[36F] Experiencing a range of symptoms including abdominal pain and nausea

Patient Description

A 36-year-old female has been experiencing a constellation of symptoms for a couple of weeks, including constant lower abdominal pain described as a tugging and pulling sensation, mainly on the right side, which causes her stomach to contract. She also reports constant nausea, particularly exacerbated by car rides, certain foods, and smells, and has been feeling lightheaded, especially when sitting or looking up. Additionally, she has been dealing with constipation, where she can go but only a little at a time, and some days she has a full bowel movement. Her breasts are tender, particularly on the sides and around the nipple area, and appear fuller. She has had a mild, non-bothersome headache near her temples for the last two days. She also experiences constant lower back pain, described as feeling like a weight is on it, which started three weeks ago. She noted some vaginal bleeding or spotting, which was early at 12 days post-ovulation (DPO), and has been feeling fatigued with a mild fever. A recent pregnancy test was negative. She is not on any medications and has no known pre-existing conditions or chronic illnesses.

Show More

Arora's Assessment

What might be happening

Based on the symptoms you've described, there are several possibilities:

  • Early Pregnancy: Despite the negative pregnancy test, it's possible that you could be in the early stages of pregnancy. Pregnancy tests are most accurate a week after a missed period, and the symptoms you're experiencing (nausea, breast tenderness, fatigue, lower abdominal pain, and constipation) are common in early pregnancy.

  • Premenstrual Syndrome (PMS): The symptoms you're experiencing could also be due to PMS, which can cause a variety of physical and emotional symptoms a week or two before your period.

  • Gastrointestinal issues: Conditions such as Irritable Bowel Syndrome (IBS) or gastroenteritis could explain some of your symptoms like abdominal pain, nausea, and constipation.

  • Hormonal Imbalance: Conditions such as Polycystic Ovary Syndrome (PCOS) or thyroid disorders can cause hormonal imbalances that result in symptoms similar to those you're experiencing.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Retake a Pregnancy Test: If you still suspect you might be pregnant, you could retake a pregnancy test in a week or so, especially if you miss your period.

  2. Monitor Your Symptoms: Keep track of your symptoms and any changes. This can be helpful information for your healthcare provider.

  3. Stay Hydrated and Eat a Balanced Diet: This can help with symptoms like constipation and nausea.

  4. Rest: Fatigue and dizziness can be signs that your body needs more rest. Make sure you're getting enough sleep and taking time to relax.

What you should look out for

  • Severe Abdominal Pain: If your abdominal pain becomes severe or is accompanied by other symptoms like vomiting, fever, or vaginal bleeding, seek medical attention immediately.

  • Prolonged Constipation: If your constipation continues or worsens, it's important to seek medical attention.

  • Persistent or Worsening Symptoms: If your symptoms persist or worsen, it's important to seek medical attention.

Remember, I'm an AI and not a doctor. Please consult with a healthcare provider for an accurate diagnosis and treatment.

Show More

1
 Hugs
0
 Comments

Save

7 mo ago

People Also Ask

Can a negative pregnancy test still mean I might be pregnant?

Yes, a negative pregnancy test can still mean you might be pregnant, especially if taken too early. It's best to retake the test a week after a missed period for more accurate results.

What are common symptoms of premenstrual syndrome (PMS)?

Common symptoms of PMS include mood swings, tender breasts, food cravings, fatigue, irritability, and depression. Physical symptoms can also include bloating, abdominal pain, and headaches.

How can gastrointestinal issues like IBS cause symptoms similar to mine?

Gastrointestinal issues like IBS can cause symptoms such as abdominal pain, bloating, constipation, and nausea. These symptoms can overlap with other conditions, making it important to consult a healthcare provider for a proper diagnosis.

What are the signs of a hormonal imbalance that I should be aware of?

Signs of hormonal imbalance can include irregular periods, weight gain, fatigue, mood changes, and changes in appetite or digestion. Conditions like PCOS or thyroid disorders can cause these symptoms, so it's important to seek medical advice if you suspect a hormonal imbalance.

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback