[26F] Experiencing stomach cramps, dizziness, and incontinence

Patient Description

A 26-year-old female presents with a 4-day history of upper abdominal cramps, described as a sore and cramping sensation with a severity of 6 out of 10. The patient also reports a spinning sensation and imbalance rated at 8 out of 10 in severity, occurring randomly throughout the day. Additionally, she experiences urinary incontinence without the sensation of needing to urinate, along with ongoing urine leakage. The patient's medical history includes a C-section performed 3 years ago and a recent diagnosis of herniated disks in the back, for which she has sought medical attention over the past 2 years. The patient is not currently on any medications and has no known drug allergies.

Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

Urinary Tract Infection (UTI): UTIs can cause abdominal pain, urinary incontinence, and sometimes even dizziness. They are common in women and can occur at any age.
- Treatment typically involves antibiotics prescribed by a doctor.
Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a bacterial or viral infection. It can cause stomach cramps, nausea, and sometimes dizziness due to dehydration.
- Treatment usually involves rest, hydration, and over-the-counter medications to alleviate symptoms.
Herniated Disc: Your history of a herniated disc could be contributing to your symptoms. Sometimes, a herniated disc in the lower spine can put pressure on nerves that control the bladder, leading to incontinence. Dizziness is less commonly associated with a herniated disc, but it can occur in some cases.
- Treatment options can range from physical therapy and pain medications to surgery in severe cases.

What you can do

Seek immediate medical attention: Given the severity and combination of your symptoms, it's important to consult with a healthcare professional as soon as possible. They can provide a formal diagnosis and appropriate treatment.
Stay hydrated: If you have a UTI or gastroenteritis, staying hydrated is crucial, especially if you're experiencing dizziness.
Monitor your symptoms: Keep track of when your symptoms occur, their severity, and anything that makes them better or worse. This information can be helpful for your healthcare provider.