[25F] Experiencing a range of abdominal and urinary symptoms

Patient Description

A 25-year-old female presents with a 5-day history of frequent urination, increased urine volume, bloating, constipation, pressure around the belly button, lightheadedness, lower back pain, lower left abdominal pain, and gas. The patient also reports feeling warmer than usual but does not have a fever. The patient's last menstrual period began on February 3, and she is unsure if she is currently pregnant. She has had unprotected sexual intercourse recently. The patient has experienced constipation in the past and currently has a mix of hard and loose stools. The patient has also noticed a change in weight. No relief from bloating has been noted, and no specific dietary triggers have been identified.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be possible:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. UTIs are among the most common infections in humans, especially in women. Symptoms can include frequent urination, a feeling of warmth, and abdominal discomfort.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • Pregnancy: Given your recent unprotected sexual activity and the symptoms you're experiencing (frequent urination, bloating, constipation, and feeling warmer than usual), it's possible that you could be pregnant.

    • Confirming pregnancy typically involves a home pregnancy test or a blood test at a doctor's office.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment typically involves changes in diet, lifestyle, and stress management. In some cases, medications may be prescribed.

What you can do

  1. Take a home pregnancy test to rule out pregnancy as the cause of your symptoms.
  2. Drink plenty of water and avoid drinks that might irritate your bladder, such as coffee, alcohol, and soft drinks containing citrus juices or caffeine.
  3. Try to identify any food or drink that might be causing your bloating and constipation. Keeping a food diary could help with this.
  4. If your symptoms persist or worsen, please consult with a healthcare professional.

What you should look out for

Reasons to see a doctor more urgently:

  • If you develop a fever (temperature over 100.4°F) or chills
  • If you notice blood in your urine or stool
  • If your abdominal pain becomes severe
  • If your symptoms persist or worsen

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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10 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include frequent urination, a strong urge to urinate, a burning sensation when urinating, cloudy or strong-smelling urine, and pelvic pain, especially in women.


How can I confirm if I am pregnant?

To confirm pregnancy, you can take a home pregnancy test, which detects the presence of the hormone hCG in your urine. For more accurate results, a blood test at a doctor's office can be performed.


What dietary changes can help manage symptoms of Irritable Bowel Syndrome (IBS)?

Dietary changes for managing IBS symptoms often include increasing fiber intake, avoiding trigger foods such as caffeine, alcohol, and certain carbohydrates, and eating smaller, more frequent meals. Keeping a food diary can help identify specific triggers.


When should I see a doctor for abdominal pain and bloating?

You should see a doctor if you experience severe abdominal pain, persistent or worsening symptoms, fever, chills, or if you notice blood in your urine or stool.


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