[23F] With pelvic pain, blood in urine, and prolonged menstruation

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what might be happening:

1. Iron Deficiency Anemia: Your recent lab results suggest microcytic, hypochromic anemia with elevated RDW and thrombocytosis, which could indicate iron deficiency anemia. This condition can cause fatigue, weakness, headaches, and body pain. It may also contribute to your prolonged menstrual bleeding.

2. Urinary Tract Infection (UTI): The presence of blood and leukocytes in your urine could suggest a urinary tract infection. UTIs can cause pelvic pain, frequent urination, and stomach pain.

3. Menstrual Irregularities: Prolonged menstrual bleeding and crampy pelvic pain could be related to hormonal imbalances or other menstrual irregularities. This might also explain your nausea and loose stools.

4. Gastrointestinal Issues: Your symptoms of stomach pain, nausea, and loose stools could be related to a gastrointestinal issue, such as irritable bowel syndrome (IBS) or another digestive condition.

What you can do

Iron Deficiency Anemia:

• Consider increasing your intake of iron-rich foods, such as red meat, beans, lentils, and spinach.
• Vitamin C can help with iron absorption, so include foods like oranges, strawberries, and bell peppers in your diet.
• Consult with a healthcare provider about the possibility of taking iron supplements.

Urinary Tract Infection:

• Drink plenty of water to help flush out bacteria from your urinary tract.
• Avoid irritants such as caffeine, alcohol, and spicy foods, which can worsen symptoms.
• Seek medical attention for appropriate testing and treatment, which may include antibiotics.

Menstrual Irregularities:

• Keep track of your menstrual cycle and symptoms using a journal or an app like MDandMe to share with your healthcare provider.
• Over-the-counter pain relievers like ibuprofen can help manage crampy pelvic pain.

Gastrointestinal Issues:

• Maintain a balanced diet and avoid foods that trigger your symptoms.
• Consider keeping a food diary to identify any patterns or triggers.
• Stay hydrated and consider probiotics to support gut health.

What you should look out for

While your symptoms are concerning, they may not be immediately life-threatening. However, you should seek medical care if you experience:

• Severe or worsening pain
• High fever or chills
• Blood in your stool or vomit
• Fainting or severe dizziness
• Difficulty urinating or severe pain during urination

Remember, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. They can provide personalized advice and help address your specific concerns.