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I Am A 36 Year Old Overweight Female. For The

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Posted on Fri, 31 May 2019
Question: I am a 36 year old overweight female. For the past few months I have been feeling extremely exhausted, suffering from constipation and dealing with gas pains and bloating. My stomach constantly feels like it’s in knots. Within the least week my feet and ankles, along with my breasts have become very swollen. My breasts are swollen to the point of soreness and my nipples are stiff and sensitive. I am also feeling what feels to me like movement in my abdomen, along with some popping. (Maybe it’s all gas) If I would have conceived, it would have been at the end of October (7 months ago) I have had 12 negative home pregnancy tests, along with a negative blood test taken less than a week ago. The doctor also did a full panel of blood work to see if he could determine where my exhaustion is coming from. All results were normal, with the exception of slight low iron count. I have also lost a little over 50 lbs in the last 8 or so months without even attempting to do so. I have continued to have light bleeding each month, although it is no where near my normal period. Is it possible that I could be 7 months pregnant and still be testing negative? Is it something gastrointestinal, parasitic, maybe hormonal? I am so confused and nervous. Any suggestions?
doctor
Answered by Dr. Vasudha (3 hours later)
Brief Answer:
It seems to be hormonal in origin.

Detailed Answer:
Hi Ssnyder 213,
Thank you for the query I understand your concern.
Looking at the symptoms you have I think of Hormonal cause ( low thyroid, pcod) for your symptoms.... They are characterised by menstrual disorders,low working energy, increased body weight (Causing swelling on leg&ankle) , digestive problems( due to decreased intestinal movements, improper digestion of food, constipation bloating abdomen &excessive gas.), hormonal imbalance leading to breast changes /menstrual changes & Anemia because of faulty iron absorption followed by weakness & lethargy.
- 12 home pregnancy tests &one blood test for pregnancy... practically exclude pregnancy.Still USG pelvis can exclude any doubt you have.(Apart from this the ISG scan would exclude ovarian cyst/pcod...an alternative cause of menstrual problem
- Thyroid function test would define exact thyroid cause .
*Thyroid hormone replacement in specific dosage solve the problems.
Consultation of an endocrinologist would help you to go through all the tests &expert management.
I hope that helps you.Any more information you want.. I would be happy to help.
Thanks.

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Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Vasudha

General & Family Physician

Practicing since :1970

Answered : 10389 Questions

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I Am A 36 Year Old Overweight Female. For The

Brief Answer: It seems to be hormonal in origin. Detailed Answer: Hi Ssnyder 213, Thank you for the query I understand your concern. Looking at the symptoms you have I think of Hormonal cause ( low thyroid, pcod) for your symptoms.... They are characterised by menstrual disorders,low working energy, increased body weight (Causing swelling on leg&ankle) , digestive problems( due to decreased intestinal movements, improper digestion of food, constipation bloating abdomen &excessive gas.), hormonal imbalance leading to breast changes /menstrual changes & Anemia because of faulty iron absorption followed by weakness & lethargy. - 12 home pregnancy tests &one blood test for pregnancy... practically exclude pregnancy.Still USG pelvis can exclude any doubt you have.(Apart from this the ISG scan would exclude ovarian cyst/pcod...an alternative cause of menstrual problem - Thyroid function test would define exact thyroid cause . *Thyroid hormone replacement in specific dosage solve the problems. Consultation of an endocrinologist would help you to go through all the tests &expert management. I hope that helps you.Any more information you want.. I would be happy to help. Thanks.