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Can Ponstan Be Taken For Long Duration For The Abdominal Pain?
My wife ( Age 50 ) has severe severe abdominal pain and heaviness in thighs / leg muscles, forehead becomes hot. These synmptoms start 3-4 days before start of the period and lasts till end of it. She also gets easily irritated during the period. She is disgnosed for thyroid about one year back and on regulr medication Eythurox 50ug one daily.
We contacted gynaec 2-3 times inlast 18 months and got ultrasound /other tests like pap smear etc and results were all ok.
She takes Meftal spas or Ponstan Forte when the pain is unbearable but afraid to take these medicines due to fear of ide effects.
Can you please give further advice and also tell how long she can take meftal spas or Ponstan safely ? Is Ponstan better that meftal SPAS ?
We contacted gynaec 2-3 times inlast 18 months and got ultrasound /other tests like pap smear etc and results were all ok.
She takes Meftal spas or Ponstan Forte when the pain is unbearable but afraid to take these medicines due to fear of ide effects.
Can you please give further advice and also tell how long she can take meftal spas or Ponstan safely ? Is Ponstan better that meftal SPAS ?
Wed, 26 Mar 2014
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice. These are called pre-menstrual / menstrual tensions, and this is very rare at the age of 50 years. To me it looks to be more of pre-menopausal changes wherein the patient's response to hormonal changes is severe. Rarely this can be due to increase in congestion in pelvic area, suggestive of pelvis inflammatory disease.
I would suggest to have recheck of thyroid status , may be we need to modulate the dose of thyroid medicine which may help to improve the symptoms. Also to go for female hormone estimations on day one of pain.
Another suggestion would be to reduce salt intake just before the anticipated days of pain and/ or to take diuretic to flush out extra salt. May be there is a need to add an anxiolytic medicine. HRT if your Gynecologist feels so.
Meftal Spas has an additional medicine of dicyclomin (antispamodic). Taking Ponstan forte for a long time is not going to have any problem as I suppose she takes these only during the pains.
There are some rare problems of inflammation of the muscles of the uterus, not easily diagnosed. Even you can think of Hysterectomy as a permanent treatment for this problem.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant
I have reviewed your query and here is my advice. These are called pre-menstrual / menstrual tensions, and this is very rare at the age of 50 years. To me it looks to be more of pre-menopausal changes wherein the patient's response to hormonal changes is severe. Rarely this can be due to increase in congestion in pelvic area, suggestive of pelvis inflammatory disease.
I would suggest to have recheck of thyroid status , may be we need to modulate the dose of thyroid medicine which may help to improve the symptoms. Also to go for female hormone estimations on day one of pain.
Another suggestion would be to reduce salt intake just before the anticipated days of pain and/ or to take diuretic to flush out extra salt. May be there is a need to add an anxiolytic medicine. HRT if your Gynecologist feels so.
Meftal Spas has an additional medicine of dicyclomin (antispamodic). Taking Ponstan forte for a long time is not going to have any problem as I suppose she takes these only during the pains.
There are some rare problems of inflammation of the muscles of the uterus, not easily diagnosed. Even you can think of Hysterectomy as a permanent treatment for this problem.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant
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