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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 35026
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I'm 29 year old mother of 5 I've had trouble with my periods

Customer Question

Hi I'm 29 year old mother of 5 I've had trouble with my periods since my 3rd child 9 years ago . Bleeding 90% of the time ,this is an old symptom. The past few mths I've gone off most foods feeling sick but nothing coming up even if I have just had a cup of tea . About two weeks ago I was sick for a night and day it was burning and painfull , some sick feeling since ,now the sick is back .I had blood they were fine . But I dont
JA: Do you keep personal medical records to help track this?
Customer: I try
JA: Anything else in your medical history you think the doctor should know?
Customer: Pain in my lower back weeing more and bowl changes sometimes constipated some time loss
Submitted: 8 months ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 8 months ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Expert:  Dr. Arun Phophalia replied 8 months ago.

What did your investigations show for these symptoms?

Since how many years are these symptoms?

Are you on any medications?

Customer: replied 8 months ago.
Bleeding past nine year /scans and test clear
Feeling sick past few mths
Had blood all fine no further action
Customer: replied 8 months ago.
No meds
Customer: replied 8 months ago.
Expert:  Dr. Arun Phophalia replied 8 months ago.

The causes of feeling sick are iatrogenic (doctor induced like medicines), toxic, or infectious causes; gastrointestinal disorders; and central nervous system or psychiatric conditions. Following are the main causes;

A. Central nervous system

1) Migraine

2) Space occupying lesion in brain (Mass lesion)

3) Labyrinthitis

4) Ménière's disease

5) Pseudotumor cerebri

B. Gastrointestinal symptoms;

1) Gastroparesis

2) Irritable bowel syndrome

3) Non ulcer dyspepsia

4) Peptic ulcer disease

5) Cholecystitis/cholangitis (gall bladder problems)

6) Hepatitis (liver inflammation)

C. Hormonal

1) Thyroid disorders

2) Diabetes

3) Adrenal disorders

D. Psychiatry disorders

1) Anxiety

2) Depression

3) Conversion disorders

E. Infections.

So you need investigations like blood work again and hormonal evaluation (for bleeding; thyroid function tests, adrenal function test, prolactin, FSH, LH estradiol etc) with upper gastrointestinal endoscopy, blood and urine culture.

These should be able to conclude the cause.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 8 months ago.

Feeling sick specifically require;

1) An ultrasound of gall bladder.

2) A CT scan or brain; this will assess the pituitary gland too which may be responsible for the hormonal aberrations, which in turn may cause bleeding.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

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Thank you.

Wishing you all the very best in life.

Customer: replied 8 months ago.
My doctors don't seem to be concerned .no refurels made