HomeAnswersMedical GastroenterologypmsI am unable to distinguish between pre-menstrual symptoms and gall stone pain. Please help.

How to distinguish between pre-menstrual syndrome pain and other body pain?

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

Medically reviewed by

iCliniq medical review team

Published At June 23, 2023
Reviewed AtFebruary 13, 2024

Patient's Query

Hello doctor,

I am a 24-years-old female and I was accidentally diagnosed with gallstones. The gallstones measured 4 mm on ultrasound but showed no evidence on CT. My doctor did not suggest any medications or surgery and has asked me to make lifestyle changes. I also have had pain in the right shoulder, upper right back pain for five days and I can follow my daily routine without any problems and I am sleeping well too. As soon as the day begins, the pain starts and sometimes also feel a burning sensation which extends till my right arm. Sometimes, I feel I have sprained my muscles. I drive a lot and I sit and work on my desk. I am currently going through pre-menstrual syndrome and I am not able to distinguish between the pain. I would like to know whether the pain is related to pre-menstrual syndrome or gallstones. Generally, I have painful and intense pre-menstrual syndrome symptoms during my menstrual cycles. I have nausea, fatigue, stomach tightness, and sore breasts too.

Kindly help.

Hello,

Welcome to icliniq.com.

I have reviewed your query thoroughly.

Probably you are mixing your symptoms. Small-sized single 4 mm gall bladder stone usually does not cause trouble and remains without any symptoms. Besides ultrasound and CT (computed tomography) gall bladder walls are normal, which makes gallbladder disease less likely to trouble you. Other causes, which might be troubling you are mentioned in the following:

  1. Gastritis: Your symptoms match with the symptoms of gastritis.
  2. Muscle spasm or muscular pain.
  3. PMS (pre-menstrual syndrome) usually causes bloating and lower abdominal pain.
  4. Do the following things, it will help.
  5. Take plenty of water.
  6. Chew food well and take small bites, do not overeat.
  7. Avoid oily, and spicy foods.
  8. Keep yourself active.
  9. I suggest you take the capsule Esomeprazole 40 mg twice a day, morning and evening for three days and 40 mg daily before meals. Consult a specialist doctor, discuss with them, and take medications with their consent.
  10. Take any over-the-counter muscle relaxant daily. Let me know after a week, how it goes.

I hope this helps. Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

Hello,

Welcome back to icliniq.com.

You are welcome.

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

Dr. Rajesh Kumar Bansari
Dr. Rajesh Kumar Bansari

Medical Gastroenterology

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