Suggest Remedy For Abdominal Bloating While Having Irregular Menstruation And Chest Pain

Posted on Tue, 15 Dec 2015

Question: Hi..i am a 32 yr old female with two children (4 & 12). For a long time I have been experiencing symptoms all around my body but these have become very difficult to cope with over the past 3 months. I am constantly bloated but never really know if this is due to my bowels or my uterus. my periods are very irregular. They can last 3/4 weeks, stop for a day or so then start up again and I do experience some pain. My bowels are also irregular in that I tend to be constipated for a week then have very loose stools, then become constipated again.
Along side these issues, I now have difficulty breathing, palpitations and pain in my chest and a lump on the side of my neck. This lump have been there for around a yr but has increased in size in the past 3 months.
I always feel exhausted..physically, and mentally and experience fever like symptoms, especially at night. I wake up soaked in sweat quite often.
This is all really starting to affect my life now.

Answered by Dr. Tushar Kanti Biswas (6 hours later)

Brief Answer:
?Disseminated Koch's

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

You have fever like symptoms,night sweats, two enlarged lymph nodes in neck,shortness of breath,non-specific abdominal symptoms and menstrual irregularities.The possibility of disseminated tuberculosis is there . Have you lost any weight recently and what about your appetite? Is there any past or family history of tuberculosis?
You need to undergo ESR (fasting),Tuberculin skin test,Chest-ray ,Ultrasonography (USG) Abdomen and FNAC (Fine needle aspiration cytology) of lymph node(larger one) in neck . If FNAC is inconclusive,you have to undergo lymph node biopsy to reach a diagnosis.
Please let me know what all investigations ,you have already undergone.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Tushar Kanti Biswas (7 hours later)

Thank you so much for your response!

I have lost weight. My appetite is low but I am forcing myself to eat a lot and snack a lot due to the weight loss. My current weight is around 50kg and I am 173cm tall.

I am not aware of any history of TB in my family. My Grandad died of lung and throat cancer 14 yrs ago.

I have not had any tests carried out as yet. Only an examination of my neck by my Dr and verbal discussion of symptoms.

I should mention that the problems with my stomach and bowels started long before the problems with my chest.

Answered by Dr. Tushar Kanti Biswas (7 hours later)

Brief Answer:
Possible chronic infectious disease

Detailed Answer:
In view of weight loss,lack of appetite,cervical lymphadneopathy, low grade fever,night sweat,possibility of chronic infectious disease is most likely
There are many causes;tuberculosis is one of them. Discuss with your doctor and undergo the initial investigation as already mentioned to pin point the underlying cause.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Vaishalee Punj