[20F] Missed Depo shot with subsequent symptoms
Patient Description
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Arora's Assessment
What might be happening
Based on the information you've provided, here are some possible explanations for your symptoms:
Missed Depo Shot and Pregnancy Concerns
- Pregnancy: Missing your Depo-Provera shot and having unprotected sex increases the risk of pregnancy. Although your pregnancy test was negative, it might have been taken too early. Pregnancy tests are most accurate when taken after a missed period.
- Hormonal Imbalance: Missing your Depo shot can cause hormonal fluctuations, leading to symptoms like nausea, fatigue, and irregular bleeding.
Abdominal Pain and Diarrhea
- Gastrointestinal Issues: Sharp and crampy abdominal pain along with diarrhea could indicate a gastrointestinal issue such as an infection, irritable bowel syndrome (IBS), or food intolerance.
- Stress: High levels of stress can also contribute to gastrointestinal symptoms, including nausea, abdominal pain, and diarrhea.
What you can do
Pregnancy Concerns
- Retake a Pregnancy Test: Consider retaking a pregnancy test, especially if more time has passed since your missed period. Tests are more accurate when taken a week after a missed period.
- Consult a Healthcare Provider: Schedule an appointment with your healthcare provider to discuss your missed Depo shot and your symptoms. They may recommend a blood test for pregnancy or other evaluations.
Abdominal Pain and Diarrhea
- Stay Hydrated: Drink plenty of fluids to stay hydrated, especially if you are experiencing diarrhea.
- Dietary Adjustments: Eat a bland diet (e.g., bananas, rice, applesauce, toast) to help manage diarrhea and avoid foods that can irritate your stomach.
- Over-the-Counter Medications: Consider using over-the-counter medications like antacids or anti-diarrheal agents, but consult with a healthcare provider first.
Stress Management
- Relaxation Techniques: Practice relaxation techniques such as deep breathing, meditation, or yoga to help manage stress.
- Seek Support: Talk to a trusted friend, family member, or mental health professional about your stressors.
General Advice
- Track Symptoms: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider. This can help in identifying patterns and making informed decisions about your health.
What you should look out for
Given the complexity of your symptoms, it's important to seek medical care if you experience any of the following:
- Severe Abdominal Pain: If the pain becomes severe or unbearable.
- Persistent Vomiting: If you start vomiting or if nausea worsens.
- Signs of Dehydration: Such as dry mouth, dark urine, or dizziness.
- Positive Pregnancy Test: If a subsequent pregnancy test comes back positive, seek prenatal care immediately.
Remember, while I can provide guidance, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.
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4 mo ago