[27F] With pelvic pain, fatigue, and diarrhea

What might be happening

Based on the symptoms you've described, several potential diagnoses could explain your condition. Here are the most likely ones:

1. Pelvic Inflammatory Disease (PID):

   • Rationale: PID is an infection of the female reproductive organs. It can cause severe pelvic pain, pain during urination, and can be associated with gastrointestinal symptoms like diarrhea and bloating.
   • Typical Treatments/Testing: Diagnosis often involves a pelvic exam, cervical cultures, and possibly an ultrasound. Treatment usually includes antibiotics.

2. Ovarian Cyst:

   • Rationale: You mentioned having an ovarian cyst, which can cause pelvic pain, bloating, and cramping. If the cyst ruptures or causes ovarian torsion, it can lead to severe pain.
   • Typical Treatments/Testing: An ultrasound is commonly used to diagnose ovarian cysts. Treatment may include pain management, hormonal contraceptives, or surgery in severe cases.

3. Gastroenteritis:

   • Rationale: Your symptoms of liquid diarrhea, nausea, and frequent bathroom visits suggest a gastrointestinal infection or inflammation.
   • Typical Treatments/Testing: Diagnosis is usually clinical but may include stool tests. Treatment focuses on hydration and sometimes antibiotics if a bacterial infection is suspected.

What you can do

Pelvic Pain and Fatigue

• Seek Medical Attention: Given the severity of your pain (8-9/10) and its impact on your daily life, you should see a healthcare provider as soon as possible. They may perform a pelvic exam and order imaging tests.
• Pain Management: Over-the-counter pain relievers like ibuprofen can help manage pain temporarily. However, avoid taking any medication without consulting a healthcare provider.
• Rest: Try to rest as much as possible and avoid activities that exacerbate the pain.

Liquid Diarrhea and Nausea

• Hydration: Drink plenty of fluids to stay hydrated. Oral rehydration solutions or electrolyte drinks can be particularly helpful.
• Diet: Stick to a bland diet (e.g., bananas, rice, applesauce, toast) until your symptoms improve.
• Monitor Symptoms: Keep track of your bowel movements, any changes in symptoms, and your fluid intake using the MDandMe journal.

General Tips

• Avoid Strain: Try to avoid activities that put pressure on your pelvis, such as heavy lifting or strenuous exercise.
• Heat Therapy: Applying a warm compress to your lower abdomen may help alleviate some of the pain.
• Track Symptoms: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Given the severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Fever or Chills: These could indicate an infection that needs immediate treatment.
• Severe Abdominal Pain: Especially if it becomes unbearable or is accompanied by vomiting.
• Blood in Stool or Urine: This could indicate a more serious underlying condition.
• Fainting or Severe Weakness: These could be signs of dehydration or a more serious condition.

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