[33F] Experiencing cold sweats, nausea, weight loss, and dull pelvic pain
Patient Description
A 33-year-old female presents with continuous cold sweats that worsen at night, nausea lasting most of the day with a severity of 6 out of 10, unintended weight loss, and dull pelvic pain in the left area rated 2 out of 10. These symptoms have been occurring for the past 3 days. She also reports heavy vaginal bleeding. Her medical history includes pelvic congestion syndrome and pelvic floor dysfunction, diagnosed 5 years ago, and a history of frequent ovarian cysts. She is currently taking Omeprazole, two 20 mg tablets daily. No recent use of recreational drugs, known allergies, or other medications have been reported.
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Arora's Assessment
What might be happening
Based on the information you've provided, possible diagnoses include:
- Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It's usually caused by sexually transmitted bacteria. Symptoms can include pelvic pain, heavy vaginal discharge with an unpleasant odor, irregular menstrual bleeding, pain during intercourse, fever, and symptoms of a urinary tract infection. Treatment typically involves antibiotics.
- Ovarian Cysts: You mentioned a history of frequent ovarian cysts. These are fluid-filled sacs that form on the ovaries. They're common and usually harmless, but they can sometimes cause symptoms like pelvic pain, bloating, and irregular periods. If a cyst is large or contains solid material, it might need to be surgically removed.
- Endometriosis: This is a condition where tissue similar to the lining of the uterus grows outside of the uterus. Symptoms can include pelvic pain, heavy periods, and nausea. Treatment options include pain relievers, hormone therapy, and surgery.
- Pelvic Congestion Syndrome: You've been previously diagnosed with this condition, which is characterized by varicose veins in the lower abdomen. The condition can cause chronic pelvic pain, a feeling of 'fullness' in the legs, and irregular menstrual periods. Treatment options include medications to control pain and procedures to close off the affected veins.
What you can do
- Please seek immediate medical attention. Your symptoms could indicate a serious condition that needs prompt treatment.
- Keep a symptom diary. Note down when each symptom occurs, how long it lasts, and any potential triggers. This can help your healthcare provider make a diagnosis.
- Stay hydrated and eat a balanced diet. This can help manage your symptoms and improve your overall health.
What you should look out for
- If your pain becomes severe or you experience a sudden increase in pain, seek immediate medical attention.
- Watch for signs of infection, such as fever, chills, or an unusual vaginal discharge. These could indicate a serious condition that needs immediate treatment.
Remember, while this advice provides you with a possible explanation for your symptoms, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.
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1 yr ago