[32F] Experiencing pelvic discomfort and irregular periods

What might be happening

Based on the information you've provided, possible diagnoses include:

• Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. IBS is a chronic condition that you'll need to manage long term.

  • Treatment of IBS typically involves long-term dietary adjustments to manage symptoms. Your doctor may also recommend medications to help control specific symptoms.

• Adenomyosis: This is a condition in which the inner lining of the uterus (the endometrium) breaks through the muscle wall of the uterus (the myometrium). Symptoms can include heavy or prolonged menstrual periods, severe cramping or sharp, knife-like pelvic pain during menstruation (dysmenorrhea), chronic pelvic pain and bloating.

  • Treatment typically involves managing symptoms with pain medication and hormone therapy. In severe cases, a hysterectomy may be recommended.

• Endometriosis: This is a disorder in which tissue similar to the tissue that forms the lining of your uterus grows outside of your uterine cavity. Symptoms can include pelvic pain and cramping, pain with bowel movements or urination, and irregular periods.

  • Treatment typically involves managing symptoms with pain medication and hormone therapy. In severe cases, surgery may be recommended.

• Pelvic Floor Dysfunction: This is a group of disorders that change the way people have bowel movements and sometimes lead to bowel or bladder problems. Symptoms can include the sensation of incomplete bowel movements and constipation.

  • Treatment typically involves physical therapy to retrain the muscles.

What you can do

1. Keep a symptom diary: This can help identify triggers for your symptoms. Note down what you eat and drink, any medications you take, and how you feel physically and emotionally. Over time, you may see patterns emerge.

2. Try dietary changes: Some people find relief from their IBS symptoms with dietary changes. Foods and drinks to avoid include: high-gas foods, gluten, and certain carbohydrates called FODMAPs.

3. Stay hydrated: Drink plenty of fluids every day to help prevent constipation.

4. Regular exercise: Regular physical activity can help reduce symptoms of IBS and can help manage stress levels.

5. Over-the-counter remedies: Some people find relief from over-the-counter products such as Metamucil or Imodium. However, you should consult with a healthcare professional before starting any new medication.

What you should look out for

• If your symptoms worsen or if you develop new symptoms
• If you have persistent or recurrent nausea or vomiting
• If you notice blood in your stool or if you start losing weight without trying
• If your pain becomes severe or unbearable

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