[21F] With ear infection, late period, and breast soreness

Patient Description

A 21-year-old female reports a late period by 2 days, along with an ear infection characterized by a constant dull ache that occasionally becomes sharp, brown discharge from the ear, and frequent ringing. The ear pain has been present for 2 days. The patient also reports moderate breast soreness for a couple of days, which is unusual for her, even when her period is approaching. Additionally, she has experienced mild, constant cramping in the lower and upper abdomen, a little nausea without vomiting, and a decreased appetite. The patient has a history of depression and anxiety diagnosed at age 12, autism diagnosed at age 20, and ADHD and BPD diagnosed at age 19. She is currently taking Abilify 10 mg daily and has no known allergies or adverse reactions to medications. The patient has not taken a pregnancy test yet due to financial constraints and has not been using any substances or started any new medications or supplements in the past month. She has not traveled recently.

Show More

Arora's Assessment

What might be happening

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

Ear Infection

  • Otitis Media or Otitis Externa: Your ear pain, brown discharge, and ringing could be due to an ear infection. Otitis media affects the middle ear, while otitis externa affects the outer ear canal. These infections can follow a cold or upper respiratory infection.
  • Treatment: Typically, ear infections are treated with antibiotics if they are bacterial. Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain. Warm compresses can also provide relief.

Late Period and Sore Breasts

  • Pregnancy: A late period and sore breasts are common early signs of pregnancy. Given that your period is only 2 days late, it might be too early to detect pregnancy with some tests.
  • Hormonal Imbalance: Stress, changes in weight, or other factors can cause hormonal imbalances, leading to a late period and breast soreness.
  • Treatment: If pregnancy is a possibility, taking a home pregnancy test when you can afford one is a good first step. If the test is negative and your period remains absent, or if you have other concerning symptoms, consult a healthcare provider.

Abdominal Cramping

  • Premenstrual Syndrome (PMS): Mild cramping in the lower and upper abdomen can be a sign of PMS, which can occur even if your period is late.
  • Other Causes: Gastrointestinal issues, such as gas or constipation, could also cause abdominal cramping.
  • Treatment: Over-the-counter pain relievers and warm compresses can help alleviate cramping. Staying hydrated and eating a balanced diet can also be beneficial.

What you can do

Ear Infection

  • See a Doctor: It's important to consult a healthcare provider to determine if you need antibiotics or other treatments for your ear infection.
  • Home Care: Use over-the-counter pain relievers like ibuprofen or acetaminophen to manage pain. Apply a warm compress to the affected ear for relief.

Late Period and Sore Breasts

  • Take a Pregnancy Test: When you can afford one, take a home pregnancy test to rule out pregnancy.
  • Monitor Symptoms: Keep track of your symptoms using the MDandMe journal. Note any changes in your period, breast soreness, or other symptoms.
  • Consult a Doctor: If your period remains absent or you have other concerning symptoms, consult a healthcare provider for further evaluation.

Abdominal Cramping

  • Pain Relief: Use over-the-counter pain relievers and warm compresses to manage cramping.
  • Diet and Hydration: Ensure you are staying hydrated and eating a balanced diet to help alleviate gastrointestinal issues.

What you should look out for

Given the combination of your symptoms, it's important to seek medical care if you experience any of the following:

  • Severe Ear Pain or Hearing Loss: If your ear pain becomes severe or you experience significant hearing loss, seek medical attention promptly.
  • Severe Abdominal Pain: If your abdominal pain becomes severe or is accompanied by other symptoms like fever, vomiting, or dizziness, seek medical care.
  • Persistent or Worsening Symptoms: If your symptoms persist or worsen, consult a healthcare provider for further evaluation.

Remember, while I can provide information and suggestions, it's important to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

Show More

1
 Hugs
0
 Comments

Save

4 mo ago


People Also Ask


What are the common symptoms of an ear infection?

Common symptoms of an ear infection include ear pain, discharge from the ear, ringing in the ear, and sometimes hearing loss. The pain can be dull or sharp and may be accompanied by a feeling of fullness in the ear.


Can stress or anxiety cause a late period?

Yes, stress and anxiety can affect your menstrual cycle by causing hormonal imbalances, which can lead to a late period. Other factors like changes in weight or lifestyle can also contribute.


What are the early signs of pregnancy?

Early signs of pregnancy can include a missed period, sore or tender breasts, nausea, increased urination, and fatigue. However, these symptoms can also be related to other conditions, so a pregnancy test is recommended for confirmation.


How can I manage abdominal cramping at home?

To manage abdominal cramping at home, you can use over-the-counter pain relievers like ibuprofen or acetaminophen, apply a warm compress to the abdomen, stay hydrated, and maintain a balanced diet. Gentle exercise and relaxation techniques may also help alleviate discomfort.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories


Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback