[22F] With missed period, nausea, and back pain

Patient Description

A 22-year-old female presents with nausea, missed period, and back pain. The nausea is the most bothersome symptom and is accompanied by vomiting. The back pain, described as sharp and intermittent, is often triggered by activities such as picking up her children or bending down. Additionally, she has noticed an increase in appetite, cravings for fruit, constipation, increased frequency of urination, and breast tenderness. The patient has not taken a home pregnancy test yet. Her last menstrual period began on April 4th, 2024. She has no pre-existing conditions or chronic illnesses and is not currently taking any 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 missed your period, are experiencing nausea, vomiting, increased appetite, food cravings, breast tenderness, and increased urination, pregnancy is a strong possibility. These are common early signs of pregnancy.

    • Testing: A home pregnancy test can help confirm if you are pregnant. These tests are widely available at pharmacies and are easy to use. For a more definitive diagnosis, you can visit a healthcare provider for a blood test.
    • Treatment: If you are pregnant, prenatal care is essential. This includes regular check-ups with your healthcare provider, taking prenatal vitamins, and following a healthy diet.
  • Hormonal Imbalance: Sometimes, hormonal changes can cause symptoms similar to pregnancy, such as missed periods, nausea, and breast tenderness.

    • Testing: Blood tests can help determine if there is a hormonal imbalance.
    • Treatment: Treatment depends on the specific hormonal issue and may include lifestyle changes, medications, or other therapies as recommended by a healthcare provider.
  • Gastrointestinal Issues: Nausea, vomiting, and constipation can also be related to gastrointestinal problems.

    • Testing: A healthcare provider may recommend tests such as blood work, stool tests, or imaging studies to diagnose gastrointestinal issues.
    • Treatment: Treatment will depend on the specific condition but may include dietary changes, medications, and other interventions.

What you can do

  1. Take a Home Pregnancy Test: This is a quick and easy way to determine if you are pregnant. Follow the instructions on the test kit carefully.
  2. Consult a Healthcare Provider: Whether the test is positive or negative, it is important to see a healthcare provider for a formal assessment and to discuss your symptoms.
  3. Stay Hydrated and Eat Small, Frequent Meals: This can help manage nausea. Ginger tea or ginger candies may also help alleviate nausea.
  4. Rest and Avoid Heavy Lifting: To help with your back pain, try to rest as much as possible and avoid activities that strain your back.
  5. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

  • Severe Abdominal Pain or Heavy Bleeding: If you experience severe abdominal pain or heavy bleeding, seek medical attention immediately.
  • Persistent Vomiting: If you are unable to keep any food or liquids down, you should see a healthcare provider.
  • Fever or Chills: If you develop a fever or chills, it could indicate an infection or other serious condition that requires medical attention.

Remember, while I can provide information and suggestions, I am not a doctor. It is important to consult with a healthcare professional to receive a formal diagnosis and appropriate treatment.

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6 mo ago

People Also Ask


What are the common early signs of pregnancy?

Common early signs of pregnancy include missed periods, nausea, vomiting, increased appetite, food cravings, breast tenderness, and increased urination.


How accurate are home pregnancy tests?

Home pregnancy tests are generally about 99% accurate when used correctly and after a missed period. However, for a more definitive result, a blood test at a healthcare provider's office is recommended.


What could cause nausea and vomiting if not pregnancy?

Nausea and vomiting can be caused by various factors other than pregnancy, such as hormonal imbalances, gastrointestinal issues, stress, or infections.


How can I manage back pain during early pregnancy?

To manage back pain during early pregnancy, it is recommended to rest, avoid heavy lifting, maintain good posture, and use supportive footwear. Gentle exercises and stretching may also help, but it's important to consult with a healthcare provider for personalized advice.


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