[19F] Experiencing abnormal bleeding and severe cramping

What might be happening

Based on the information you've provided, here are some possible causes for your symptoms:

• Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It's usually caused by a sexually transmitted infection. Symptoms can include pain in your lower abdomen and pelvis, heavy vaginal discharge with an unpleasant odor, irregular menstrual bleeding, pain during intercourse, fever, fatigue, diarrhea or vomiting.

  • Treatment usually involves antibiotics to clear the infection.

• Endometriosis: This is a condition where the tissue similar to the lining of the uterus is found outside the uterus. It can cause severe menstrual cramps, long-term lower-back and pelvic pain, periods lasting longer than seven days, heavy menstrual periods, bowel and urinary disorders, nausea and/or vomiting.

  • Treatment can involve pain relievers, hormonal therapies, and in severe cases, surgery.

• Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, ureters, bladder and urethra. It can cause pelvic pain, increased urge to urinate, pain or a burning sensation during urination, and cloudy, strong-smelling urine.

  • Treatment usually involves antibiotics to clear the infection.

• Pregnancy: Some of your symptoms, such as abdominal cramping and changes in appetite, can also be early signs of pregnancy. Even if you're taking birth control, there's still a small chance you could become pregnant.

  • Confirming pregnancy would involve a pregnancy test, which can be done at home or at a doctor's office.

Please note that these are possibilities, not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some steps you can take:

1. Schedule an appointment with your healthcare provider as soon as possible. They can perform tests to determine the cause of your symptoms and recommend appropriate treatment.
2. Keep track of your symptoms. Note when they occur, how long they last, and any factors that seem to trigger them. This information can be helpful to your healthcare provider.
3. Stay hydrated, especially since you're feeling thirsty. Drink plenty of water throughout the day.
4. Rest as much as possible to help your body recover.

What you should look out for

Seek immediate medical attention if:

• Your pain becomes severe or unbearable
• You experience heavy bleeding
• You develop a high fever
• You have difficulty urinating or emptying your bowels
• You feel faint or dizzy

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