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What Causes Two Missed Cycles And Upper Abdominal Discomfort?
Question: Hi,
I am a 28 years old female. I have missed 2 cycles of periods back to back. I have taken pregnancy test and its negative. I am supposed to get periods every first week of month as per my previous cycles. However, I am not. I am facing a lot of acidity issues. I used to love tea/coffee but since last 1 month, I am unable to have any beverage. I used to drink one tall glass of water every morning, If i do it now , I vomit. I am feeling that the food that i am eating is digesting very slowly. I do not vomit when i have normal food like lunch and dinner. I feel good after having food. But after one hour or so i start getting burning sensation. And as soon as I have any liquid even water I feel like puking. I get lot of burps, i mean a lot which i never used to in the past. I am NOT facing any constipation problems.
I feel lot of burning sensation just below chest, you can say upper abdomen. I was out of station for past one and half month and thought that the location and climate change could be reason for my delayed periods. During this travel I had lot of gaps between meals. Hence, I waited patiently, but now am back home since two weeks and I am getting worried. Due to vomitting and acidity I feel I dont have any stamina. I am not able to excercise , dont feel like doing anything (just feel lazyy ) all the time. Do you think this is serious ? I gave it lot of time so that it heals on its own. I have faced acidity issues in the past, but that's just for 1-2 days at the XXXXXXX
I really do not understand why I am missing my monthly cycles. Please Help! This has never happened in the past.
I am a 28 years old female. I have missed 2 cycles of periods back to back. I have taken pregnancy test and its negative. I am supposed to get periods every first week of month as per my previous cycles. However, I am not. I am facing a lot of acidity issues. I used to love tea/coffee but since last 1 month, I am unable to have any beverage. I used to drink one tall glass of water every morning, If i do it now , I vomit. I am feeling that the food that i am eating is digesting very slowly. I do not vomit when i have normal food like lunch and dinner. I feel good after having food. But after one hour or so i start getting burning sensation. And as soon as I have any liquid even water I feel like puking. I get lot of burps, i mean a lot which i never used to in the past. I am NOT facing any constipation problems.
I feel lot of burning sensation just below chest, you can say upper abdomen. I was out of station for past one and half month and thought that the location and climate change could be reason for my delayed periods. During this travel I had lot of gaps between meals. Hence, I waited patiently, but now am back home since two weeks and I am getting worried. Due to vomitting and acidity I feel I dont have any stamina. I am not able to excercise , dont feel like doing anything (just feel lazyy ) all the time. Do you think this is serious ? I gave it lot of time so that it heals on its own. I have faced acidity issues in the past, but that's just for 1-2 days at the XXXXXXX
I really do not understand why I am missing my monthly cycles. Please Help! This has never happened in the past.
Brief Answer:
USG, Endoscopy, Barium study
Detailed Answer:
Hi.
Thanks for your query and an elucidate history: Read and understood the history well
You have two main issues.
- Missed 2 cycles.
- Upper abdominal issue.
I would suggest you the following and discuss on the way, I hope you would like this way.
- Ultrasonography of the abdomen and the pelvis in particular will help us to find the reason of delayed cycles in spite of negative pregnancy test. This will also help to get us the knowledge about any possible reason for your acidity and vomiting problem.
- Upper GI Endoscopy will be very much diagnostic of the acidity and related problems. This will help us to know about the condition of the esophagus, stomach and first part of the duodenum.
- Barium swallow and follow-through in addition to the Endoscopy helps to rule out some problems at its early stage although this is done very rarely now a days.
- Tests of Blood: Routine tests and Liver function tests in particular. Early hepatitis can also present in this way.
- After all the relevant tests you can certainly start with the proper treatment.
It may be in the form of:
PPI and/or Ranitidine
Domperidone or such motility moderator
Antacid liquid on empty when on stomach
Avoidance of foods and beverages that you must have noticed that cause increase in the problems.
Good sleep, control of anxiety and stress help a lot
I hope this answer helps you to get an early and proper diagnosis of both the issues and proper curative treatment. Please feel free to ask for further relevant queries if needed or if you feel that there is a gap-of-communication.
USG, Endoscopy, Barium study
Detailed Answer:
Hi.
Thanks for your query and an elucidate history: Read and understood the history well
You have two main issues.
- Missed 2 cycles.
- Upper abdominal issue.
I would suggest you the following and discuss on the way, I hope you would like this way.
- Ultrasonography of the abdomen and the pelvis in particular will help us to find the reason of delayed cycles in spite of negative pregnancy test. This will also help to get us the knowledge about any possible reason for your acidity and vomiting problem.
- Upper GI Endoscopy will be very much diagnostic of the acidity and related problems. This will help us to know about the condition of the esophagus, stomach and first part of the duodenum.
- Barium swallow and follow-through in addition to the Endoscopy helps to rule out some problems at its early stage although this is done very rarely now a days.
- Tests of Blood: Routine tests and Liver function tests in particular. Early hepatitis can also present in this way.
- After all the relevant tests you can certainly start with the proper treatment.
It may be in the form of:
PPI and/or Ranitidine
Domperidone or such motility moderator
Antacid liquid on empty when on stomach
Avoidance of foods and beverages that you must have noticed that cause increase in the problems.
Good sleep, control of anxiety and stress help a lot
I hope this answer helps you to get an early and proper diagnosis of both the issues and proper curative treatment. Please feel free to ask for further relevant queries if needed or if you feel that there is a gap-of-communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi
Thanks for the detailed answer.
I am a bit hesitant to get an endoscopy done.
Can it be cured by over the counter medicines? I don't have much pain but I feel lot of burning sensation and after 1-2 hrs of having lunch/dinner i feel it even more.
So can the burps and the burning sensation be solved by over the counter medicines.
I have not puked since yesterday. However, i feel tired doing nothing.
Thanks for the detailed answer.
I am a bit hesitant to get an endoscopy done.
Can it be cured by over the counter medicines? I don't have much pain but I feel lot of burning sensation and after 1-2 hrs of having lunch/dinner i feel it even more.
So can the burps and the burning sensation be solved by over the counter medicines.
I have not puked since yesterday. However, i feel tired doing nothing.
Brief Answer:
OTC will help.
Detailed Answer:
I can understand your a bit of hesitancy for Endoscopy.
All the treatment as charted above is almost OTC (over the counter), please check with your Pharmacy, take for 3 weeks minimum to start with...
These will help you a lot.
Tiredness will recover once the symptoms improve.
Take care ..
You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant
OTC will help.
Detailed Answer:
I can understand your a bit of hesitancy for Endoscopy.
All the treatment as charted above is almost OTC (over the counter), please check with your Pharmacy, take for 3 weeks minimum to start with...
These will help you a lot.
Tiredness will recover once the symptoms improve.
Take care ..
You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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