[23F] With delayed menstruation, emotional changes, and gastrointestinal symptoms

What might be happening

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

• Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms can include vomiting, diarrhea, abdominal cramps, and sometimes fever or chills. The bright yellow vomit could be bile, which is common when the stomach is empty.

  • Treatment: Gastroenteritis usually resolves on its own within a few days. Treatment focuses on staying hydrated and resting. In some cases, over-the-counter medications can help manage symptoms.

• Premenstrual Syndrome (PMS): Emotional changes, abdominal cramps, and gastrointestinal symptoms can be part of PMS, which occurs in the days leading up to your period.

  • Treatment: Over-the-counter pain relievers, such as ibuprofen, can help with cramps. Lifestyle changes, such as regular exercise and a balanced diet, can also alleviate symptoms.

• Early Pregnancy: Despite a negative pregnancy test, it's still possible to be pregnant, especially if the test was taken early. Symptoms of early pregnancy can include missed periods, nausea, vomiting, and abdominal cramps.

  • Treatment: If you suspect pregnancy, consider retaking a pregnancy test a few days later or consulting a healthcare provider for a more accurate test.

• Irritable Bowel Syndrome (IBS): IBS is a chronic condition that affects the large intestine and can cause symptoms like diarrhea, abdominal pain, and cramping. Emotional stress can exacerbate IBS symptoms.

  • Treatment: Managing IBS often involves dietary changes, stress management, and sometimes medications prescribed by a doctor.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Stay Hydrated: Drink plenty of fluids, such as water, clear broths, or oral rehydration solutions, to prevent dehydration, especially if you have diarrhea.
2. Rest: Give your body time to recover by getting plenty of rest.
3. Monitor Your Symptoms: Keep track of your symptoms, including their frequency and severity. You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your provider.
4. Dietary Adjustments: Eat small, bland meals that are easy on your stomach, such as bananas, rice, applesauce, and toast (the BRAT diet). Avoid spicy, fatty, or greasy foods.
5. Over-the-Counter Medications: Consider using over-the-counter medications like antacids for stomach acid or pain relievers for cramps, but consult a healthcare provider if you're unsure.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or Worsening Symptoms: If your abdominal pain becomes severe or your symptoms worsen, it's important to see a doctor.
• Dehydration: Signs of dehydration include dry mouth, dark urine, dizziness, and decreased urine output.
• Persistent Vomiting: If you continue to vomit and cannot keep fluids down, you should seek medical care.
• Fever: A persistent fever (temperature over 100.4°F) or chills may indicate an infection that requires medical attention.
• Missed Period: If your period remains absent and you continue to have symptoms, consider retaking a pregnancy test or consulting a healthcare provider.

Remember, while these suggestions can help manage your symptoms, they are not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.