[26F] With abdominal pain, late period, and bloating

Patient Description

A 26-year-old female presents with achy and cramping pain in the lower left side of her abdomen, which started suddenly about 3-4 days ago and is rated as a 2 out of 10 in intensity. The patient also reports excessive gassiness and bloating. Her last menstrual period was on July 2nd, and her period is currently 5 days late. A pregnancy test taken on the day of her missed period was negative. She has experienced a late period in the past, years ago. The patient has not noticed any changes in bowel movements, appetite, weight, or urination, and has not experienced any fever, chills, unusual vaginal discharge, or bleeding. There have been no recent changes to her diet, unusual food intake, recent travel, or exposure to sick individuals. Her medical history includes asthma, diagnosed in early childhood, and an allergy to NSAIDs. She is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  1. Gastrointestinal Issues:

    • Irritable Bowel Syndrome (IBS): IBS can cause cramping, abdominal pain, bloating, gas, and changes in bowel habits. Stress and certain foods can trigger symptoms.
    • Constipation: Even if you haven't noticed changes in bowel movements, mild constipation can cause bloating and abdominal discomfort.
  2. Gynecological Issues:

    • Menstrual Irregularities: Stress, hormonal imbalances, or changes in routine can cause a delayed period and associated symptoms like cramping and bloating.
    • Early Pregnancy: Despite a negative test, it's possible to have a false negative, especially if taken too early. Retesting in a few days might be helpful.
  3. Urinary Tract Infection (UTI):

    • Although you haven't mentioned urinary symptoms, sometimes UTIs can present with lower abdominal pain and bloating.

What you can do

For Abdominal Pain and Bloating:

  • Dietary Adjustments: Avoid foods that can cause gas and bloating, such as beans, carbonated drinks, and certain vegetables like broccoli and cabbage.
  • Hydration: Drink plenty of water to help with digestion and reduce bloating.
  • Over-the-Counter Remedies: Consider using simethicone (Gas-X) for gas relief or antacids if you suspect indigestion.
  • Warm Compress: Applying a warm compress to your abdomen can help alleviate cramping and discomfort.

For Late Period:

  • Retest for Pregnancy: If your period doesn't start in a few days, consider retaking a pregnancy test.
  • Track Your Cycle: Use a period tracking app to monitor your menstrual cycle and identify any patterns or irregularities.
  • Reduce Stress: Engage in stress-reducing activities like yoga, meditation, or light exercise, as stress can impact your menstrual cycle.

General Tips:

  • Monitor Symptoms: Keep a journal of your symptoms using MDandMe to track any changes or patterns. This can be helpful for your healthcare provider.
  • Consult a Doctor: If your symptoms persist or worsen, it's important to seek medical advice. A healthcare provider can perform necessary tests to determine the cause of your symptoms.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening abdominal pain
  • Fever or chills
  • Unusual vaginal bleeding or discharge
  • Persistent nausea or vomiting
  • Difficulty breathing or chest pain

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to continue the conversation.

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5 mo ago

People Also Ask


What could cause a sudden onset of lower abdominal pain and bloating?

Sudden lower abdominal pain and bloating can be caused by gastrointestinal issues like IBS or constipation, gynecological issues such as menstrual irregularities, or even a urinary tract infection. It's important to monitor symptoms and consult a healthcare provider if they persist.


Can a negative pregnancy test be inaccurate if taken on the day of a missed period?

Yes, a negative pregnancy test can sometimes be inaccurate if taken too early. Hormone levels may not be high enough to detect pregnancy immediately after a missed period. Retesting a few days later is often recommended.


What are some common reasons for a delayed menstrual period?

Common reasons for a delayed menstrual period include stress, hormonal imbalances, changes in routine, or even early pregnancy. It's important to track your cycle and consult a healthcare provider if irregularities continue.


How can I manage symptoms of bloating and gas at home?

To manage bloating and gas at home, consider dietary adjustments by avoiding gas-producing foods, staying hydrated, using over-the-counter remedies like simethicone, and applying a warm compress to alleviate discomfort.


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