Hi,
There are several possible causes for the symptoms you are experiencing. Nausea, diarrhea, and
frequent urination can be caused by several gastrointestinal issues, such as
gastritis,
gastroenteritis, or
irritable bowel syndrome (IBS). However, given that you have been treated for gastritis and the symptoms persist, other possible causes should also be considered.
One possibility is a hormonal imbalance. This could be related to the Nexplanon implant, which is a form of birth control that releases the hormone progestin. Progestin can cause side effects such as nausea, breast tenderness, and changes in appetite. It is also possible that the implant has become less effective over time and you could be experiencing symptoms of pregnancy. However, given that you have had a negative pregnancy test and have been using the implant for over two years, this is less likely.
Another possibility is a
urinary tract infection (UTI) that has not been detected by the urine test. UTIs can cause frequent urination and
lower abdominal discomfort. It is important to note that some UTIs can be difficult to diagnose, especially if there are no visible signs of infection.
Additionally, the weight gain, tiredness, and breast enlargement could potentially be related to an endocrine disorder such as
hypothyroidism or a pituitary tumor. However, it is important to note that these conditions are rare and typically require more testing to diagnose.
It is recommended that you follow up with your healthcare provider to discuss these symptoms and explore further testing or treatment options. In the meantime, keeping a symptom diary and noting any patterns or triggers could also help identify potential causes.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician