Abdominal pain and cramps during periods are called dysmenorrhea. The pain can be mild to severe. Conditions that can cause severe abdominal pain during periods are endometriosis, uterine fibroids, and pelvic inflammatory disease.
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I usually have heavy bleeding and pain on the first day of my period, but this time I have more blood clots and very little bleeding with severe pain. Please help.
Query: Hello doctor, There is some irregularity regarding my periods this month. I usually get heavy flow on the first day of the period with severe cramps and lower back pain. I generally take painkillers that help in relieving period pain. I also get clots on the first day of the period. But this time, t... Read Full »
Answer: Hello, Welcome to the icliniq.com. I have read your query and can understand your concern. However, more information regarding your drug, medical, and social history would be helpful for making a precise diagnosis. Based on your given information, you are a teenager which is the phase of reproduc... Read Full »
I have painful periods and severe pain during and after urination during periods. Why?
Query: Hello doctor, I have painful periods every time but my periods are regular. The blood flow is normal during periods but I have severe pain in the uterus during periods and during and after urination on my periods. How can I get over it? The pain is not tolerable at all and I fear that it might be... Read Full »
Answer: Hello, Welcome to icliniq.com. You need some investigations, some healthy tips like exercise, physiotherapy, and some treatment. Better to have one transvaginal scan, and one hysteroscopic examination by a senior specialist. Have physiotherapy, yoga specific exercises after consultation wi... Read Full »
I am a teenage girl with random sharp abdominal pain, vomiting, and cramps for two years. What should I do?
Query: Hello doctor, I am a girl in her early teens who has been experiencing abdominal pain and cramps for around two years now. The pain does not occur every day but it occurs very often. The pain occurs randomly and is very sharp and irritating. I have really bad periods accompanied by vomiting, so mayb... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. Do you have alterations in bowel habits too? Does passing stools relieve pain? Is there any weight loss since you experienced pain? If there is no weight loss, loose motions, or constipation and pain relieves with defecation, most probably y... Read Full »
Can eye freckles disappear on their own?
Query: Hi doctor, Please find the images shared by my optometrist. He said I have no freckles. If a freckle develops sometime in one's life, then what would prevent it from growing indefinitely to melanoma? Will it develop for some time and stop? If you do notice the freckle then please clarify doubts w... Read Full »
Dr. Sheikh Zubair Abdul Razzak
Answer: Hi, Welcome to icliniq.com. From the images (attachment removed to protect patient identity) you have sent I do not see a freckle in either eye. A freckle will show as a pigmented patch in the retina of the eye. If there is a freckle it will not reduce in size on its own. It will increase in size or... Read Full »
My periods are painful and heavy, and I have a history of ovarian endometriomas and cysts. Kindly help.
Query: Hello doctor, I had ovarian endometriomas and cysts in my twenties. I have two children without many problems. My periods are painful and heavy, but I did not consult a doctor. I have had my periods for a long time now. I can feel my ovaries aching on each side. And now I have very bright red blood.... Read Full »
Answer: Hello, Welcome to icliniq.com. I suggest you consult a gynecologist and have a physical examination done. I suggest it can be due to any of the following- PID (pelvic inflammatory disease) is when there is vaginal discharge around periods and after sex with itching, painful period, and sex. It c... Read Full »
I have severe period pain. Is it because of endometriosis? What is the treatment?
Query: Hi doctor, My girlfriend has severe period pains that are certainly endometriosis. Her recent scan showed endometrium was 16 mm thick. She has crippling pains, and she is completely immobile during her period and sometimes in between. It is getting worse month by month. She is infertile. It is painf... Read Full »
Answer: Hello, Welcome to icliniq.com. I did go through the ultrasound report (attachment removed to protect patient identity). Although it reads normal, endometriosis is a laparoscopic or operative finding. The symptoms she has correlates with the condition. She may be helped with hormonal medicines. Ho... Read Full »
Why do I experience headaches, dizziness, and cramps in my lower abdomen, legs, and waist on the first and second day of menstruation?
Query: Hello doctor, I am currently experiencing cramps in my lower abdomen, legs, and waist. I took the tablet Ibuprofen 200 mg, but the medication did not even lessen the pain. I am on the first day of my period. I might need a medical certificate because I was sent home from work. The right part of my h... Read Full »
Answer: Hello, Welcome to icliniq.com. Ibuprofen 200 mg is a lesser dose for you, so I suggest you increase the dose to 400 mg. If you experience pain every time during periods, I would suggest you undergo an ultrasound examination once to check if there is any abnormality in the uterus or pelvic organs. So... Read Full »
Is the severe pain in my lower abdomen due to the missed period?
Query: Hello doctor, I usually have my periods on the 28th every month. It is regular, but last month, I missed my periods. There was very little bleeding in my underwear that looked like an implantation bleeding. So, I thought that I am pregnant because I had all the symptoms such as breast tenderness, t... Read Full »
Answer: Hello, Welcome to icliniq.com. How are you doing? The symptoms that you have mentioned are of course seen in pregnancy, but they are not exclusively seen in pregnancy. In pregnancy, the progesterone hormone rises, which causes the symptoms that you mentioned. If you have not had the ovulation of thi... Read Full »
I have a pain in my lower abdomen during every other period. Is it normal?
Query: Hello doctor, I am a 20-year-old female. I have had pressure or weight on my lower right abdomen for around a year. That side of my body hurts during every other period like it is alternating with my ovaries. There was no pain in the beginning but, more recently, my menstrual cramps have become wor... Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. Mild discomfort during menstruation is normal because you are shedding the inner layer of the uterus with blood. So, that is not an abnormality, and every female gets it. If your CT (computed tomography) is... Read Full »
Can bleeding after seven days of taking Unwanted 72 indicate early pregnancy?
Query: Hello doctor, My fiancee is a 28 year old and weighs 43 kg. We had unprotected sex on the 10th day of her menstrual cycle, and I am sure I did not ejaculate. But, I am worried about her getting pregnant. She took Unwanted 72 tablet 12 hours later. A week later, she had cramps and menses-like bl... Read Full »
Answer: Hello, Welcome to icliniq.com. If she had withdrawal bleeding seven days after taking Unwanted 72, which lasted for three days, then she is unlikely to be pregnant. The pregnancy can be conclusively ruled out with a serum beta hCG test, as home pregnancy test may provide false negative results. If ... Read Full »