[25F] With late period and constipation

Patient Description

A 25-year-old female is experiencing an 8-day late period, which is unusual for her. She reports constipation for about a week, with stools appearing as small balls, and her last bowel movement was yesterday. She also experiences lower abdominal pain that can become severe, along with nausea and vomiting. A recent pregnancy test was negative. The patient has been under significant stress due to homelessness and job loss, and her diet has suffered, with poor food choices. There have been no recent changes in weight, no travel, and no exposure to new environments. She has no pre-existing conditions or chronic illnesses and is not taking any medications.

Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities:

Stress and Lifestyle Changes: Significant stress, such as becoming homeless and losing a job, can impact your menstrual cycle and digestive system. Stress can lead to hormonal imbalances, causing a late period, and can also affect bowel movements, leading to constipation.
Dietary Changes: Not eating well can contribute to both constipation and menstrual irregularities. A lack of fiber and fluids can lead to harder stools and difficulty passing them.
Pregnancy: Although your test was negative, it's worth considering a follow-up test if your period doesn't start soon, as tests can sometimes be inaccurate if taken too early.

Typical treatments or testing might include:

Monitoring your symptoms and possibly repeating a pregnancy test.
Consulting a healthcare provider for a thorough evaluation if symptoms persist.

What you can do

Manage Stress: Try relaxation techniques such as deep breathing, meditation, or gentle exercise to help manage stress levels.
Improve Diet: Aim to include more fiber-rich foods like fruits, vegetables, and whole grains. Drink plenty of water to help with constipation.
Track Symptoms: Use MDandMe to journal your symptoms, track your menstrual cycle, and note any changes. This can provide valuable information for your healthcare provider.
Seek Support: Consider reaching out to local resources or support groups that can assist with housing and employment.

What you should look out for

If your period remains absent for several weeks, consider consulting a healthcare provider.
Seek medical attention if you experience severe abdominal pain, persistent vomiting, or if constipation worsens.
If you notice any new or worsening symptoms, it's important to get evaluated by a healthcare professional.

Remember, it's always best to consult with a healthcare provider for a formal diagnosis and personalized advice.

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3 mo ago

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