[22F] Experiencing a range of menstrual-related and gastrointestinal symptoms

Patient Description

A 22-year-old female presents with a variety of symptoms including cramps, irregular periods, headaches, swollen tender breasts, diarrhea, and nausea. The cramps are described as being constant, occurring before and after her menstrual cycle, with a pain severity of 4-5 out of 10. The patient has experienced three periods within a single month and has had irregular periods for the same duration. Headaches are described as dull and painful, occurring for a couple of months, with a severity ranging from 4 to 7 out of 10. Diarrhea has been a long-term issue for six years, occurring three times a week and three times a day, potentially with mucus and blood. The patient also reports swollen and tender breasts with cysts that can flare up or leak fluid, a symptom present for six months with a severity of 6 out of 10. Nausea has been occurring every morning and night for a couple of months, with a severity of 4 out of 10. The patient denies any recent travel, fever, chills, or injuries to the breast area. No specific food triggers for diarrhea have been identified. The patient has not mentioned any current medications or known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Premenstrual Syndrome (PMS): This is a common condition that can cause a variety of symptoms in the two weeks before your period, including bloating, breast tenderness, and mood changes. It could explain some of your symptoms, but not all.

    • Treatment typically involves lifestyle changes, such as regular exercise, a healthy diet, and getting enough sleep. Over-the-counter pain relievers can help with cramps and breast tenderness.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, diarrhea, and constipation. It could explain your digestive symptoms.

    • Treatment typically involves dietary changes, stress management, and sometimes medications.
  • Hormonal Imbalance: Conditions like Polycystic Ovary Syndrome (PCOS) or thyroid disorders can cause irregular periods, weight changes, and other symptoms. It could explain your irregular periods and some of your other symptoms.

    • Treatment typically involves medication to manage the hormonal imbalance and symptoms.
  • Breast Cysts: Fluid-filled sacs in the breasts can cause breast pain and tenderness. This could explain your breast symptoms.

    • Treatment typically involves monitoring the cysts, over-the-counter pain relievers, and sometimes draining the cysts.

Please note that these are just possibilities and not a definitive diagnosis. Only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to perform some tests to help determine the cause of your symptoms.
  2. Keep a symptom diary. Note down when each of your symptoms occur, their severity, and any potential triggers. This can help your healthcare provider in their assessment.
  3. Try to maintain a balanced diet and regular exercise routine. This can help manage some of your symptoms and improve your overall health.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Severe abdominal pain
  • Vomiting blood or having blood in your stool
  • Sudden, severe headache
  • Fainting or loss of consciousness
  • Difficulty breathing

Please remember that while I strive to provide accurate information, I am not a doctor. Always consult with a healthcare professional for a definitive diagnosis and treatment.

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10 mo ago

People Also Ask


What could be causing my irregular periods and cramps?

Irregular periods and cramps can be caused by hormonal imbalances, such as those seen in conditions like Polycystic Ovary Syndrome (PCOS) or thyroid disorders. Premenstrual Syndrome (PMS) can also contribute to these symptoms. It's important to consult with a healthcare provider for a proper diagnosis.


How can I manage my long-term diarrhea and digestive issues?

Long-term diarrhea and digestive issues could be indicative of Irritable Bowel Syndrome (IBS), which affects the large intestine. Managing IBS typically involves dietary changes, stress management, and sometimes medications. Keeping a food diary and consulting with a healthcare provider can help identify triggers and appropriate treatments.


What are the possible reasons for my swollen and tender breasts?

Swollen and tender breasts could be due to breast cysts, which are fluid-filled sacs that can cause pain and tenderness. Hormonal changes related to the menstrual cycle can also contribute to these symptoms. Monitoring the cysts and using over-the-counter pain relievers can help manage discomfort.


Why am I experiencing nausea every morning and night?

Nausea occurring every morning and night could be related to hormonal changes, digestive issues, or other underlying conditions. It's important to track when the nausea occurs and any potential triggers, and discuss these with a healthcare provider to determine the cause and appropriate treatment.


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