[34F] Experiencing late period, nausea, headache, and decreased appetite

Patient Description

A 34-year-old female presents with a late menstrual period, nausea, headache, and decreased appetite. The nausea has been intermittent over the past two days and is somewhat alleviated by rest. The patient also reports breast tenderness. There are no known chronic medical conditions or allergies, and she is not currently taking any medications. The possibility of pregnancy is considered, and the patient is advised to take a home pregnancy test. Other potential causes such as hormonal imbalances are also considered. The patient is advised to seek medical attention if severe symptoms such as heavy bleeding, severe abdominal pain, or fainting occur.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—late period, nausea, headache, decreased appetite, breast tenderness, and fatigue—one possible explanation could be:

  • Pregnancy: These symptoms are commonly associated with early pregnancy. Nausea, often referred to as morning sickness, along with a missed period and breast tenderness, are typical early signs. A home pregnancy test can help determine if this is the cause.

Another possibility could be:

  • Hormonal Imbalance: Stress, changes in weight, or other factors can lead to hormonal changes that might cause a late period, nausea, and headaches.

What you can do

  1. Take a Home Pregnancy Test: This can help determine if pregnancy is the cause of your symptoms. If the test is positive, or if your symptoms persist, follow up with a healthcare professional for further evaluation and guidance.

  2. Rest and Hydrate: Ensure you get plenty of rest and stay hydrated, as this can help alleviate some of your symptoms like fatigue and headache.

  3. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and gain insights. This information can be valuable for your healthcare provider.

  4. Maintain a Balanced Diet: Eating small, frequent meals and avoiding foods that trigger nausea can help manage your symptoms.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Abdominal Pain: This could indicate a serious condition like an ectopic pregnancy or appendicitis.
  • Heavy Vaginal Bleeding: This could be a sign of a miscarriage or other serious condition.
  • Severe Headache: A sudden, severe headache that feels different from your usual headaches could be a sign of a more serious issue.
  • Shortness of Breath or Chest Pain: These symptoms could indicate a serious condition like a pulmonary embolism or heart issue.
  • Severe Dizziness or Fainting: This could be a sign of dehydration, low blood pressure, or another underlying condition.

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have any questions or need further assistance, feel free to ask!

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8 d ago

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People Also Ask


What are the common early signs of pregnancy?

Common early signs of pregnancy include a missed period, nausea (often called morning sickness), breast tenderness, fatigue, and increased urination. A home pregnancy test can help confirm pregnancy.


Can stress or lifestyle changes cause a late period?

Yes, stress, significant weight changes, and lifestyle factors can lead to hormonal imbalances, which may cause a late period, nausea, and headaches.


How can I manage nausea and headaches at home?

To manage nausea and headaches at home, ensure you get plenty of rest, stay hydrated, eat small and frequent meals, and avoid foods that trigger nausea. Over-the-counter pain relief may help with headaches, but consult a doctor if symptoms persist.


When should I seek medical attention for these symptoms?

Seek medical attention if you experience severe abdominal pain, heavy vaginal bleeding, a sudden severe headache, shortness of breath, chest pain, or severe dizziness or fainting, as these could indicate serious conditions.


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