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Pain during first few days of menstruation, diarrhea, nausea [1] [2] Usual onset: Within a year of the first menstrual period [1] Duration: Less than 5 days (primary dysmenorrhea) [1] Causes: No underlying problem, uterine fibroids, adenomyosis, endometriosis [3] Diagnostic method: Pelvic exam, ultrasound [1] Differential diagnosis
Vomiting is a common condition affecting about 50% of pregnant women, with another 25% having nausea. [53] However, the incidence of HG is only 0.3–1.5%. [ 4 ] After preterm labor, hyperemesis gravidarum is the second most common reason for hospital admission during the first half of pregnancy. [ 16 ]
Headache, nausea, vomiting, diarrhea, and fatigue may also accompany the pain. Pain may begin gradually, with the first several years of menses, and then intensified as menstruation becomes regular. Patients who also have secondary amenorrhea report symptoms beginning after age 20 and lasting 5–7 days with progressive worsening of pain over time.
Although described as "morning sickness," pregnant women can experience this nausea any time of day or night. The exact cause of morning sickness remains unknown. Nausea and vomiting in pregnancy is typically mild and self-limited, resolving on its own by the 14th week of pregnancy. Other causes should also be ruled out when considering treatment.
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Despite the name, nausea or vomiting can occur at any time during the day. [2] Typically the symptoms occur between the 4th and 16th week of pregnancy. [2] About 10% of women still have symptoms after the 20th week of pregnancy. [2] A severe form of the condition is known as hyperemesis gravidarum and results in weight loss. [1] [6]
Kahley Schiller's fatigue and nausea symptoms turned out to be acute liver failure end-stage. She shares her story of receiving a liver transplant. ‘I Thought I Had Chronic Fatigue.
Genitourinary Changes in Pregnancy. Progesterone causes many changes to the genitourinary system. A pregnant woman may experience an increase in the size of the kidneys and ureter due to the increase blood volume and vasculature. Later in pregnancy, the woman might develop physiological hydronephrosis and hydroureter, which are normal. [33]