[26F] Experiencing fatigue, nausea, and cramping

Patient Description

A 26-year-old female reports experiencing persistent tiredness for the past month, feeling sleepy throughout the day, and waking up tired. She also experiences nausea, vomiting, picky eating, sensitivity to smells, and intense cramping in the lower abdomen and pelvic area. The cramps are severe, causing tears and are accompanied by frequent soft bowel movements. Additionally, she has increased cravings for sweets, feels hot frequently, and experiences frequent urination and bowel movements. The patient also reports bloating despite variable appetite and describes her spine as being in constant pain unless lying down. An error occurred during a recent pregnancy test, and she has not traveled recently. The combination of symptoms suggests the possibility of pregnancy, gastrointestinal issues, hormonal imbalance, or a urinary tract infection. Further medical evaluation is recommended to determine the underlying cause.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few possibilities to consider:

  1. Pregnancy: Your symptoms, including fatigue, nausea, vomiting, frequent urination, food cravings, and cramping, could suggest pregnancy. The error on your pregnancy test indicates it might be worth retesting or consulting with a healthcare provider for a more reliable test.

  2. Gastrointestinal Issues: The bloating, changes in appetite, and diarrhea could suggest a gastrointestinal issue, such as a food intolerance or irritable bowel syndrome (IBS). However, these symptoms can also occur during pregnancy.

  3. Urinary Tract Infection (UTI): Frequent urination and pelvic pain could indicate a UTI, which sometimes also causes fatigue and nausea.

  4. Hormonal Imbalance: Conditions like polycystic ovary syndrome (PCOS) or thyroid issues can cause symptoms such as fatigue, changes in appetite, and cramping.

  5. Endometriosis: This condition involves tissue similar to the lining inside the uterus growing outside it, causing severe cramping, bloating, and fatigue.

It's important to consult with a healthcare provider to explore these possibilities further and get a proper diagnosis. They can perform tests and evaluations to determine the exact cause of your symptoms.

What you can do

Pregnancy: Consider retaking a pregnancy test or visiting a healthcare provider for a more accurate test. If you are pregnant, they can guide you on the next steps for prenatal care.

Gastrointestinal Issues: Keep a food diary to track what you eat and any symptoms that follow. This can help identify any food intolerances or triggers. Eating smaller, more frequent meals and staying hydrated may also help alleviate symptoms.

Urinary Tract Infection (UTI): Drink plenty of water to help flush out bacteria. Avoid irritants like caffeine, alcohol, and spicy foods. If symptoms persist, consult a healthcare provider for appropriate treatment.

Hormonal Imbalance: A healthcare provider can perform tests to check for hormonal imbalances and recommend appropriate treatments or lifestyle changes.

Endometriosis: If you suspect endometriosis, consult a healthcare provider for an evaluation. They may recommend imaging tests or a referral to a specialist for further assessment.

Consider using MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Seek medical care if you experience any of the following:

  • Severe or worsening pain
  • Persistent vomiting or inability to keep fluids down
  • Blood in your urine or stool
  • High fever or chills
  • Fainting or dizziness

These could indicate a more serious condition that requires prompt medical attention. Remember, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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15 d ago

People Also Ask


Could my symptoms indicate pregnancy even if the initial test was inconclusive?

Yes, your symptoms such as fatigue, nausea, vomiting, frequent urination, and cramping could suggest pregnancy. It's advisable to retake the pregnancy test or consult with a healthcare provider for a more reliable test.


What are some common gastrointestinal issues that could cause symptoms like mine?

Common gastrointestinal issues that could cause symptoms like bloating, changes in appetite, and diarrhea include food intolerances, irritable bowel syndrome (IBS), or even gastrointestinal infections. Keeping a food diary and noting any triggers can help identify the issue.


How can I tell if my symptoms are due to a urinary tract infection?

Frequent urination, pelvic pain, and sometimes fatigue and nausea can indicate a urinary tract infection (UTI). If you suspect a UTI, it's important to consult a healthcare provider for appropriate testing and treatment.


What are the signs of a hormonal imbalance that I should be aware of?

Signs of a hormonal imbalance can include fatigue, changes in appetite, cramping, irregular menstrual cycles, and mood changes. Conditions like polycystic ovary syndrome (PCOS) or thyroid issues can cause these symptoms, and a healthcare provider can perform tests to diagnose and recommend treatment.


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