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Remedy for dysmenorrhea - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
User :   Severe stomach cramps
Doctor :   Hi
Doctor :   I'm Dr XXX
User :   hello
User :   Hello this is my issue
Doctor :   Ok
Doctor :   Please give your Age, Gender, Location, Occupation, Marital status, Height, Weight and Waist circumference.
User :   ok its about my wife i'll give her stats
Doctor :   Ok
User :   age 42 5'2" F XXX 30 w
User :   30" waist
User :   145
Doctor :   Ok
User :   Shes been having severe abdominal pains, for 2 days
Doctor :   Ok
User :   we went to the ER, but she still cant keep and meds or food down
Doctor :   Ok
User :   shes on her cycle now, and she has her tubes tied
Doctor :   Is pain continues?
User :   yes
Doctor :   Ok
Doctor :   Tell me about her menstrual history?
Doctor :   Is it normal cycles or irregular
User :   normal
Doctor :   Ok
Doctor :   How many pads does she change per day?
User :   she uses about 5 per day, and she uses tampons
Doctor :   Ok
Doctor :   Is this the first time she is facing this problem?
User :   shes had an stomach ulcer, that shes had problems with before, but nothing like this
Doctor :   Ok
Doctor :   Does she have any foul smelling discharge?
User :   no
Doctor :   Does she have any other symptoms?
User :   nausea
Doctor :   Ok
Doctor :   Is she on any medications?
User :   yes the ER doc prescribed her Phenogren (supposotories) and Dicyclomine
Doctor :   Ok
Doctor :   Is she having nausea after taking these medication ?
User :   if she can get rid of the nausea, i think she can keep the meds down, but the med arent the cause of the nausea.
Doctor :   Ok
Doctor :   Is she taking oral contraceptive pills?
User :   no
User :   she has a tubal litigation
Doctor :   Ok
Doctor :   when was last menstrual period
User :   its usually during the first 2 weeks of the month
Doctor :   Last one, i mean this time?
User :   it just started fri the 23
Doctor :   OK
Doctor :   This could be a case of dysmenorrhea
Doctor :   It could primary or secondary dysmenorrhea?
User :   ok
User :   how can i help her keep down food, so the meds can work
Doctor :   Take oral pain killer
User :   she throws everything up
Doctor :   Give her some antacid
Doctor :   Like pepcid AC
Doctor :   If she has too much of pain and nausea
User :   will XXXXXXXX seltzer work?
Doctor :   Is it an antacid
User :   yes
Doctor :   Ok
Doctor :   It Will Do
Doctor :   If she has too much of pain and nausea give oral contraceptive pills
Doctor :   for 3 months
User :   ok
Doctor :   Do give her too much fatty or spicy foods
Doctor :   Try to give only bland foods
Doctor :   Good bed rest
Doctor :   Mild exercise jogging or walk
User :   ok
User :   so you think we should wait on going back to the ER
Doctor :   Give her lots of green leafy vegetables
User :   ok
Doctor :   Yes put her on oral contraceptive pills if too much pain
User :   ok arent those prescribed?
Doctor :   If pain increases or if she is not able to take medicines then
Doctor :   No oral contraceptive pills are OTCs
Doctor :   Oral contraceptive pills are OTCs
Doctor :   If pain increases or if she is not able to take medicines then take her to ER
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