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Delayed periods, extra stomach gas, nausea. Negative pregnancy test. Pregnancy chances?

Hi- My period is a week late. My stomach has been extra gassy and I m tired lately. Today I felt nausea and decided to see if my OBGYN could fit me in as a walk-in. They were able to see me and my Doc did a urine pregnancy test that came back negative, then did a quick pelvic exam and said nothing seems abnormal. I have two questions: 1) Could these symptoms be indicative of something else? 2) Is there a possibility of still being pregnant with a negative urine test 7 days after the missed period?
Mon, 2 Dec 2013
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

Firstly, pregnancy test-kits of most reputed companies are highly sensitive : a negative test after one week of missed period rules out pregnancy. However, you may repeat the same after 2 weeks to confirm absence of pregnancy.

From the problems described by you, there are following possibilities:-

* Due to mental stress/chronic anxiety with depression. A adequate course of anti-depressant + anti-anxiety drug + a drug of Beta-blocker group, such as metoprolol will cure the symptoms.

* Infection of the stomach + intestine (H.pylori infection) leading to indigestion. a 2-weeks' course of anti-H.pylori therapy; followed by (from Day 15 onwards) a tablet/capsule of anti-acid drug, such as rabeprazole or esomeprazole for 2-3 months

* In addition, 2-3 weeks' course of probiotc, such as lactobacilli, and Digestive enzymes.

The recommended treatment will cure your problems permanently.

* Thyroid problem. (Hypothyroidism).

Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised.

In case of any further queries, revert back to me THROUGH DIRECT PREMIUM QUERY (Paid), addressed to me personally. You will receive- almost immediately- my response in great details.

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Fond regards and have a nice day

Dr. Rakesh Karanwal
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