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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Abdominal Cramps,tender Breast And Vomiting Sign Of Pregnancy?

Hi I have been experiencing fatigue lately along with constipation, nausea and dry heaving but not vomiting, am sesitive to some smells, i have lower abdominal cramps on and off throughout the day and night, an extremely emotional, tender breasts. Is it possible for me to be pregnant? I have taken a hpt that was neg but im not due for my period for about another 6 days. My last period I had light bleeding/spotting for 4 days then it finished and 24hrs later I had a normal period.
Wed, 24 Feb 2016
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OBGYN 's  Response
Hallow Dear,

The first cardinal symptom of pregnancy is missing a period though the conception has taken place about 14 days prior to the date of expected menses. All other cardinal symptoms of pregnancy appear about 10-15 days after missed period. They are:
1. Nausea & Vomiting with pica
2. Frequent urination
3. Breast symptoms like engorgement and tenderness, dark discolouration of nipples & areola with areolar widening, Montgomery's tubercles under the areola and secretions from the nipples on squeezing.

Abdominal cramps is not a symptom of normal uncomplicated pregnancy.

However, your last period was very scanty and so you may suspect pregnancy. But about more than 3 weeks after that your pregnancy test on urine is negative. So the possibility of conception during last cycle has been ruled out. Now you have to look for possibility of pregnancy during this cycle.

Pregnancy test on urine even before missing period is too early to detect pregnancy. These tests give reliable results about 8-10 days after missed period. So you may wait expectantly for your menses to appear. If you miss period, you may repeat this test about a week after missed period.

Alternatively you may opt for Beta hCG test which can give you reliable results even few days before missed period.

Your current symptoms may be attributed to apprehension of (?) unwanted pregnancy with mental exhaustion. It is a good option to get haemogramme examined. Anaemia also can cause such symptoms except breast symptoms.

I hope this helps you.

Dr. Nishikant Shrotri
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Is Abdominal Cramps,tender Breast And Vomiting Sign Of Pregnancy?

Hallow Dear, The first cardinal symptom of pregnancy is missing a period though the conception has taken place about 14 days prior to the date of expected menses. All other cardinal symptoms of pregnancy appear about 10-15 days after missed period. They are: 1. Nausea & Vomiting with pica 2. Frequent urination 3. Breast symptoms like engorgement and tenderness, dark discolouration of nipples & areola with areolar widening, Montgomery s tubercles under the areola and secretions from the nipples on squeezing. Abdominal cramps is not a symptom of normal uncomplicated pregnancy. However, your last period was very scanty and so you may suspect pregnancy. But about more than 3 weeks after that your pregnancy test on urine is negative. So the possibility of conception during last cycle has been ruled out. Now you have to look for possibility of pregnancy during this cycle. Pregnancy test on urine even before missing period is too early to detect pregnancy. These tests give reliable results about 8-10 days after missed period. So you may wait expectantly for your menses to appear. If you miss period, you may repeat this test about a week after missed period. Alternatively you may opt for Beta hCG test which can give you reliable results even few days before missed period. Your current symptoms may be attributed to apprehension of (?) unwanted pregnancy with mental exhaustion. It is a good option to get haemogramme examined. Anaemia also can cause such symptoms except breast symptoms. I hope this helps you. Dr. Nishikant Shrotri