Dr. Md Raihan Uddin Khan
General Practitioner
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Patient's Query
Hi doctor,
My lower abdomen is constantly bloated and swollen. My symptoms include chronic bloating, constipation, no period, swollen pelvis area, fatigue, and painful intercourse. My blood work and ultrasound are normal. The symptoms have lasted over six months. I am a 25-year-old female, of height 4’10” and weight 90 lbs. I am taking Mirena IUD and Gabapentin 600 mg for anxiety. Kindly help me.
Hi,
Welcome to icliniq.com.
You mentioned recently you did a blood investigation and ultrasound of the abdomen, and it was normal, so do not worry too much. About your constipation and bloating, you can change diet habits, increase vegetables and fiber diet in your food and avoid spicy, oily, and fast food. Drink adequate water daily, about 2.5 to 3 liters.
Most probably, your present symptoms are related to dyspepsia, gastritis, or constipation. After changes in your diet, you can take an anti ulcerate (for example, Omeprazole or Famotidine)
Regularly do exercise. You also have period disturbances, and you have IUD (intrauterine device). With IUD, sometimes period can be irregular but, if it delays more later, consult with a gynecologist. For painful intercourse, you can use a lubricant.
Also, you are taking Gabapentin. It is usually used for neuropathic pain. You can consult with a physician about its continuation.
I hope this was helpful.
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General Practitioner
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