Patient's Query
Hello doctor,
I am a 19-year-old female, with a height of five feet. I experience severe dysmenorrhea during my monthly menstrual period, especially on the first day. I usually wake up at midnight feeling the urge to poop and extremely nauseous, and sometimes I even vomit.
Most of the time on the first day, I avoid eating heavy meals because I feel like I cannot digest food properly, which often leads to vomiting a few hours after eating.
I also experience very uncomfortable period cramps, along with lower back pain and heavy menstrual flow that usually lasts about five days. My menstruation is regular.
Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern. Let me guide you on what to do for lifestyle and supportive care.
Apply a heating pad or hot water bottle to your lower abdomen or back.
Light exercise or stretching in the days before and during your period can help reduce cramp intensity.
Stay hydrated and avoid excessive caffeine or salty foods before your period.
You can also take medications. NSAIDs (non-steroidal anti-inflammatory drugs) are very effective for menstrual cramps and nausea because they block prostaglandins. Best taken at the very first sign of bleeding or pain, sometimes even one day before your expected period.
If nausea or vomiting is severe, doctors can prescribe anti-nausea medications (Ondansetron, Domperidone, or Metoclopramide).
If pain is not controlled with NSAIDs, your doctor may suggest hormonal birth control, which often reduces cramps, bleeding, and flow regularity.
Since your symptoms are severe and affect daily life, you should definitely get checked. A gynecologist may do:
Pelvic exam and ultrasound to rule out secondary causes (endometriosis, fibroids, ovarian cysts).
Blood tests are used to determine if heavy bleeding has caused anemia.
You should seek urgent care if you experience the following -
Pain is not relieved by NSAIDs.
You vomit so much that you cannot keep fluids down.
You feel dizzy or faint or develop very heavy bleeding.
I hope this helps.
Thank you and take care.
Regards.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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