[27F] Experiencing a range of symptoms including severe nausea and heavy menstrual bleeding

What might be happening

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

• Pregnancy: Your symptoms of nausea, especially in the morning, breast tenderness, fatigue, and back pain can be early signs of pregnancy. Some women also experience changes in their sense of smell, which can make certain foods or smells cause nausea.

  • To confirm pregnancy, a home pregnancy test or blood test at a doctor's office is needed. If positive, prenatal care should begin as soon as possible.

• Premenstrual syndrome (PMS): This is a group of changes that can affect women on a physical and emotional level in the days leading up to their menstrual cycle. Symptoms can include breast tenderness, fatigue, and changes in mood or appetite.

  • Treatment can include lifestyle changes, such as regular exercise and a balanced diet, as well as over-the-counter pain relievers for physical symptoms.

• Gastroesophageal reflux disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing heartburn.

  • Treatment typically starts with over-the-counter medications that control acid. If symptoms persist, stronger medications or surgery might be needed.

Your heavy bleeding during your period could be due to a number of conditions, including hormonal imbalances, uterine fibroids, or polyps. It's important to see a healthcare provider to determine the cause and appropriate treatment.

What you can do

1. If you think you might be pregnant, take a home pregnancy test. These are available at most pharmacies and can give you a result quickly. If the test is positive, make an appointment with a healthcare provider to begin prenatal care.
2. If your symptoms persist or worsen, make an appointment with a healthcare provider. They can help determine the cause of your symptoms and suggest appropriate treatment.
3. For your heartburn, try avoiding foods that trigger your symptoms, eating smaller meals, and not lying down for at least two hours after eating.

What you should look out for

Seek immediate medical attention if you experience:

• Severe abdominal pain
• Vomiting blood or having bloody or black stools
• Difficulty breathing or shortness of breath
• Chest pain or pressure
• Fainting or confusion

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.