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Severe body ache during periods, menstrual disturbance, chest pain. How to get relief? - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
Doctor:How can I help you?
User:I have a query related to my wife's health
User:she was suffering from spondilysis
User:recently she has complained of severe body ache
User:this used to happen on a monhly basis during the time of her periods
User:and would usually last for a day
User:she used to have heavy bleeding earlier
User:and as advised by a gynac had done a D & C around 2 years ago
User:the flow did not improve after the D & C
User:she also mentioned that her periods were delayed recently
User:this body ache seems too much recently
User:yesterday she also complained about a pain in the chest
User:which was also felt in her arm
User:we thougt of going for an ecg, but since the pain subsided later, did not go
User:no pain was felt thereafter till today
User:what can be done for the body ache?
Doctor:You have reported few concerns about your wife:
Doctor:1. Spondylosis which is already diagnosed
Doctor:2. Body aches which occur on a monthly basis.
Doctor:3. Menstrual disturnbances
Doctor:4. Recent chest pain.
Doctor:Since the first is already known, I will not discuss about that.
Doctor:About the second, body aches; May I know if they occur in relation to periods always?
Doctor:And does it subside with periods?
Doctor:*I mean after period?
Doctor:Does she run fever, suffer with nausea/vomiting or any other symptoms along with the aches?
User:she feels an XXXXXXX sort of fever, although the body is not hot externally
Doctor:Let me brief you.
User:feeling of vomitting is not common
Doctor:Let me address the second concern now.
User:sometimes though she does feel nausea
Doctor:Since you report her bodyaches are related to periods, it is most likely possible that the cause may be her period disturbances.
Doctor:Every time a women bleeds, the breakage of tissue within the uterus releases certain chemicals
Doctor:which can produce various symptoms including bodyaches, abdominal cramps, nausea, headache, irritability and so on.
Doctor:The severity of symptoms is directly proportional to the amount of flow she has.
Doctor:So in your wife's case, I believe if we can treat her menstrual irregularities, then her bodyaches should reduce.
Doctor:Are you with me?
Doctor:Now, regarding menstrual irregularity or rather the heavy flow can be triggered by multiple factors.
Doctor:Has she been evaluated for that - blood hormone tests, pelvic examination, ultrasound or hysteroscopy?
User:we did a full checkup last year, including a PAP smear test ,etc
User:It did not reveal any thing abnormal
User:I forgot to mentioned that she is diabitic
User:her recent sugar level was around 170 in the morning (fasting)
Doctor:Uncontrolled diabetes can affect peripheral nerves, but has limited effects on menstrual problems.
User:she has regular medicines for diabeties
User:Metafort and Gylocomet
User:could the sugar levels cause the body ache?
Doctor:Menstrual problems are purely related to other hormones such as FSH, estrogen and progestrone and other uterine conditions such as fibroids, endometrosis (adenomyosis), DUB or even uterine polyps.
User:she also complains of breathlessness
User:quite often recently
Doctor:These factors needs to be checked by a qualified gynecologist.
User:we intend to go again
User:she had seeen a gynac earlier and got a D & C done
Doctor:Excessive bleeding can also lead to anemia. And anemia itself can cause other symptoms such as low appetite, breathing difficulties, weakness, tiredness and so on.
User:she used to take iron tablets earlier
Doctor:And diabetes perse can cause localised burning/pain. Systemic/generalized pain is unlikely to be related to diabetes.
Doctor:Therefore to summarize, it is likely that solution to her body aches would be identifying the cause of excessive menstrual bleeding and treating it.
Doctor:The treatment can be in the form of hormonal pills, repeated D&C or removal of uterus.
Doctor:Her last complaint about chest pain is probably an independent entity related to heart burn, angina or other muscular ache.
Doctor:It needs further evaluation in the form of heart check, threadmill/stress test, echocardiogram and so on.
Doctor:Hope I have answered all your queries.
User:on the breathlessness, what could be the cause. It happens very often...especially when she goes to sleep
Doctor:The causes of breathlessness is classified as lung causes, heart causes and other systemic causes - anemia, sleep apnea, acid base imbalance or psychological conditions.
Doctor:Occasionally patients suffering with heartburn do complain of difficulty to breathe.
Doctor:Based on the data provided,the cause could related to one of the systemic causes.
Doctor:We can have more clues regarding the causes through investigations.
Doctor:I would suggest you to visit a qualified gynecologist nearby.
Doctor:She can perform some basic tests that include hemoglobin check.
User:yes, would you sugest any tests
Doctor:It is always better to suggest investigations after a face to face physical examination especially when there are many symptoms spread across the body are associated.
Doctor:This would avoid both over investigation as well as under investigating.
Doctor:To start with the test can begin with complete blood count and ESR.
Doctor:It can proceed to ultrasound abdomen and serum FSH, estrogen and progestrone analysis
Doctor:I recommend you to consult the gynecologist first and later proceed with investigations.
Doctor:Hope it is clear to you.
Doctor:Do you have any doubts?
User:no. Its okay for now...We shall see a gynec and proceed with the tests later
User:many thanks for your time
Doctor:You are welcome.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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