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What causes bad period cramps in a 16-year-old?

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Patient's Query

Hi doctor,

I am a 16-year-old female of 5 '4 foot. I have questions about my period. I have been feeling bad cramps since my first period. Some months are so bad that medication like Tylenol does not help.

Some months, it will only hurt for two days, and some months for four. The first four months of my period, I remember throwing up almost every day. I am not sure if I have a heavy flow or medium. My main concern is the pain. Please help.

Thank you.

Answered by Dr. Obinna Ugwuoke

Education:

Fellowship in Obstetrics and Gynecology

Professional Bio:

Dr. Obinna Ugwuoke is a dedicated Medical Professional who achieved a Fellowship in Obstetrics and Gynecology from the West African College of Surgeons in 2022. With three years of clinical experience. He contributes his expertise to NAF Hospital in Lagos, Nigeria. Driven by passion and skill, he continues to make significant strides in women's healthcare.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I have read the query, and I can understand your concern.

Pain during this period can be severe and occasionally reduce your quality of life. The pain will get better with time and better after your first delivery. Pain is caused by the uterus trying to force the period out through your tiny uterine opening. For now, the management is to adjust to a more potent pain reliever than Tylenol (Acetaminophen) or to start you on combined oral contraceptive pills for about six months. Check treatment with Tenoxicam. It is better to take the drug at least 24 hours before your period starts. Consult a specialist doctor, talk to them, and then take the medication.

I hope this will help you.

Thank you.

Treatment plan

I suggest you take Capsules Tenoxicam 20 mg (milligram), 12 hourly for five days, and tablet Hyoscine 10mg, 12 hourly for five days. Start medication a few days before your anticipated period date. Consult a specialist doctor, talk to them, and then take the medication.
Medically reviewed by iCliniq medical review team
Published At March 26, 2024
Reviewed At November 5, 2025

Education:

Fellowship in Obstetrics and Gynecology

Professional Bio:

Dr. Obinna Ugwuoke is a dedicated Medical Professional who achieved a Fellowship in Obstetrics and Gynecology from the West African College of Surgeons in 2022. With three years of clinical experience. He contributes his expertise to NAF Hospital in Lagos, Nigeria. Driven by passion and skill, he continues to make significant strides in women's healthcare.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Fellowship in Obstetrics and Gynecology

Professional Bio:

Dr. Obinna Ugwuoke is a dedicated Medical Professional who achieved a Fellowship in Obstetrics and Gynecology from the West African College of Surgeons in 2022. With three years of clinical experience. He contributes his expertise to NAF Hospital in Lagos, Nigeria. Driven by passion and skill, he continues to make significant strides in women's healthcare.

This doctor is not available for online consultations on the platform anymore.

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