[21F] With missed period and abdominal soreness

Patient Description

A 21-year-old female reports a missed period that was expected to start one day ago. The patient has a history of irregular periods but has had consistent cycles for the past two months. She is experiencing abdominal soreness that began two days ago, described as a soreness that feels like the need to stretch, rated 5 out of 10 in severity. The soreness came on suddenly. The patient also reports nausea without vomiting, bloating, and changes in appetite, where she starts eating but then feels weird and doesn't finish her food. She had diarrhea this morning but was unable to have a complete bowel movement and is currently experiencing chills without fever. The patient has had unprotected sex recently but has not taken a pregnancy test due to financial constraints. There are no known pre-existing conditions, chronic illnesses, allergies, or current medications.

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Arora's Assessment

What might be happening

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

  • Pregnancy: Given that you have had unprotected sex and missed your period, pregnancy is a possibility. Early pregnancy symptoms can include missed periods, nausea, bloating, and changes in appetite.

    • Testing: A home pregnancy test can help determine if you are pregnant. These are available at most pharmacies and some community health centers may offer them for free.
  • Stress and Emotional Changes: Emotional stress, such as going through a breakup, can impact your menstrual cycle and cause symptoms like abdominal pain, nausea, and changes in appetite.

    • Management: Stress management techniques such as mindfulness, exercise, and talking to a counselor or therapist can be helpful.
  • Gastrointestinal Issues: Conditions like irritable bowel syndrome (IBS) can cause bloating, abdominal pain, and changes in bowel habits, including diarrhea and constipation.

    • Treatment: Dietary changes, stress management, and sometimes medications can help manage symptoms.
  • Hormonal Imbalances: Hormonal fluctuations can cause irregular periods, abdominal pain, and other symptoms.

    • Testing: Blood tests can help determine if there are any hormonal imbalances.

What you can do

  1. Take a Pregnancy Test: If possible, try to obtain a pregnancy test to rule out pregnancy as a cause for your missed period and symptoms. Some community health centers offer free or low-cost tests.
  2. Manage Stress: Engage in activities that help you relax and manage stress, such as exercise, meditation, or talking to a friend or counselor.
  3. Monitor Your Symptoms: Keep track of your symptoms, including any changes in your menstrual cycle, abdominal pain, and bowel habits. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
  4. Stay Hydrated and Eat a Balanced Diet: Ensure you are drinking plenty of water and eating a balanced diet rich in fiber to help with bloating and bowel movements.
  5. Seek Medical Advice: If your symptoms persist or worsen, it is important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

What you should look out for

  • Severe Abdominal Pain: If you experience severe abdominal pain, it is important to seek medical attention promptly.
  • Fever or Chills: If you develop a fever (temperature over 100.4°F) or chills, it could indicate an infection or other serious condition.
  • Persistent or Worsening Symptoms: If your symptoms do not improve or get worse, it is important to see a healthcare provider for further evaluation.

Remember, while I can provide information and suggestions, I am not a doctor. It is important to seek care from real health professionals to receive a formal diagnosis and treatment if appropriate.

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4 mo ago


People Also Ask


Can stress cause a missed period and symptoms like nausea and abdominal pain?

Yes, stress can impact your menstrual cycle and lead to symptoms such as missed periods, nausea, and abdominal pain. Stress management techniques can help alleviate these symptoms.


What are the early signs of pregnancy and how can I confirm if I am pregnant?

Early signs of pregnancy can include a missed period, nausea, bloating, and changes in appetite. A home pregnancy test, available at pharmacies or community health centers, can help confirm pregnancy.


How can gastrointestinal issues like IBS affect my menstrual cycle and cause symptoms like bloating and diarrhea?

Gastrointestinal issues like IBS can cause symptoms such as bloating, abdominal pain, and changes in bowel habits, which may indirectly affect your menstrual cycle. Managing diet and stress can help alleviate these symptoms.


What are some ways to manage stress and improve symptoms like abdominal pain and changes in appetite?

Stress management techniques such as mindfulness, exercise, meditation, and talking to a counselor or therapist can help manage stress and improve symptoms like abdominal pain and changes in appetite.

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Anonymous#44913

4 mo ago

Need answers!!

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