[22F] Experiencing nausea, tender breasts, and late period

Patient Description

A 22-year-old female presents with nausea for approximately one month, which is alleviated by lying down. She also reports constipation, mood swings, tender breasts particularly around the nipples, and shortness of breath. Her last menstrual period was over a month ago, and a pregnancy test was negative. The patient has acne but no unusual hair growth. She has a family history of thyroid issues but has not been diagnosed with any thyroid dysfunction herself. Additionally, she was diagnosed with asthma in 2021 but denies experiencing wheezing or chest tightness. There are no known allergies, and she is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations:

  1. Hormonal Changes or Imbalance: Your symptoms, including tender breasts, mood swings, acne, and a late period, could be related to hormonal changes. This might be due to stress, changes in weight, or other factors affecting your menstrual cycle. Hormonal imbalances can also cause nausea and constipation.

  2. Pregnancy: Despite a negative pregnancy test, it's still possible to be pregnant, especially if the test was taken too early. Symptoms like nausea, tender breasts, and a missed period are common in early pregnancy. If your period doesn't start soon, consider retesting or consulting a healthcare provider.

  3. Gastrointestinal Issues: Nausea and constipation could be related to gastrointestinal issues, which might also contribute to your overall discomfort.

  4. Asthma: While you haven't experienced wheezing or chest tightness, your shortness of breath could still be related to asthma, especially if there are environmental triggers or changes in your asthma management.

What you can do

Hormonal Changes or Imbalance:

  • Keep track of your menstrual cycle and symptoms using a journal or an app like MDandMe. This can help identify patterns and provide useful information for your healthcare provider.
  • Maintain a balanced diet and regular exercise routine to support hormonal balance.

Pregnancy:

  • If your period remains absent, consider taking another pregnancy test in a week or consult a healthcare provider for further evaluation.

Gastrointestinal Issues:

  • Stay hydrated and consider dietary changes, such as increasing fiber intake, to help with constipation.
  • Ginger tea or peppermint tea may help alleviate nausea.

Asthma:

  • Ensure you have an asthma action plan in place and that you're using your inhaler as prescribed. If your shortness of breath persists, consult your healthcare provider.

What you should look out for

  • If you experience severe abdominal pain, persistent vomiting, or any new or worsening symptoms, seek medical attention promptly.
  • Monitor for any signs of pregnancy or changes in your menstrual cycle, and consult a healthcare provider if you have concerns.
  • If your shortness of breath worsens or you experience wheezing or chest tightness, seek medical care, especially given your history of asthma.

Remember, while I can provide guidance based on the information you've shared, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.

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12 d ago


People Also Ask


Can hormonal imbalances cause symptoms like nausea and constipation?

Yes, hormonal imbalances can cause a variety of symptoms, including nausea and constipation. These imbalances can affect the digestive system and overall bodily functions.


Is it possible to be pregnant even if a pregnancy test is negative?

Yes, it is possible to be pregnant even if a pregnancy test is negative, especially if the test was taken too early. If your period is still absent, consider retesting or consulting a healthcare provider.


What are some dietary changes that can help with constipation?

Increasing fiber intake by eating more fruits, vegetables, and whole grains can help with constipation. Staying hydrated and incorporating foods like prunes or bran can also be beneficial.


How can asthma affect breathing without causing wheezing or chest tightness?

Asthma can cause shortness of breath without wheezing or chest tightness, especially if there are environmental triggers or if asthma management needs adjustment. It's important to follow an asthma action plan and consult a healthcare provider if symptoms persist.

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