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Short light periods and heavy abdomen

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hi,my last normal period was august 8,2009.since then ive been having short,light irregular periods for 4 months periods come 2 weeks late and lasts 2 days this month my period hasn't come yet and my abdomen feels very tight and heavy.i have headaches and feels upset back is very sore,my breasts has milk would be my second pregnancy i have a 5 year old so my breast shouldn't have milk.i look and feel like i'm 7 months pregnant.i went to the clinic but the nurse says she dont feel anything,we did a urine test and it was negative.please help i really look pregnant so why is those things happening?i even feel movements regularly and a very forceful movement when i rub my belly.whats wrong with me could i still be pregnant if the test is negative?what should i do?my belly feels really uncomfortable and i cant walk too fast due to the heaviness.please help!!!

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replied January 27th, 2010
Pregnancy Answer A9531
Hi, and thanks for your medical question on eHealth forum!

If your abdomen is bloated (looks 7 weeks pregnant), you feel strong movements, you have had very light irregular periods for the past few months, then you could be pregnant, symptomatically. However, your nurse should have been able to feel the baby. Also the urine test should have been positive. Milk is also excreted from breast after delivery and rarely during pregnancy.

What you can do is go for a scan if you really feel movements of the baby. If the scan does not detect a fetus then other causes of delayed periods will have to be looked into. Thyroid problems and abnormal levels of FSH, LH, prolactin, androgen hormones or male hormones and estrogen hormones too can be the cause. MRI of brain may be required to rule out pituitary tumors secreting prolactin. This can cause milk excretion from breast.

Another major contributor is polycystic ovarian syndrome (PCOS). This can be diagnosed by a CT scan or abdominal ultrasound and tests for insulin resistance. Sometimes tumors of the ovaries and brain may also cause absence of menstruation. Severe anemia and malnutrition, excess weight gain or weight loss too can contribute to irregular periods.

The other possibility is that you have a lot of gas which you feel moving in the gut. In such cases if you also have abnormal stools and gas, then IBS will have to be ruled out.

Please discuss this with your gynecologist and go as per their advice as a confirmed diagnosis to your problem and treatment for it cannot be prescribed on net without examining you. Hope this helps. Take care!

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