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Have delayed periods, lower back pain and frequent urination. Blood and urine test negative for pregnancy

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General & Family Physician
Practicing since : 2001
Answered : 10300 Questions
Hello Doctor,
I am on day 57 of my cycle and have had negative blood test as well as urine test for being pregnant. I am urinating every hour and experiencing lower back pain as well as shortness of breath while doing anything with minimul exerusion
Posted Wed, 3 Jul 2013 in General Health
Answered by Dr. Michelle Gibson James 45 minutes later
HI, thanks for using healthcare magic

When there is a 35 day or longer window between periods the term oligomenorrhea is used. Pregnancy tests check for HCG hormone and this can be detected as early as day 12 to 14 after conception and would have been detected if pregnancy was the cause.

Oligomenorrhea can be caused by : extreme physical activity, high levels of prolactin hormone which is released in the brain, high levels of thyroid hormone, inadequate diet, physical or emotional stress or a condition called PCOS.

PCOS stands for polycystic ovarian syndrome- this is diagnosed when a female has two of the following: irregular or delayed periods, cysts on the ovaries seen on ultrasound and signs and symptoms that can be related to an increase in male hormones in the body (acne, facial or chest hair).

Frequent urination , if the fluid is not replaced can lead to a decrease in bodily fluids and in some cases dehydration can lead to shortness of breath though there are other potential causes of shortness of breath.

Frequent urination can be due to (1)increased blood sugar,
(2)urinary tract infections,
(3) interstitial cystitis,
(4)side effect of some medication,
(5)decreased production of a hormone that can stop the kidneys from getting rid of too much water.It is called ADH. It is released in the brain.

Your doctor would assess you through history, examination and subsequent examination to determine the likely cause.
Your doctor may want to consider brain imaging to determine if there is any correlation between ADH and the delay in periods (in terms of the area that the hormones are released or which stimulates their release)

In terms of the shortness of breath, as mentioned dehydration is a cause. Other causes are anemia, asthma, lung infection, pulmonary embolism, heart disease, electrolyte disturbance.

Lower back pain is common and may or may not be related. It can occur due to trauma or inflammation of the muscles or be related to the vertebra and spinal cord itself. Back pain can also occur in some conditions related to the pelvis.
In muscle pain,there may be tenderness on a particular side and pain in movement in a particular direction.

If this is not the case and the pain is persistent or severe then you may want to consider imaging of the back.

I hope this helps, feel free to ask any other questions

Above answer was peer-reviewed by
Follow-up: Have delayed periods, lower back pain and frequent urination. Blood and urine test negative for pregnancy 13 minutes later
I appreciate your prompt response, however still have a few questions.
I have had blood work done and thyroid, anemia and hcg level has all been ruled out. I am scheduled for an ultra sound tomorrow afternoon - My dr has me coming back for another urine test to check for pregnancy - this does not make sense everything clearly was negative - any insight to this?
As far as back pain it has been a dull but persistant acute pain that radiates to my left abdominal area. I have also experience a fullness and bloated like feeling. No acne, no extra facial hair etc.
My mother had cervical cancer and diabetes, strokes and high blood pressure I have always been healthy and on time with this exception - I am not stressed good or bad. Any more thoughts based on above?
Answered by Dr. Michelle Gibson James 20 minutes later

If you have getting regular pap smears cervical cancer is unlikely .

At day 57 , the pregnancy test should be conclusive. Your doctor may just want to repeat the test to document it so she can move on with further tests.

There are also blood tests that can be done to rule out a serious cause for persistent back pain. It is caused serum protein electrophoresis and it is used to identify any possible lesions in the back that may be causing pain.

The ultrasound would be able to identify whether there may be a pelvic cause of the back pain.
This would include any issues with the ovaries. Ovarian cysts for example can result in a full or bloated sensation.
In some women, these cysts can also distort the menstrual cycle.

Please feel free to ask any thing else

Above answer was peer-reviewed by
Follow-up: Have delayed periods, lower back pain and frequent urination. Blood and urine test negative for pregnancy 26 hours later
Hello dr
I had tv ultra sound today and there was a large red patch on the color Doppler does this generally mean anything?
Answered by Dr. Michelle Gibson James 4 hours later

At present , unfortunately , there is no standard used for the colours, it is at the discretion of the institution and technician.

Some persons use the red for the arteries and blue for the veins.
Other institutions use the red to refer either to the flow of blood towards or away from the transducer ( the probe contains transducers that help form the image).

It would be difficult to know what is used at your imaging center.

I am sorry about that.

IF you receive the report and need advice interpreting it , feel free to ask anything else

Above answer was peer-reviewed by
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