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HomeAnswersMedical Gastroenterologymenstrual crampI get severe stomach pain on using birth control pills. Why?

Can birth control pills cause painful periods in a 20 year old?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ramesh Kumar S

Medically reviewed by

iCliniq medical review team

Published At January 26, 2023
Reviewed AtJanuary 11, 2024

Patient's Query

Hello doctor,

I am a 20 year old female. I was a patient of vertigo and migraine earlier; however, I do not have any symptoms. I have taken an Ipill three to four times and started getting painful menses. The pain starts before I get my period and gets worse after the onset of the period. I also experienced diarrhea during this time. Earlier, I used to have a normal period. A gynecologist referred me to a gastroenterologist, and the doctor prescribed me Rifagut, Colospa, and Normaxin. My problem subsided after taking these medications, but I continue to have painful periods every two to three months. The doctor even prescribed me several ultrasound scans like colonoscopy and gastroscopy. The reports stated that I had eosinophilic enteritis and chronic duodenitis. The doctor prescribed me Zentel, after which my problem subsided for four to five months.

But, for the last two months, I have been having pain in my abdomen, chills in the evening, and dizziness after eating food. I visited the doctor, and the doctor advised me to have a CT scan. The CT (computed tomography) scan was normal, but there were a few sub-centimeters of mesenteric lymph node enlargement measuring 7.6 mm. The doctor prescribed me Vegaz OD, Colospa, and Normaxin. The dizziness has stopped, but I still have unbearable pain in the evening and night.

Kindly help me as I am not able to diagnose my problem.

Answered by Dr. Ramesh Kumar S


Welcome to icliniq.com.

Most likely, you are suffering from IBS (irritable bowel syndrome) with overlapping fecal incontinence. Firstly a small briefing on irritable bowel syndrome and why every patient is a unique case when we deal with IBS. In IBS, there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. However, the structure of the intestines is normal. Therefore, only functional abnormality occurs in this condition. Hence, IBS represents a functional disorder of the gastrointestinal tract without an anatomic defect.

You need to consult with a gastroenterologist. The doctor will advise you of an endoscopy procedure after that. Then you can show the reports so that we can start your treatment.

Good luck,


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

Dr. Ramesh Kumar S

Dr. Ramesh Kumar S

Medical Gastroenterology

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