Excessive Menstrual Pain Accompanied By Nausea And Diarrhea?

I’m 20 years old. I want to ask, Almost every month when I menstruate I experience abdominal pain to low back pain. Not infrequently I get vomiting and diarrhea. My body went limp, and my activities were disrupted. I felt something like this more than 3 years ago. Is this condition dangerous? Thank you in advance,
1 Answer:
Hi Raani,
Thanks for the question. Menstrual pain is felt by almost all women during menstruation. Normal menstrual pain, called primary dysmenorrhea, is caused by prostaglandins produced by the body that cause the uterus to contract to prevent heavy menstrual bleeding. Primary dysmenorrhea is felt at 48-72 hours during menstruation and is felt as abdominal cramps in the lower abdomen that radiate to the waist or thighs. Pain will improve along with reduced levels of this substance in the body. On the other hand, if the pain during menstruation is quite severe, or does not improve with pain relievers, it is necessary to consider the possibility of secondary dysmenorrhea, namely menstrual pain caused by certain medical conditions. The characteristics of this secondary dysmenorrhea are that it begins to appear at the age of 20-30 years, this pain has never been felt before, is associated with heavy or irregular menstruation, is associated with infertility, is associated with pain during sexual intercourse, or is associated with abnormal vaginal discharge. Health conditions that can cause this complaint such as fibroids, endometriosis, adenomyosis, or pelvic inflammation.
You should consult an obstetrician and gynecologist for further examination and treatment. You can try applying a warm compress to an aching stomach or taking pain relievers such as paracetamol, ibuprofen, or mefenamic acid.
I hope this helps.
Dr. Aloisia