Dizziness, Abdominal Pain, and Delayed Menstruation: When to Seek Help - Obstetrics and Gynecology

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Dizziness, abdominal pain, chest tightness, nausea, severe stomach pain, but unable to have a bowel movement?


Dizziness, abdominal pain, chest tightness, nausea, severe stomach pain with inability to have a bowel movement, and a delayed menstrual period—should I see a gastroenterologist or an obstetrician-gynecologist? I just got discharged from the hospital a few days ago, and now I'm experiencing these symptoms.

Lin, 20~29 year old female. Ask Date: 2016/03/11

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if you still have discomfort, you may want to see a gynecologist.
Wishing you good health.

Reply Date: 2016/03/11

More Info


When experiencing symptoms such as dizziness, abdominal pain, chest tightness, nausea, and delayed menstruation, it is crucial to seek medical attention promptly. These symptoms can be indicative of various underlying conditions, and understanding their potential causes is essential for appropriate management.

Firstly, the combination of dizziness and abdominal pain can suggest several gastrointestinal issues, such as gastrointestinal obstruction, gastritis, or even appendicitis. Given that you mentioned having just been discharged from the hospital, it is important to consider whether your recent medical condition could be related to these new symptoms. If you had undergone surgery or treatment for a gastrointestinal issue, complications such as infection or bowel obstruction could manifest as abdominal pain and dizziness.

Chest tightness and nausea can also be concerning symptoms. They may indicate cardiac issues, especially if you have risk factors such as a history of heart disease, high blood pressure, or diabetes. It is essential to rule out any cardiovascular problems, particularly if the chest tightness is severe or accompanied by other symptoms like shortness of breath or radiating pain to the arm or jaw.

The delayed menstruation adds another layer to your symptoms. Stress, illness, and significant changes in your body can all affect your menstrual cycle. If you have recently experienced a medical issue or hospitalization, your body may be responding to that stress, which can lead to a delay in menstruation. However, it is also important to consider the possibility of pregnancy, especially if there is any chance of exposure.

Given the complexity of your symptoms, it is advisable to consult with a healthcare provider who can perform a thorough evaluation. A visit to a gynecologist is warranted to address the delayed menstruation and any related reproductive health concerns. They can conduct a pregnancy test and evaluate for any gynecological issues that may be contributing to your symptoms.

Simultaneously, it may be beneficial to see a gastroenterologist to assess the abdominal pain and any gastrointestinal concerns. They can perform necessary imaging studies, such as an ultrasound or CT scan, to rule out any serious conditions.

In summary, the combination of dizziness, abdominal pain, chest tightness, nausea, and delayed menstruation warrants a comprehensive medical evaluation. It is crucial to address these symptoms promptly to identify any underlying issues and initiate appropriate treatment. Seeking care from both a gynecologist and a gastroenterologist will provide a well-rounded approach to your health concerns. Remember, your health is paramount, and timely intervention can lead to better outcomes.

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