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i have been experiencing mild cramps, upper back pain and at times i get nauseous and when i burp i feel relieved what could it be? - Online Doctor Chats

Date : 21-Feb-2012
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General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Hi im a 19 year old female and recently i have been experiencing mild cramps, upper back pain and at times i get nauseous and when i burp i feel relieved what could it be?
Doctor :   hi
Doctor :   Dr.XXX here
User :   hi there im XXX
Doctor :   when was your last menstrual periods?
User :   september 1
Doctor :   ok. are you sexually active?
Doctor :   was this period same as your usual periods?
Doctor :   or did you have lighter bleeding in this period of Sept 1st?
User :   yes last time i had sexual intercourse was 3-4 weeks ago
Doctor :   ok. was this an unprotected intercourse? are you on any birth control measures?
User :   no it was pretty normal but i did had a lot blood clots
Doctor :   ok
User :   we did use a condom
Doctor :   ok
User :   no i do not take any birth control
User :   what could i be expirencing?
Doctor :   ok. do you have other symptoms like fatigue, increased sleep, hunger, mood changes, breast soreness, nipple sensitivity, increased frequency of urination?
User :   nope none of that
Doctor :   ok.
Doctor :   your present symptoms (mild cramps, upper back pain and at times i get nauseous) suggest possibility of pregnancy
Doctor :   your symptom (nauseous and when i burp i feel relieved) suggest possibility of acute gastritis
Doctor :   if you are sure that you were protected, and there is no chance of pregnancy then gastritis could be thought upon
User :   the first day i felt this symptoms it started with a lot of gas and i felt really bloated then it went away like 2 days later
Doctor :   visit your doctor for an evaluation to see what is going on
Doctor :   ok.
Doctor :   you can request for a blood beta HCG test to confirm/rule out pregnancy
User :   ok thanks
Doctor :   if not found to be pregnancy
User :   could it also be stress?
Doctor :   then you will need to be put on the acid suppressing agents to control your symptoms
Doctor :   stick to having bland food
Doctor :   and avoid taking spicy/oily food
Doctor :   do you have stress associated in personal or work life?
Doctor :   stress can induce gastritis and back pain
User :   yes i do, i feel guilty of having sexual intercourse and i worry a lot of possibilities of getting pregnant
Doctor :   to get out of your dilemma, go ahead with the test suggested, and take positive steps further
Doctor :   practice stress relieving steps
User :   i will but could that also be a possibility?
Doctor :   like going out for walks, a warm shower, listening to music etc.
Doctor :   possibility of pregnancy cannot be ruled out since there are failure rates associated with condom use
Doctor :   hence I suggested you to go ahead with an examination and a blood beta HCG test which is more accurate in giving results than a urine pregnancy test.
Doctor :   have you followed what I have said?
User :   yes i have thank you very much
Doctor :   is there anything else I can help you with?
User :   That was about it thanks
Doctor :   thanks for consulting me. bye for now.
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