Hello doctor,
I am experiencing pelvic pain for the last few days everytime and my period is late for 1 week as of now. I confirmed that I am not pregnant. I have an urge to urinate more than normal. I also have small nipple pain on both the sides. Please clarify my doubt.
Hi,
Welcome to icliniq.com.
Please mention how your menstrual cycles are regarding regularity, duration of bleeding, etc. Your symptoms might be due to premenstrual syndrome with Urinary tract infection. If periods are delayed for 7 days and pregnancy test is negative wait another 7 days for your periods. If not repeat a preg colour test again and inform. Take the tablet below for pain and if pain increases or there is dizziness nausea vomiting or fainting do an USG TVS and inform. Take tablet Urispas (Flavoxate) 1 tablet twice daily for 3 days and tablet Drotin Ds 1 tablet SOS for pain abdomen.
Urine for RE ,ME and Culture sensitivity test .Urine for pregnancy test and USG TVS if no periods in 7 days
Differential diagnosis:Preg colour test and USG TVS if periods dont occur in 7 days.
Probable diagnosis:Urinary tract infection with delayed periods with premenstrual syndrome
Treatment plan:Tablet Urispas (Flavoxate) 1 tablet twice daily for 3 days. Tablet Drotin Ds 1 tablet SOS on pain abdomen
Preventive measures:Drink plenty of water avoid salt sugar and caffeine intake.
Regarding follow up:7 days.
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