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Doctor insights on: Menstrual Cramps Only At Night

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Dr. Mary David Dr. David
Obstetrics & Gynecology
2017 years in practice
East Tennessee State University James H. Quillen College of Medicine
1

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Is it normal for menstrual cramps to wake you up at night?

Is it normal for menstrual cramps to wake you up at night?

Not abnormal: While it is not abnormal it is uncommon and can be a symptom of endometriosis. Try taking naproxen starting a couple of days before your period starts. It works better if it is in your system when you start bleeding. Talk to you doctor about the possibility of endometriosis since early treatment can reduce the risk of infertility.

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Menstrual (Definition)

Menstrual refers to the monthly cycle in women which prepares the female for ovulation, generally once per month, which is that time of month that the egg can be fertilized by the male sperm, for the purpose of reproduction. Menstrual cycles start at the first day of menstruation. (it's always been curious to me that 'menstrual' and ...Read more


Dr. Diane Minich Dr. Minich
Family Medicine
33 years in practice
University of Toledo College of Medicine
2
Dr. Vahe Yetimyan Dr. Yetimyan
General Practice
47 years in practice
University of Istanbul Faculty of Medicine
3

3
Why am I having stomach pains for a few days now can't sleep at night. I've been taking midol for my menstrual cramps and Tylenol (acetaminophen) for my headaches?

Why am I having stomach pains for a few days now can't sleep at night. I've been taking midol for my menstrual cramps and Tylenol (acetaminophen) for my headaches?

Menstrual cramps: You may need bcp to prevent menstrual cramps or decrease the severity of the menstrual cramps. Please call your doctor and discuss it with your doctor as soon as possible. If you want to discuss shoot me an e-mail click this --> https://www. Healthtap. Com/experts/12714048-dr-vahe-yetimyan

Dr. Arun Patel Dr. Patel
Family Medicine
41 years in practice
University of Mumbai, Lokmanya Tilak Municipal Medical College
4

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I got bad pre menstrual cramps last night but no period. Can't be pregnant. What can it be? Please help.

I got bad pre menstrual cramps last night but no period. Can't be pregnant. What can it be? Please help.

May be normal: Premenstual cramps are not unusual. If you have no other symptoms like discharge or not been sexually active for sometime then Advil/ Motrin would help. However if you have any other symptoms you need to be checked out

Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
5

5
My friend 24, was up all last night w/ menstrual cramps, she takes tylenol (acetaminophen) it doesn't help much & also is allergic to Red Dye. Are there alternatives?

My friend 24, was up all last night w/ menstrual cramps, she takes tylenol (acetaminophen) it doesn't help much & also is allergic to Red Dye. Are there alternatives?

Ibuprofen: Tylenol (acetaminophen) lacks the specific anti inflammatory med needed to deal with the cramping.Ibuprofen (looks red but this is not red dye) and naproxen (bluish pill) both have anti-prostaglandin effects needed to do the job. If started before the cycle starts until the day after it stops will control the pain in many women.

Dr. Heidi Fowler Dr. Fowler
Psychiatry
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
6

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How to remove menstrual cramps?

Menstrual cramps: Try: omega- 3 fatty acids or magnesium (supplementation or through diet) with your doctor’s approval. Nsaid'scan help with pain. Discuss use of a traditional herbal like black cohosh with your doctor. Chamomile tea can be soothing. Sipping green tea can also dissipate pain. Avoid caffeine, alcohol, extra salt. A warm heating pad is beneficial. Acupuncture is excellent for dysmenorrhea.

Dr. Heidi Fowler Dr. Fowler
Psychiatry
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
7

7
How can I cure menstrual cramps?

Cramps: NSAID’s, SSRI’s, hormone meds, OTC meds containing diuretics, warm bath, heating pad, exercise & acupuncture are excellent for PMS / period. Avoid caffeine, chocolate, alcohol & salt. Get GYN eval to R/O underlying pathology. Consider omega- 3 fatty acids, magnesium (supplementation or through diet) or Black Cohosh with dr ok. Sipping Chamomile can dissipate pain. Ginger helps w nausea.

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Dr. Heidi Fowler Dr. Fowler
Psychiatry
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
8

8
Incredibly bad menstrual cramps?

Dysmenorrhea: Try nsaid’s, ssri’s, hormone meds, otc meds containing diuretics, warm bath, heating pad, exercise ; acupuncture are excellent for dysmenorrhea. Avoid caffeine, chocolate, alcohol ; salt. Get gyn eval to r/o underlying pathology. Consider omega- 3 fatty acids, magnesium (supplementation or through diet) or black cohosh with dr ok. Sipping chamomile can dissipate pain.

Dr. Hugo Ribot Dr. Ribot
Obstetrics & Gynecology
31 years in practice
University of Miami Miller School of Medicine
9

9
Why do you have menstrual cramps?

Why do you have menstrual cramps?

Prostaglandins: During the period, a physiologic process occurs which leads to the sloughing (shedding) of the inner lining of the uterus, known as the endometrium. What facilitates this involves the production of very powerful chemicals by the body known as prostaglandins. These produce very strong contractions of the uterus which in some women can be as painful as labor. This also explains menstrual diarrhea.

Dr. Heidi Fowler Dr. Fowler
Psychiatry
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
10

10
How can I avoid menstrual cramps?

Menstrual cramps: Consider omega- 3 fatty acids or magnesium (supplementation or through diet) with dr ok. Discuss use of herbal like Black Cohosh with your dr. Sipping Chamomile & Green tea can dissipate pain. Avoid caffeine, chocolate, alcohol & salt. NSAID’s, warm bath, heating pad & acupuncture are excellent for dysmenorrhea. Get GYN eval – check Magnesium & iodine levels & to rule out underlying pathology.

