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Do you have any history of constipation?
Burning sensation while urination?
Since how many days are you having these symptoms?
Do you have any children?
no constipation at all, no burning while urinating either.
I have these symptoms about 4-9 days a month and I have been having them for about three years. the spotting on the shot starting about a year ago
Do you have any mood swings? Anxiety? Especially in relation to periods?
no I don't and I never really have. the weird thing is my periods used to be no big deal just light crampy and that was it.
Well from what you describe i would think that you should be clinically examined and further test like urine routine examination and ultrasound of the lower abdomen be done.
In the mean time you should drink plenty of water.
Also eat high fibre diet and natural fruits and salads.
Also clinical examination to rule out anal fissure as a cause of pain during bowel movement.
To rule out any pelvic pathology like ovarian cyst or fibroid etc.
Possible differential diagnosis may include