapples, and has no known pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

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

  • Pregnancy: Some of your symptoms such as fatigue, irritability, changes in appetite, frequent headaches, and body soreness are common in early pregnancy. However, it's important to note that these symptoms can also be associated with other conditions. You mentioned that you're not sure if you're pregnant. It would be a good idea to take a home pregnancy test to confirm.

  • Premenstrual Syndrome (PMS): This is a condition that affects a woman's emotions, physical health, and behavior during certain days of the menstrual cycle, generally just before her menses. PMS is a very common condition. Its symptoms include fatigue, irritability, changes in appetite, and body aches.

  • Side effects of birth control pills: Some birth control pills can cause side effects such as nausea, headaches, and changes in menstrual cycle.

What you can do

  1. Take a home pregnancy test: This is the most effective way to confirm if you're pregnant. These tests are available at most pharmacies.

  2. Monitor your symptoms: Keep track of when your symptoms occur and how severe they are. This information can be helpful for your healthcare provider.

  3. Consult a healthcare provider: If your symptoms persist or worsen, it would be a good idea to consult a healthcare provider. They can provide a more accurate diagnosis and suggest appropriate treatments.

What you should look out for

  • Severe abdominal pain: This could be a sign of an ectopic pregnancy, which is a medical emergency. If you experience severe abdominal pain, seek medical attention immediately.

  • Heavy vaginal bleeding: This could be a sign of a miscarriage or other serious condition. If you experience heavy vaginal bleeding, seek medical attention immediately.

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


Can birth control pills cause symptoms like nausea and headaches?

Yes, birth control pills can cause side effects such as nausea, headaches, and changes in the menstrual cycle. If these symptoms are bothersome, it's important to discuss them with a healthcare provider.


What are common symptoms of early pregnancy?

Common symptoms of early pregnancy include fatigue, nausea, increased hunger, irritability, headaches, and body soreness. However, these symptoms can also be related to other conditions.


How can I differentiate between PMS and pregnancy symptoms?

PMS and early pregnancy symptoms can be quite similar, including fatigue, irritability, and changes in appetite. A home pregnancy test can help determine if pregnancy is the cause of these symptoms.


What should I do if I experience severe abdominal pain or heavy vaginal bleeding?

Severe abdominal pain or heavy vaginal bleeding could indicate a serious condition such as an ectopic pregnancy or miscarriage. It's crucial to seek immediate medical attention if you experience these symptoms.


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