A 44-year-old member asked:
what to do if i know bloating is a symptom of pms but is weight gain?
2 doctor answers • 9 doctors weighed in

Dr. Lynne Weixel answered
Clinical Psychology 36 years experience
No - nor is bloating: Officially pms diagnosis is only about the emotional symptoms - irritability, tension, or unhappiness. These appear predictably before the period, reduce or disappear predictably just before or during and remain absent until the next cycle.
Physical symptoms like bloating, abdominal cramps, constipation, breast swelling/tenderness, cyclic acne, joint/muscle pain can be awful, but are not pms.
5084 viewsReviewed >2 years ago

Dr. Pamela Pappas commented
Psychiatry 42 years experience
Actually, the Mass General Center for Women's Mental Health includes these physical symptoms in PMS diagnosis: http://www.womensmentalhealth.org/specialty-clinics/pms-and-pmdd/?gclid=CJ3unJyww7cCFWlo7AodcxoABA Also they are included in DSM IV TR criteria for PMDD: http://currentpsychiatry.com/pdf/1104/1104cp_meltzer-brody.pdf I checked DSM 5 -- it also contains breast tenderness or swelling, joint or muscle pain, a sensation of "bloating," or weight gain for PMDD also.
Jun 1, 2013

Dr. Pamela Pappas answered
Psychiatry 42 years experience
Yes, can be: The mass general center for women's mental health includes several physical symptoms in pms diagnosis, including breast tenderness/swelling, joint pains, headaches, bloating, etc -- weight gain is also part of the dsm iv-tr & dsm 5 criteria for pmdd (a more severe form of pms). For diagnosis one needs emotional symptoms also: http://currentpsychiatry.Com/pdf/1104/1104cp_meltzer-brody.Pdf.
5084 viewsReviewed >2 years ago
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