[19F] Experiencing nausea, mood swings, and drowsiness with missed period

Patient Description

A 19-year-old female presents with symptoms of nausea, vomiting in the early mornings, drowsiness, insomnia, queasiness, mood swings, and a missed menstrual period for one month. The patient reports increased urination and breast tenderness. She has been sexually active in the past month but has not taken a pregnancy test. There are no significant changes in diet, but the patient notes weight gain. These symptoms may suggest early pregnancy, and it is recommended to take a home pregnancy test for confirmation. If the test is negative and symptoms persist, further evaluation by a healthcare provider is advised to explore other potential causes such as hormonal imbalances or issues related to pre-diabetes.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Pregnancy: Your symptoms, including nausea, vomiting in the mornings, missed period, mood swings, increased urination, breast tenderness, and unusual food cravings, are commonly associated with early pregnancy. Taking a home pregnancy test can help confirm or rule out this possibility.

    • If you are pregnant, prenatal care is important. This includes regular check-ups with a healthcare provider, taking prenatal vitamins, and maintaining a healthy lifestyle.
  • Hormonal Imbalance: Conditions such as polycystic ovary syndrome (PCOS) or thyroid issues can cause symptoms like missed periods, mood swings, and weight changes.

    • Treatment may involve lifestyle changes, medication, or hormone therapy, depending on the specific condition.
  • Side Effects of Medication: The medications you are taking, Remeron and Lamotrigine, can sometimes cause side effects like drowsiness, mood changes, and nausea.

    • Discussing these side effects with your healthcare provider can help determine if adjustments to your medication are needed.

What you can do

  1. Take a Pregnancy Test: Since you have been sexually active and have missed a period, taking a home pregnancy test is a good first step.
  2. Consult a Healthcare Provider: It's important to discuss your symptoms with a healthcare professional who can provide a formal diagnosis and appropriate treatment.
  3. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider. This can help in identifying patterns and triggers.
  4. Maintain a Healthy Lifestyle: Ensure you are eating a balanced diet, staying hydrated, and getting enough rest to support your overall well-being.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe abdominal pain or cramping
  • Heavy or unusual bleeding
  • Persistent vomiting or inability to keep fluids down
  • Any new or worsening symptoms

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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7 mo ago

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People Also Ask


What are the common early signs of pregnancy?

Common early signs of pregnancy include nausea, vomiting (especially in the morning), missed periods, mood swings, increased urination, breast tenderness, and weight gain. Taking a home pregnancy test can help confirm pregnancy.


Can hormonal imbalances cause symptoms similar to pregnancy?

Yes, hormonal imbalances such as those caused by polycystic ovary syndrome (PCOS) or thyroid issues can cause symptoms like missed periods, mood swings, and weight changes, which can be similar to pregnancy symptoms.


What should I do if my home pregnancy test is negative but symptoms persist?

If your home pregnancy test is negative but symptoms persist, it is important to consult a healthcare provider. They can perform further evaluations to explore other potential causes such as hormonal imbalances or other health issues.


Are there any side effects of Remeron and Lamotrigine that could explain my symptoms?

Remeron and Lamotrigine can cause side effects such as drowsiness, mood changes, and nausea. If you suspect your symptoms are related to these medications, discuss them with your healthcare provider to determine if adjustments are needed.


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