[20F] Experiencing abdominal pain and urinary retention

What might be happening

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

• Urinary Tract Infection (UTI): This is a common condition where bacteria infect the urinary tract, leading to symptoms such as frequent urination, discomfort during urination, and lower abdominal pain. However, UTIs usually cause an increased urge to urinate, not a decreased one.

  • Treatment typically involves antibiotics prescribed by a doctor.

• Constipation: This can cause abdominal pain and discomfort, and in some cases, can affect urination. However, it would not explain your missed period.

  • Treatment involves dietary changes, increased fluid intake, and possibly over-the-counter or prescription medications.

• Pregnancy: Although you've stated you're not pregnant, it's worth noting that early pregnancy can cause similar symptoms, including missed periods, abdominal discomfort, and changes in urination.

  • Confirmation and management would involve a pregnancy test and prenatal care.

• Polycystic Ovary Syndrome (PCOS): This is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods. The exact cause of PCOS is unknown, but early diagnosis and treatment can reduce the risk of long-term complications such as type 2 diabetes and heart disease.

  • Treatment may involve lifestyle modifications and medication to manage symptoms and prevent complications.

What you can do

Given your symptoms, it's important to see a healthcare provider for a formal evaluation. They may perform a physical examination, urine tests, blood tests, or imaging studies to help determine the cause of your symptoms. In the meantime, here are some things you can do:

1. Drink plenty of fluids: Staying hydrated can help with constipation and can also help flush bacteria out of your urinary tract if you have a UTI.
2. Eat a high-fiber diet: This can help alleviate constipation.
3. Over-the-counter pain relievers: These can help manage your abdominal pain, but they are not a substitute for seeking medical attention.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe abdominal pain
• Blood in your urine
• Fever or chills
• Vomiting or inability to keep down fluids
• Symptoms that continue to worsen or do not improve after a few days

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.