[41F] With frequent urination, abdominal pain, and constipation

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for your condition:

Frequent Urination and Abdominal Pain

• Urinary Tract Infection (UTI): Given the sudden onset of frequent urination, stronger urine smell, and initial pain, a UTI is a likely cause. UTIs can cause abdominal pain and discomfort. The antibiotic shot you received is a common treatment, but if symptoms persist, further evaluation may be needed.
• Kidney Stones: Sharp pain in the lower abdomen and frequent urination can also be indicative of kidney stones. These can cause severe pain and may require imaging tests for diagnosis.

Constipation and Abdominal Pain

• Irritable Bowel Syndrome (IBS): Chronic constipation and abdominal pain could be related to IBS, a common condition that affects the large intestine. IBS can cause changes in bowel habits and abdominal discomfort.
• Diverticulitis: Sharp pain in the lower left abdomen could be due to diverticulitis, an inflammation or infection of small pouches that can form in the intestines. This condition often requires antibiotics and sometimes more intensive treatments.

Fatigue

• Chronic Fatigue Syndrome (CFS): Persistent fatigue that doesn't improve with rest could be a sign of CFS. This condition is characterized by extreme tiredness that doesn't go away with rest and can't be explained by an underlying medical condition.
• Anemia: Fatigue can also be a symptom of anemia, a condition where you don't have enough healthy red blood cells to carry adequate oxygen to your body's tissues.

Menstrual Changes

• Hormonal Imbalance: Heavier and longer-lasting periods could be due to hormonal imbalances, which can also contribute to fatigue and other symptoms.
• Uterine Fibroids: These are noncancerous growths in the uterus that can cause heavy menstrual bleeding, prolonged periods, and pelvic pain.

What you can do

Frequent Urination and Abdominal Pain

• See a Doctor: Given the persistence of your symptoms despite the antibiotic shot, it's important to follow up with your healthcare provider. They may recommend further tests, such as a urine culture or imaging studies, to identify the cause.
• Stay Hydrated: Drink plenty of water to help flush out your urinary system.
• Avoid Irritants: Limit intake of caffeine, alcohol, and spicy foods, which can irritate the bladder.

Constipation and Abdominal Pain

• Dietary Changes: Increase your intake of fiber-rich foods like fruits, vegetables, and whole grains. Drink plenty of water to help soften stools.
• Exercise: Regular physical activity can help stimulate bowel movements.
• Over-the-Counter Remedies: Consider using over-the-counter laxatives or stool softeners, but consult your doctor before starting any new medication.

Fatigue

• Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals. Consider taking a multivitamin if recommended by your doctor.
• Regular Sleep Schedule: Maintain a consistent sleep schedule and create a restful sleeping environment.
• Medical Evaluation: Follow up with your healthcare provider to rule out conditions like anemia or chronic fatigue syndrome.

Menstrual Changes

• Track Your Cycle: Keep a record of your menstrual cycle, including the duration and intensity of bleeding. This information can be helpful for your healthcare provider.
• Consult a Gynecologist: Given the changes in your menstrual cycle, it's important to consult a gynecologist for a thorough evaluation. They may recommend hormonal treatments or other interventions.

What you should look out for

Given the severity and persistence of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe Pain: If your abdominal pain becomes unbearable or is accompanied by fever, chills, or vomiting, seek immediate medical attention.
• Changes in Urine or Stool: If you notice blood in your urine or stool, or if your symptoms worsen, contact your healthcare provider.
• New or Worsening Symptoms: Any new or worsening symptoms should be evaluated by a healthcare professional.

Remember, while I can provide information and suggestions, it's crucial to consult with a real healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.