[22F] Experiencing nausea, abdominal swelling, and other symptoms post-pregnancy loss

Patient Description

A 22-year-old female has been experiencing nausea after eating for a few weeks, occurring daily and lasting 3-5 minutes each time. The nausea began suddenly after eating fish and has since been triggered by other foods like chili, leading to vomiting. The patient also reports abdominal swelling around the belly button for the past week, accompanied by weight gain. She experiences abdominal pain, particularly during sex, changes in bowel habits, occasional heartburn, and fever, but no blood in the stool. Recent dietary changes include consuming milky beverages. The patient lost her baby two months ago and has noticed changes in her menstrual cycle, with her period lasting longer than usual last month. Post-pregnancy loss, she has experienced fatigue, dizziness, increased appetite, breast tenderness, mood swings, and changes in hair or skin. Her medical history includes focal epilepsy diagnosed in 2015, treated with Carbamazepine 50mg twice a day every week. She is allergic to antihistamines and takes supplements.

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Arora's Assessment

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for what you might be experiencing:

Nausea after eating and abdominal swelling

  1. Gastrointestinal Issues:

    • Food Intolerance or Allergy: The sudden onset of nausea after eating fish and other foods like chili could indicate a food intolerance or allergy. This can cause nausea, vomiting, and abdominal discomfort.
    • Gastritis or Peptic Ulcer Disease: These conditions can cause nausea, vomiting, and abdominal pain, especially after eating. They can also be associated with heartburn and acid reflux.
    • Irritable Bowel Syndrome (IBS): IBS can cause nausea, changes in bowel habits, and abdominal bloating.
  2. Hormonal Changes:

    • Post-Pregnancy Hormonal Fluctuations: After a pregnancy loss, hormonal changes can affect your digestive system, leading to symptoms like nausea and bloating.

Weight Gain and Abdominal Swelling

  1. Fluid Retention:
    • Hormonal Changes: Hormonal fluctuations after pregnancy loss can lead to fluid retention and weight gain.
    • Dietary Changes: Consuming milky beverages and other dietary changes can contribute to bloating and weight gain.

Fatigue, Dizziness, and Increased Appetite

  1. Post-Pregnancy Recovery:
    • Physical and Emotional Stress: The physical and emotional stress of losing a baby can lead to fatigue, dizziness, and changes in appetite.
    • Nutritional Deficiencies: Changes in diet and nutritional intake can contribute to these symptoms.

Abdominal Pain During Sex

  1. Pelvic Inflammatory Disease (PID):
    • Infection: PID can cause abdominal pain, especially during sex, and may be associated with changes in menstrual cycle and other symptoms.

Mood Swings, Breast Tenderness, and Skin Changes

  1. Hormonal Imbalance:
    • Post-Pregnancy Hormonal Changes: Hormonal fluctuations after pregnancy loss can lead to mood swings, breast tenderness, and changes in hair or skin.

What you can do

Nausea and Vomiting

  • Dietary Adjustments: Avoid foods that trigger your nausea, such as fish and spicy foods. Opt for bland, easy-to-digest foods.
  • Hydration: Stay hydrated by drinking small sips of water or clear fluids.
  • Small, Frequent Meals: Eat smaller, more frequent meals to avoid overwhelming your digestive system.
  • Consult a Doctor: See a healthcare provider to rule out any underlying conditions like food allergies, gastritis, or IBS.

Abdominal Swelling and Weight Gain

  • Monitor Diet: Keep track of your dietary intake and avoid foods that cause bloating.
  • Exercise: Engage in regular physical activity to help manage weight and reduce bloating.
  • Consult a Doctor: Discuss your symptoms with a healthcare provider to rule out fluid retention or other underlying issues.

Fatigue, Dizziness, and Increased Appetite

  • Rest and Recovery: Ensure you get adequate rest and allow your body to recover from the physical and emotional stress.
  • Balanced Diet: Maintain a balanced diet rich in nutrients to support your recovery.
  • Consult a Doctor: Seek medical advice to address any nutritional deficiencies or other underlying causes.

Abdominal Pain During Sex

  • Consult a Doctor: See a healthcare provider to rule out conditions like PID or other pelvic issues.

Mood Swings, Breast Tenderness, and Skin Changes

  • Hormonal Balance: Discuss your symptoms with a healthcare provider to address any hormonal imbalances.
  • Self-Care: Engage in self-care practices to manage stress and support your emotional well-being.

What you should look out for

Given the complexity of your symptoms and the potential for underlying conditions, it's important to seek medical care. Reasons to seek care more urgently include:

  • Persistent or worsening nausea and vomiting
  • Severe abdominal pain or swelling
  • Unexplained weight gain or loss
  • Changes in bowel habits that persist
  • Signs of infection, such as fever or unusual discharge
  • Severe mood swings or emotional distress

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

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5 mo ago

People Also Ask


What could be causing nausea after eating certain foods?

Nausea after eating certain foods could be due to food intolerance or allergy, gastritis, peptic ulcer disease, or irritable bowel syndrome (IBS). It's important to identify and avoid trigger foods and consult a healthcare provider for a proper diagnosis.


How can hormonal changes after pregnancy loss affect my body?

Hormonal changes after pregnancy loss can lead to symptoms such as nausea, bloating, weight gain, mood swings, breast tenderness, and changes in hair or skin. These fluctuations can affect both physical and emotional well-being.


What are some possible reasons for abdominal pain during sex?

Abdominal pain during sex could be caused by conditions such as pelvic inflammatory disease (PID), infections, or other pelvic issues. It's important to consult a healthcare provider to determine the underlying cause and receive appropriate treatment.


How can I manage mood swings and other emotional changes after pregnancy loss?

Managing mood swings and emotional changes after pregnancy loss involves addressing hormonal imbalances, engaging in self-care practices, and seeking support from healthcare providers or mental health professionals. It's important to prioritize emotional well-being during this time.


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Justa#43008

5 mo ago

Have you kept a journal of what might be triggering your symptoms? Also, is the swelling in your belly constant or does it fluctuate depending on what you eat (more like bloating)?

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