[37F] Experiencing pelvic pain and gastrointestinal symptoms

What might be happening

Based on the information you've provided, here are a few possibilities:

• Pelvic Inflammatory Disease (PID): This condition occurs when bacteria move from your vagina or cervix into your uterus, fallopian tubes, ovaries, or pelvis. PID can cause pain in your lower abdomen and pelvis, and it can be associated with vaginal discharge. It's usually caused by a sexually transmitted infection, like chlamydia or gonorrhea, but it can also occur after procedures like an abortion or IUD insertion.

• Irritable Bowel Syndrome (IBS): You've mentioned that you've been diagnosed with IBS, which could explain your symptoms of diarrhea, constipation, and abdominal pain. IBS is a common condition that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and changes in bowel habits.

• Ovarian Cysts: These are fluid-filled sacs that can form in the ovaries. They're common and usually don't cause symptoms, but if a cyst grows, it can cause a dull or sharp ache in the lower abdomen on the side of the cyst. This pain may be constant or intermittent.

• Endometriosis: This is a condition where tissue similar to the lining of the uterus grows outside of the uterus, often causing pain in the lower abdomen or pelvis, especially during menstrual periods. It can also cause pain during sex, and it can lead to fertility problems.

• Gastroesophageal Reflux Disease (GERD): Your previous diagnosis of GERD could be contributing to your symptoms of nausea and changes in bowel habits. GERD is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus).

Please remember that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

1. See a healthcare provider: Given your symptoms, it's important to seek medical attention. Your healthcare provider can perform a physical examination and may order tests to help determine the cause of your symptoms.

2. Monitor your symptoms: Keep track of when your symptoms occur, their severity, and any potential triggers. This information can be helpful when you talk to your healthcare provider.

3. Manage your IBS and GERD: Follow the treatment plan recommended by your healthcare provider for managing these conditions. This may include dietary changes, medications, and lifestyle modifications.

4. Manage your anxiety: Consider seeking help from a mental health professional. Cognitive-behavioral therapy, medication, and other treatments can be effective for managing anxiety.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Severe or worsening pelvic pain
• High fever
• Vomiting
• Signs of shock, such as cold, clammy skin; rapid heart rate; or dizziness
• Difficulty breathing

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.