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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Delayed Period Coupled With Nausea, Tiredness, Bloated, Frequent Urination. Not Pregnant. What Now?

Hello, I was due on my period last Saturday at the latest, and I still haven t come on. For over a week now I ve felt very nauseas, sometimes feel dizzy, I ve had lower abdominal pain that s like period pain but keeps coming and going, I ve had food cravings , headaches , tiredness, I feel bloated but I don t look bloated and I ve been needing to urinate a lot more. My first though was I must be pregnant, ive got a 2 year old daughter so I m not new to it, I feel pregnant but I did a pregnancy test last Saturday but it came out negative, I gave it until today and did another test as soon as I got up and it was negative again. Should I leave it another few days and do another test or should I go see my gp as soon as possible?
Mon, 27 Jan 2014
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OB & GYN Specialist,  's  Response
hiiii,
Welcome to HCM.
You may confirm or exclude pregnancy by doing a blood test for HCG after one wk.
But your clinical presentation seems to be associated with Premenstrual Syndrome.
It has several symptoms like abdominal cramp or bloating,frequent urination,breast swelling & tenderness,tiredness,mood swing,depression,anxiety,nausea etc.It is more predominantly on 2nd half of menstrual cycle or just prior to period.
Several measures to be taken.As follows:
1) avoid stress by deep breathing or yoga
2) avoid taking salt,caffeine or fatty food specially in 2nd half
3) take Pyridoxine 100mg daily with SSRI (Fluoxetine 20mg single dose)
4) may take prime rose capsule 1000mg to overcome breast discomfort.
5) may take OCP or progesteron pill (Duphaston 10mg) to overcome other symptoms
6)do light exercise regularly and proper sleep.
Be well and Tc.
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Delayed Period Coupled With Nausea, Tiredness, Bloated, Frequent Urination. Not Pregnant. What Now?

hiiii, Welcome to HCM. You may confirm or exclude pregnancy by doing a blood test for HCG after one wk. But your clinical presentation seems to be associated with Premenstrual Syndrome. It has several symptoms like abdominal cramp or bloating,frequent urination,breast swelling & tenderness,tiredness,mood swing,depression,anxiety,nausea etc.It is more predominantly on 2nd half of menstrual cycle or just prior to period. Several measures to be taken.As follows: 1) avoid stress by deep breathing or yoga 2) avoid taking salt,caffeine or fatty food specially in 2nd half 3) take Pyridoxine 100mg daily with SSRI (Fluoxetine 20mg single dose) 4) may take prime rose capsule 1000mg to overcome breast discomfort. 5) may take OCP or progesteron pill (Duphaston 10mg) to overcome other symptoms 6)do light exercise regularly and proper sleep. Be well and Tc.