What can cause delayed periods with distended stomach, diarrhea and back pain?
Thyroid levels and adrenal functions should be reviewed
Hi! Welcome to HealthcareMagic. Thanks for sharing your concerns with us. We will try to help you in the best way possible. First of all, it's sad to know what your daughter had been going through lately.
Based on the history you have shared, though obvious gynecological pathology isn't evident in her basic work up still hormonal nature of her symptoms can't be ignored. Endocrine issues can present with all these set of symptoms that you have shared and thyroid profile, as well as serum cortisol to look for adrenal functions, should be done. LH, FSH may also be needed alongside.
Meanwhile, gut motility agents like domperidone or itopride can help with the gastric symptoms along with antacids like Omeprazole. If symptoms persist a CT scan abdomen, and pelvis might be needed.
Using soft diets and avoiding stress or anxiety triggers is advised in the meanwhile. A baseline ANA, ESR and CRP levels can be done to rule out rheumatological causes.
Wishing her a speedy recovery. Hope this has answered your query.
If you have any more questions please feel free to ask.
It can be due to micronutrients deficiencies after chronic diarrhea
Hi! Thanks for the detailed feedback. Keep me posted regarding the progress. And the skin condition that you mentioned can be due to micronutrients and vitamin deficiencies due to chronic diarrhea. It's better to start replacement for vitamin D3, B complex and vitamin C alongwith zinc for the skin. Vitamin A deficiency also causes dry skin but should be replaced with caution and after discussing with your primary care physician. Regards
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