What causes steady growth of abdomen while pregnancy tests are negative?
A consult visit with an OB/GYN is the answer...
You are not the first person to feel convinced of a pregnancy based on what you are feeling and observing. I have encountered this question many times and I understand where you are coming from. I have also taken care of patients who think they are pregnant and who have even come in to the hospital in "labor" but there is no baby. But here are the facts:
1. You have had a tubal ligation
2. A negative blood pregnancy test (more accurate than urine)
3. A transvaginal ultrasound that showed a uterus that did not have a pregnancy
4. Abdominal pregnancies are EXCEEDINGLY RARE and you would probably be dead by this point if this were the case
5. You have missed ONLY two periods which is not uncommon, so you are implying that you have continued to get 'periods' or bleeding during the time that you think you are pregnant
So, I truly believe that you are NOT pregnant, but it seems your concerns are not really being addressed. They have only answered the question "are you pregnant or not", but they have not really addressed the cause of abdominal distention. This could be related to excess bowel gas related to a partial small bowel obstruction, for example. This could easily be sorted out with an XRAY, the cheapest of the tests that you mentioned. Finally, I want to say that the worst way to an answer is to seek care in an ER. I would recommend against EVER going to an ER for non-urgent care. It is not appropriate and you are never going to get an answer. Here is what I would recommend:
1. You need to schedule a visit with an OB/GYN
2. You need to stop "self diagnosing" and just go in with a description of your symptoms - just tell the story and try to stop telling them what you think is going on.
3. Ask for a repeat blood pregnancy test, but also ask about labs related to thyroid disease
4. Additional imaging is indicated - either an abdominal XRAY or CT scan to evaluate the swelling of the abdomen. An abdominal ultrasound is useless in this case.
I hope that this helps. Please let me know.
You will get an answer
I hope that you made a step towards an answer today. Yes, I have had patients very similar to you. This is clearly a GI issue as the symptoms are more pronounced after eating! I am not going to continue to guess at a diagnosis as I am unable to examine you in person. I am curious what they thought is going on today. If I were to make a guess, you have problems related to stomach emptying, increased reflux related problems, and excess bowel gas.
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