What Causes Fatigue,bloating,heartburn And Urinary Incontinence?

Posted on Fri, 3 Oct 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 3 Oct 2014 Answered on

Mon, 27 Oct 2014 Last reviewed on

Question : Tired all the time, bloating, heartburn, keep needing to urinate, diarrhea, cramping, usually my period 28th each month but past 3 months it's been 24th, 20th then the 16th of each month! Negative pregnancy tests! I'm so confused!

Answered by Dr. Anshul Varshney (6 minutes later)

Brief Answer:
Get Investigated.

Detailed Answer:
Dear Friend.
The symptoms you are describing fits into Malabsorption Syndrome or Irritable Bowel Syndrome.
Also Thyroid disorder is a possibility.
However I need to know following:
1. Since when are you having this?
2. Any weight loss?
3. Any redning of eyes?
4. Any history of weight loss or weight gain?
5. Any blood ever in stools?
6. Are you sexually active?
Revert with these details.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Anshul Varshney (43 minutes later)

No blood in stools just loose, no red eyes, was sexually active until 3 weeks ago, no weightloss been happening for bout a month

Answered by Dr. Anshul Varshney (3 minutes later)

Brief Answer:
Detail Follows

Detailed Answer:
Dear Friend.
Get your Thyroid profile done first of all.
If that comes you to be negative then you can go for Upper GI Endoscopy.
Till then I advise in such situations to start on a combination of Pantoprazole and Domperidone once a day. This would definitely help you.
Start on this. Get tested and review back.
If you have any further query feel comfortable to ask me.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Anshul Varshney (14 minutes later)

What does them tablets do that you have just said about? And I have had thyroid test done not long ago anyway and it was all fine

Answered by Dr. Anshul Varshney (4 minutes later)

Brief Answer:
Detail Follows.

Detailed Answer:
Dear Friend.
These tablets helps in preventing the reflux and reducing the acidity.
Many a times this reflux is the root cause of all the problems.
Stress , Alcohol , Smoking have to be avoided.
Get a repeat Thyroid Test done.
If it comes out to be normal possibility of Irritable Bowel Syndrome or Malabsorption Syndrome I would keep based on available history here.
Start on these medications. Get tested and revert back after around 10 days.
Stay Healthy

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Anshul Varshney (9 minutes later)

Also I have been having trouble eating foods like I use to be able to eat anywhere and in front of anyone. But lately I can't eat in front of people.. Only on my own. But sometimes even struggle to swallow my own saliva I'm fine with salads and greens but anything else I have trouble with

Answered by Dr. Anshul Varshney (6 minutes later)

Brief Answer:
Detail Follows.

Detailed Answer:
Dear Friend.
This can be a symptom of Malabsorption Syndrome , Gastro Esophageal Reflux Diseae. (GERD). All the disease I am describing have relatively similar presentation.
I am worried because you have diarrhea. Which can be a sign of Malabsorption Syndrome like Celiac Disease , Lactose intolerance.
However the workup would require Endoscopy and biopsy.
Also initially you can get along with Thyroid Anti TTG Antibody IgA test. Both are the blood tests.
Simultaneously start on medicine as I have advised.
If you have any further query please ask me.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj