Your symptoms are mainly due to PCOD + kidney stone. Both conditions need long-term management. You should get ultrasound + blood tests to confirm. Meanwhile, painkillers and inositol supplements can help regulate cycles and reduce discomfort.
Thank you.
Hello Riya, thank you for sharing your concern. I understand what you are facing. Here is what you should do -
For PCOD - Maintain healthy weight, regular exercise, and balanced diet (low sugar, high fiber, more fruits/vegetables). Track your cycles. If irregular/painful, your gynaecologist/family physician may prescribe hormonal tablets (like OCPs or progesterone therapy) to regulate cycles.
For kidney stone - The treatment depends on the size of your stone. If your stone is more than 10mm, visit and urologist for further treatment as you might be needing removal of that stone. But if it is less than 10mm then you can take this treatment - Drink plenty of fluids (4-5 litres/day) Tab. Oflox + OZ twice a day × 7 days. Cap. Pantop+DSR before breakfast × 7 days. Tab. Diclofenac 75 mg twice a day × 5 days.
You should consider getting done these investigations - Hormonal profile (Prolactin, FSH, LH, Testosterone), HbA1C, CBC. If not done recently then, ultrasound of Abdomen+Pelvis to see the size of stone and also pcos status.
Feel free to reach out with reports.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
Hello, Your symptoms require further testing for evaluation: Get these tests done: 1. CBC 2. Thyroid profile 3. Serum Prolactin 4. Serum LH and FSH 5. Ultrasound-Pelvis & Lower abdomen. 6. Coagulation profile
For symptomatic relief, 1. Tab Meftal-spas 1 tab (when required)
Follow up with reports Take care
PCOD (Polycystic Ovarian Disease) and kidney stones can both contribute to the symptoms you’re experiencing. In PCOD, hormonal imbalances can lead to irregular periods, which might explain the dark black or brown color and spotting. This happens due to a buildup of old blood within the uterus, often associated with infrequent menstruation. Managing PCOD often involves lifestyle changes like maintaining a healthy weight, adopting a balanced diet, and exercising regularly. For some, medication such as hormonal contraceptives or metformin might be necessary to regulate menstrual cycles.
Regarding the persistent lower abdominal pain, both PCOD and kidney stones can contribute to this discomfort. Kidney stones specifically can cause significant pain, usually more intense on one side and possibly radiating to the back or groin. If the stone is moving through the urinary tract, it can cause sharp, cramping pain. To manage kidney stones, staying very hydrated is essential to help move the stone along. Over-the-counter pain relief medications, like ibuprofen, can help alleviate pain temporarily, but it’s crucial to confirm this is safe in your particular health context. In your situation, it would be wise to contact a healthcare provider to assess the severity of the kidney stones and possibly use imaging to see where the stones are. If the pain worsens or is accompanied by symptoms like fever, nausea, or vomiting, seek medical attention promptly.
Given the overlapping symptoms from PCOD and kidney stones, a visit to a healthcare professional, ideally one familiar with your history, is advisable. They can conduct specific tests, potentially ultrasound or CT scan for the stones, and tailor treatment to address both conditions effectively. Also, reviewing and adjusting medications, if any are being taken, under a doctor’s guidance is a prudent step forward. Make sure you’re not neglecting the importance of follow-up care, as both conditions can impact your health significantly if not managed correctly.
