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Suggest Treatment For Lower Abdominal And Back Pain, Irregular Bleeding And Nausea
Question: female 30, weight gain 10 lb in 1 1/2 mth, mid/low abdominal pain, irregular bleeding, low back pain, nauseous. - preg test, fatigue
Brief Answer:
Hypothyroidism - detailed clinical evaluation and investigations needed
Detailed Answer:
Hi
Thanks for your query, albeit short.
Read and understood your history.
To recapitulate: Female/30 - complaints of mid and low abdominal pain, irregular bleeding, low back pain nausea, fatigue - has gained 10 lb in one and half month and negative pregnancy test.
I would like to know a few more details for me to assist you more, please give me further information for me to assist you more:
Is there edema/swelling over the legs over the shin/ankle?
Has the face become rounded?
Do you get fatigue more in the evening or is 24/7?
Do you have any associated medical problems/taking any treatment or got any investigations or medical consultation done?
All these symptoms and finding at the age of 30 make me think about hypothyroidism as the first cause in the list of my differential diagnosis.
I would advise you the following to get to the diagnosis?
Tests of blood: Routine and particularly Thyroid Function tests (Free T3, Free T4 and TSH), liver functions, kidney functions, Lipid profile, Blood sugar and as may be advised after clinical evaluation.
Clinical evaluation and examination by a Physician- this is also very important to find the signs and probable clinical diagnosis to be supported by the tests to come to a final diagnosis to get a proper plan of treatment.
I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications or if you feel there is a gap of communication.
Hypothyroidism - detailed clinical evaluation and investigations needed
Detailed Answer:
Hi
Thanks for your query, albeit short.
Read and understood your history.
To recapitulate: Female/30 - complaints of mid and low abdominal pain, irregular bleeding, low back pain nausea, fatigue - has gained 10 lb in one and half month and negative pregnancy test.
I would like to know a few more details for me to assist you more, please give me further information for me to assist you more:
Is there edema/swelling over the legs over the shin/ankle?
Has the face become rounded?
Do you get fatigue more in the evening or is 24/7?
Do you have any associated medical problems/taking any treatment or got any investigations or medical consultation done?
All these symptoms and finding at the age of 30 make me think about hypothyroidism as the first cause in the list of my differential diagnosis.
I would advise you the following to get to the diagnosis?
Tests of blood: Routine and particularly Thyroid Function tests (Free T3, Free T4 and TSH), liver functions, kidney functions, Lipid profile, Blood sugar and as may be advised after clinical evaluation.
Clinical evaluation and examination by a Physician- this is also very important to find the signs and probable clinical diagnosis to be supported by the tests to come to a final diagnosis to get a proper plan of treatment.
I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications or if you feel there is a gap of communication.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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