Patient: I have extreme discomfort, my middle and lower back are killing me. Abdominal pain and nausea. Uterine cramps. Feel pregnant but not pregnant. Has been worsening for 4 months. My hips and other joints are killing me,My stomach gets puffed up like a balloon but not near my uterus but immediately under my rib cage. I currently have flu like symptoms but no vomiting or diarrhea. Very heavy periods around the 20th of each month. Neck pain like pulled muscles leading into my shoulder but not involving the shoulder. When stomach is puffed up it doesn’t give. Have gained 20 lbs in the last month and a half.