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Low abdominal cramps, frequent headaches, fatigue, bloating, frequent urination, enervation, negative pregnancy test. Further tests?

Hello. I m searching for some answers. I have been having low abdominal cramps, frequent headaches, fatigue , bloating of the stomach irritable frequent urination , nausea and vomiting heartburn feels like my stomach is burning in the insides I can t sleep at night but I ve very tired and eat all the time. I got a pregnancy test it came back negative. What ate your thoughts on what s wrong with me. I m in pain and have no energy. Could u tell me any further testing I could get done please.
Asked On : Fri, 26 Oct 2012
Answers:  1 Views:  435
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General & Family Physician 's  Response
Hi there.

Thanks for writing in.

The possibilities that I can think of are : urinary tract infection, gastritis, GERD, anxiety, thyroid disorders, or irritable bowel syndrome.

The nausea , vomiting, frequent urination might be symptoms of a urinary tract infection. Anxiety , Stress, Thyroid disorders can also present with the symptoms you are currently experiencing. Also the nausea , vomiting , abdominal cramps, burning sensation in the stomach might be attributed to acidity, gastritis, etc.

I would advise you to get the following tests done:
Urine routine and microscopy ( to look for evidence of any urinary tract infection) . If the results are normal, just continue having plenty of fluids, at least 8-10 glasses of warm water a day. A glass of cranberry juice might also help. If there is significant bacteria in the urine test, then antibiotics might be necessary.

As of now , I would suggest you to take pantoprazole 40mg once daily half an hour before breakfast for 2 weeks. Pantoprazole might help take care of the symptoms related to acidity and gastritis. If there is no symptomatic relief at all , please visit a gastroenterologist.

Please avoid smoking and alcohol which are gastric irritants. Avoid tea, coffee, carbonated beverages, spicy food , oily, deep fried food.

Hope this helps

Dr. Divya Kuttikrishnan
Answered: Fri, 26 Oct 2012
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