[36F] Experiencing fatigue, backaches, bloating, increased appetite, and nausea

Patient Description

A 36-year-old female reports experiencing significant fatigue, falling asleep early in the evening and waking up still tired, which has been ongoing for approximately 3 weeks. She describes persistent dull backaches in the lower back, rating the pain as a 5 out of 10 on the pain scale, with no recent injuries to attribute to the pain. The patient also notes bloating that is present throughout the abdomen, resembling pregnancy, but not hard to the touch, persisting for 2 months. She has an increased appetite, particularly craving spicy and sweet foods, and has been feeling nauseated all day for the past 3 weeks, occasionally vomiting clear fluid. The patient has gained weight, noting an 11-pound increase over the period of symptoms. She is currently taking medication for anxiety and Seroquel for sleep, with no known allergies or adverse reactions to medications, and no pre-existing conditions or chronic illnesses reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Pregnancy: Your symptoms of fatigue, bloating, weight gain, increased appetite, and nausea are common early signs of pregnancy. Given that you mentioned you're not sure if you're pregnant, it would be worth taking a home pregnancy test to confirm.

    • If you are pregnant, prenatal care is essential. This typically involves regular check-ups with a healthcare provider, taking prenatal vitamins, maintaining a healthy diet, and avoiding harmful substances.
  • Hormonal Imbalance: Conditions such as Polycystic Ovary Syndrome (PCOS) or thyroid disorders can cause symptoms like fatigue, weight gain, and bloating.

    • Treatment typically involves managing the symptoms and addressing the underlying hormonal imbalance, often with medication.
  • Chronic Fatigue Syndrome (CFS): This is a complex disorder characterized by extreme fatigue that can't be explained by any underlying medical condition.

    • Treatment typically involves a combination of lifestyle changes, psychological therapy, and medication to manage symptoms.

Remember, these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for a formal diagnosis.

What you can do

  1. Take a home pregnancy test: This will help rule out or confirm pregnancy as a possible cause of your symptoms.
  2. Maintain a balanced diet: Try to eat a variety of foods from all food groups to ensure you're getting a balanced diet. This can help manage your weight and provide your body with the nutrients it needs.
  3. Stay hydrated: Drinking plenty of water can help with bloating and overall health.
  4. Regular exercise: Physical activity can help manage your weight, improve your mood, and boost your energy levels.
  5. Rest and manage stress: Make sure you're getting enough sleep and find ways to manage stress, such as through relaxation techniques or hobbies you enjoy.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Vomiting that prevents you from keeping down fluids
  • Sudden or severe swelling in your hands, feet, or face
  • Severe, persistent headaches
  • Any other severe or concerning symptoms

Remember, it's important to consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


Could my symptoms be related to a hormonal imbalance?

Yes, symptoms like fatigue, weight gain, and bloating can be related to hormonal imbalances such as those seen in conditions like Polycystic Ovary Syndrome (PCOS) or thyroid disorders. It's important to consult with a healthcare provider for proper testing and diagnosis.


What are the common signs of early pregnancy?

Common signs of early pregnancy include fatigue, nausea (often referred to as morning sickness), increased appetite, weight gain, and bloating. If you suspect you might be pregnant, taking a home pregnancy test can help confirm it.


How can I manage persistent fatigue and back pain?

Managing persistent fatigue and back pain can involve lifestyle changes such as ensuring adequate rest, maintaining a balanced diet, staying hydrated, and engaging in regular physical activity. It's also important to consult with a healthcare provider to rule out any underlying conditions.


What should I do if I suspect I have a thyroid disorder?

If you suspect a thyroid disorder, it's important to consult with a healthcare provider who can perform the necessary blood tests to check your thyroid hormone levels. Treatment typically involves medication to regulate hormone levels and manage symptoms.


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