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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Abdominal Pain, Breast Pain, Bloating And Weight Loss Symptoms Of Pregnancy?

Hi, I had unprotected intercourse on the 18th July around 1 a.m.. I took emergency pill on the 18th at 9 a.m. My last menstrual period started 8th/9th July. I was supposed to get my next period 5th or 6th August. I got period a week earlier, i.e. 30 July. I believe it was my period as I felt like it, plus the bleeding lasted for 4 days, it was not light, I needed to use tampons. Before I got my period however, I started experiencing belly button pain, yellowish dicharge, vagunal burning and itching. I immediately got tested for STDs-results negative. Then I had appointment and got pelvic exam at my gyno on 5th August. She prescribed me antibiotics for bacterial vaginosis and UTI. She also said that there were no sings on pregnancy. What she said is that I had cyst on my right ovary. Told me to visit again on 20 september, to see if the cyst will grow. I expected my second period after the pill on 26th August. It did not come. I started having breast HORRIBLE tenderness on 16th August (10 days before my expected period). Also nausea and general feeling of PMS. I also knew that Ciprofloxacin that I started taking 14th August will cause me bloating, gases and nausea. So I was not worried. I was sure my period will arrive, but it did not. I am terrified to am extent where I do not even want to have pregnancy test... My breast are swollen, so are the areolas. I do have Montgomery glances on my areolas, but I have always had them naturally. I am however worried and confused. I still have swollen and tender breasts and I am little bloated. I feel abdominal pain on my right side, sometimes in my whole abdomen and pelvis. I also lost weight, I had 54.5 kg about week ago, now I have 51.5. Apart from that, no other symptoms... Could I be pregnant? Could this be all because of my ovarian cyst? Why can I possibly miss my period? I got period after the emergency pill, so this is awkward.... Please help me! Thanks for the help!!!
Fri, 14 Jun 2019
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General Surgeon 's  Response
Hi,

Noted the history well about unprotected sex, taking emergency pill in time, bloating, pain in abdomen, painful enlargement of both breasts with enlarged Montgomery tubercles on areolas.
Since the pregnancy tests are negative and your Gynecologist also has examined you, prescribed you antibiotic .
My thoughts as per the history are as follows:
There looks to be hormonal imbalance due to taking the high dose Emergency Pill to avoid the pregnancy.
Hence I would advise you the following:
Consult your Gynecologist again for proper clinical evaluation, investigations of blood hormone levels.
Ultrasonography of pelvis to see for the ovarian cyst size.
PMS can be treated symptomatically.
Take a PPI like OMeprazole and Domperidone for nausea.
Antispasmodic or painkillers for pain in abdomen.Take rest.
Avoid stress and anxiety as these contribute to the symptoms.
Weight loss can be due to many a reasons and can be correlated to the
signs, symptoms and investigations reports.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant, ENT & General Surgeon
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Are Abdominal Pain, Breast Pain, Bloating And Weight Loss Symptoms Of Pregnancy?

Hi, Noted the history well about unprotected sex, taking emergency pill in time, bloating, pain in abdomen, painful enlargement of both breasts with enlarged Montgomery tubercles on areolas. Since the pregnancy tests are negative and your Gynecologist also has examined you, prescribed you antibiotic . My thoughts as per the history are as follows: There looks to be hormonal imbalance due to taking the high dose Emergency Pill to avoid the pregnancy. Hence I would advise you the following: Consult your Gynecologist again for proper clinical evaluation, investigations of blood hormone levels. Ultrasonography of pelvis to see for the ovarian cyst size. PMS can be treated symptomatically. Take a PPI like OMeprazole and Domperidone for nausea. Antispasmodic or painkillers for pain in abdomen.Take rest. Avoid stress and anxiety as these contribute to the symptoms. Weight loss can be due to many a reasons and can be correlated to the signs, symptoms and investigations reports. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, ENT & General Surgeon