Dr. Douglas Lawson Dr. Lawson
Obstetrics & Gynecology
24 years in practice
Indiana University School of Medicine
11
Dr. Heidi Fowler Dr. Fowler
Psychiatry
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
12

12
Can icy hot help menstrual cramps?

Can icy hot help menstrual cramps?

I doubt it will help: Nsaid’s, ssri’s, hormone meds, otc meds containing diuretics, warm bath, heating pad, exercise ; acupuncture are excellent for pms / period. Avoid caffeine, chocolate, alcohol ; salt. Get gyn eval to r/o underlying pathology. Consider omega- 3 fatty acids, magnesium (supplementation or through diet) or black cohosh with dr ok. Sipping chamomile ; green tea can dissipate pain. Ginger helps w nausea.

Dr. Heidi Fowler Dr. Fowler
Psychiatry
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
13

13
I have severe menstrual cramps help?

Gun eval: NSAID’s, SSRI’s, hormone meds, OTC meds containing diuretics, warm bath, heating pad, exercise & acupuncture are excellent for PMS / period. Avoid caffeine, chocolate, alcohol & salt. Get GYN eval to R/O underlying pathology. Consider omega- 3 fatty acids, magnesium (supplementation or through diet) or Black Cohosh with dr ok. Sipping Chamomile can dissipate pain. Ginger helps w nausea.

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Dr. Heidi Fowler Dr. Fowler
Psychiatry
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
14

14
How do I reduce pre menstrual cramps?

Pms: Nsaid’s, ssri’s, hormone meds, otc meds containing diuretics, warm bath, heating pad, exercise ; acupuncture are excellent for pms / period. Avoid caffeine, chocolate, alcohol ; salt. Get gyn eval to r/o underlying pathology. Consider omega- 3 fatty acids, magnesium (supplementation or through diet) or black cohosh with dr ok. Sipping chamomile can dissipate pain. Ginger helps w nausea.

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Dr. Jane Van Dis Dr. Van Dis
Obstetrics & Gynecology
14 years in practice
Sanford School of Medicine of the University of South Dakota
15

15
What is the cause of menstrual cramps?

Prostaglandins: Blood and tissue passing through the cervix causes cramping, as does the prostaglandins that are elevated during menstruation. Ibuprofen is an anti-prostaglandin and is the best medication for cramping. Be sure to take 600 or 800 mg in order to ensure you are getting adequate treatment.

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Dr. Heidi Fowler Dr. Fowler
Psychiatry
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
16

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How can I deal with menstrual cramps!?

Menstrual cramps: Dysmenorrhea Tx: NSAID’s, SSRI’s, hormone meds, OTC meds containing diuretics, warm bath, heating pad, exercise & acupuncture are excellent for dysmenorrhea. Avoid caffeine, chocolate, alcohol & salt. Get GYN eval to R/O underlying pathology. Consider omega- 3 fatty acids, magnesium (supplementation or through diet) or Black Cohosh with dr ok. Sipping Chamomile can dissipate pain.

Dr. Katherine Sutherland Dr. Sutherland
Gynecology
39 years in practice
Stanford University School of Medicine
17

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How do I relieve bad menstrual cramps? .

How do I relieve bad menstrual cramps? .

NSAIDs: Over the counter medicines called nsaids, like Ibuprofen (brand name - Motrin or advil) or naprosyn (brand name aleve) are very effective. If cramps are still interfering with your daily activities, you may want to consider birth control pills or a Mirena (levonorgestrel) iud. If you are still not getting relief, then you should have an us to make sure you don't have fibroids, endometriosis, or adenomyosis.

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Dr. Heidi Fowler Dr. Fowler
Psychiatry
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
18

18
Can I use icy hot for menstrual cramps?

Can I use icy hot for menstrual cramps?

Doubt it will help.: Nsaid’s, ssri’s, hormone meds, otc meds containing diuretics, warm bath, heating pad, exercise ; acupuncture are excellent for pms / period. Avoid caffeine, chocolate, alcohol ; salt. Get gyn eval to r/o underlying pathology. Consider omega- 3 fatty acids, magnesium (supplementation or through diet) or black cohosh with dr ok. Sipping chamomile ; green tea can dissipate pain. Ginger helps w nausea.

Dr. Peter Baumann Dr. Baumann
Obstetrics & Gynecology
2017 years in practice
Albert-Ludwigs-University of Freiburg Faculty of Medicine
19

19
Do menstrual cramps get worse with age?

Do menstrual cramps get worse with age?

No general pattern: Menstrual cramps getting worse with age is not a pattern that is generally observed in aging women.

Dr. Douglas Lawson Dr. Lawson
Obstetrics & Gynecology
24 years in practice
Indiana University School of Medicine
20

20
How to ease menstrual cramps/pain? Help?

How to ease menstrual cramps/pain? Help?

Dysmenorrhea: Painful periods (dysmenorrhea) can be initially treated with over the counter medications like advil, motrin, midol and ibuprofen. The key is to start taking something for them as soon as they start and then take something every 6-8 hours until it ends. If you wait until severe, not much will help. Heat and getting on the birth control pill may also help.

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Dr. Navita Modi
632 Doctors shared insights

Menstrual Pain (Definition)

A painful cramping sensation in the lower abdomen occuring just before or during the menses. It can be associated with other symptoms including, but not limited to. Headache, ...Read more


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