[24F] Experiencing pelvic pain, frequent urination, and bloating

Patient Description

A 24-year-old female is presenting with bloating, pelvic pain, and discomfort under the rib cage. She reports frequent urination with a sensation of incomplete bladder emptying but no blood in the urine. She experiences menstrual cramps starting approximately two days before her period, which she rates as 6 out of 10 in severity. Her menstrual cycle is irregular and heavy, which she attributes to polycystic ovary syndrome (PCOS). She also notes high emotional sensitivity and recent changes in food intake. The patient has a history of asthma, for which she takes Symbocort daily and uses Albuterol as needed. She reports no allergies or adverse reactions to medications. There is no recent history of fever, but she mentions always feeling cold.

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Arora's Assessment

What might be happening

Based on the information provided, possible diagnoses include:

  • Polycystic Ovary Syndrome (PCOS): You've already been diagnosed with PCOS, which can cause irregular periods, pelvic pain, and hormonal changes (which might explain your emotional symptoms). PCOS can also cause difficulty with food intake and weight management.

    • Treatment typically involves lifestyle changes like diet and exercise, and sometimes medication to manage symptoms.
  • Urinary Tract Infection (UTI): The frequent urination, discomfort while urinating, and feeling of incomplete bladder emptying could be signs of a UTI.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • Gastrointestinal issues: The bloating and pain under your rib cage could be related to a variety of gastrointestinal conditions, such as gastritis or gallbladder disease.

    • Treatment would depend on the specific condition and might involve dietary changes, medication, or in some cases, surgery.

Please note that these are potential diagnoses based on the symptoms you've described. It's important to consult with a healthcare professional who can evaluate your symptoms in person and provide an accurate diagnosis.

What you can do

  1. Schedule an appointment with your primary care doctor or a gynecologist to discuss your symptoms. They can provide a formal assessment and order relevant tests if necessary.

  2. In the meantime, drink plenty of water and avoid irritating substances like caffeine and alcohol to help with the urinary symptoms.

  3. Try to maintain a balanced diet and regular exercise routine to help manage PCOS symptoms.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal or pelvic pain
  • Blood in your urine
  • Fever or chills
  • Vomiting or inability to keep down food or fluids
  • Severe or worsening lower back pain

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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11 mo ago

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People Also Ask


What are common symptoms of Polycystic Ovary Syndrome (PCOS)?

Common symptoms of PCOS include irregular menstrual cycles, heavy periods, pelvic pain, acne, weight gain, and excessive hair growth. Emotional sensitivity and difficulty with food intake can also be associated with hormonal imbalances caused by PCOS.


How can I tell if I have a urinary tract infection (UTI)?

Symptoms of a UTI can include frequent urination, a strong urge to urinate, a burning sensation during urination, cloudy or strong-smelling urine, and a feeling of incomplete bladder emptying. If you suspect a UTI, it's important to see a healthcare provider for diagnosis and treatment.


What might cause bloating and pain under the rib cage?

Bloating and pain under the rib cage can be caused by various gastrointestinal issues such as gastritis, gallbladder disease, or irritable bowel syndrome. It's important to consult a healthcare provider for an accurate diagnosis and appropriate treatment.


How can lifestyle changes help manage PCOS symptoms?

Lifestyle changes such as maintaining a balanced diet, regular exercise, and weight management can help manage PCOS symptoms. These changes can improve insulin sensitivity, regulate menstrual cycles, and reduce the risk of complications associated with PCOS.


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