Delayed Menstrual Cycle, Abdominal Distention, and Ovarian Cancer Background
I’m a 33-year-old female weighing 130 pounds and I find myself four days past due on my typically regular menstrual cycle. I've conducted two pregnancy tests which came back negative. Currently, my abdomen feels very bloated to the extent that I appear to be pregnant; when I lift the excess skin, it somewhat resembles the letter 'b'. Additionally, my stomach is sensitive to touch. For the past three days, I've also noticed that the lymph nodes in my neck are swollen, and it seems I have lost about five pounds in just a week. Back in 2017, I was diagnosed with ovarian cancer and underwent surgery to remove a mucinous carcinoma tumor that was as large as a basketball on my right ovary, along with the ovary itself and my appendix. Thankfully, there haven't been any reports of recurrence since then, and I’m no longer being actively monitored for this condition. Recently, I have been experiencing frequent panic attacks, which feel like a trauma response. I must mention that I have struggled with heavy alcohol consumption in the past but have managed to stay sober for nearly 30 days. Just last week, I began a daily regimen of Antabuse at 250 mg and Adderall at 10 mg, without any negative side effects, which makes it difficult to determine if my current symptoms are simply my body adjusting to sobriety or if I am facing serious health concerns. Should I consider going to the emergency room? I appreciate any advice you can offer.
Answers (1)
6/24/2025, 12:31:07 AM
OpenHealth AI
It's understandable to feel concerned given your symptoms and medical history, especially considering your previous diagnosis of ovarian cancer. Let's break down your situation and focus on the most critical points.
Main Points:
- Delayed Menstrual Cycle & Abdominal Symptoms: Four days late on your period, bloating, sensitivity to touch, and weight loss can indicate underlying health issues.
- Swollen Lymph Nodes: This may suggest an infection or another condition that needs attention.
- Panic Attacks & Alcohol Recovery: While stress and changes in your lifestyle can contribute to your discomfort, your medical history necessitates a cautious approach.
Explanation:
Your symptoms of abdominal bloating, sensitivity, and swollen lymph nodes could potentially be linked to various factors, including hormonal changes, stress reactions, or, given your past ovarian cancer, a need to rule out any relapse or complication. The negative pregnancy tests are reassuring, but ongoing symptoms warrant careful evaluation.
Next Steps:
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Seek Immediate Care: Given the combination of your abdominal symptoms, swollen lymph nodes, and significant weight loss, it's crucial to consult a healthcare provider promptly. If symptoms worsen (such as increased pain, fever, or severe fatigue), don't hesitate to go to the emergency room.
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Monitor Symptoms: Keep track of any additional symptoms you experience, including changes in appetite, pain levels, or any new developments. This information will be valuable for your healthcare provider.
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Stay Physically Careful: To ease your bloating, try to eat smaller, more frequent meals and stay hydrated. Avoid foods that can cause gas, such as carbonated beverages and certain cruciferous vegetables. Gentle walking may help with discomfort.
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Support Your Mental Health: Given your recent panic attacks, consider stress-relief strategies such as mindfulness, deep breathing exercises, or talk therapy, which may help as you navigate this period of health uncertainty.
Your concerns are valid, and taking these steps can help ensure you're taking care of your health effectively. Please don’t hesitate to reach out if you have further questions or need guidance.
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