Tablets from pain with menstruation - Causes, symptoms and treatment. MF.

Almost every woman once a month inevitably asks herself the question: "Well, what do I do with all this?" And it's not just about excessive irritability, nervousness, restrictions in clothes and the need to use personal hygiene products. Often, many women with horror wait for the appearance of menstruation, because with them comes and pain. It is established that 30 to 50% of women with a period of menstruation feel a more or less pronounced discomfort in the lower abdomen. Therefore, there is a common opinion that pain with menstruation is normal.

But in fact, painful menstruation is not entirely normal. Through pain, the body indicates an organ whose function is impaired. Therefore, even if you have always had painful periods, your mother and grandmother also suffered from this ailment, this is not an excuse to sit with folded arms. Diseases such as endometriosis, fibroids, fibroids, endometrial polyps and many others can be accompanied by lower abdominal pain during menstruation. As a rule, many gynecological diseases are successfully treated under condition of early diagnosis, so do not delay the examination for an indefinite period and after the end of the next month, go to the gynecologist.

But what can we do to ease our condition in the so-called "critical days"?Universal remedy for pain relief, unfortunately not found. This is understandable, because the body of each woman is individual. Below we will tell you about the most common ways to get rid of painful sensations with menstruation, from which you can choose the most suitable for yourself.

First aid for menstrual pain

During menstruation, if pain is not severe, doctors recommend keeping their usual activity, which will relax the muscles of the uterus and distract from unpleasant sensations. If the pain is intense enough, lie on your back or on your side, relax your abdominal muscles( for this purpose bring your knees to your chest), you can put a hot water bottle on the bottom of the stomach with warm or cold water. Some women are helped by a hot bath( but remember that heat can increase bleeding) or 20-50 grams of alcoholic beverage inside, such as cognac. But, unfortunately, sometimes it happens that the pain is just unbearable or interferes with urgent business. Then you have to resort to tablets.

Drugs for the treatment of pain during menstruation include:

1. Non-steroidal anti-inflammatory drugs , which have a pronounced analgesic effect. Thanks to a special mechanism of action, the drugs of this group can be recommended 2-4 days before the expected menstruation. In this case, there will be no unpleasant sensations, or they will be insignificant. So, from this group can be appointed:

• Tablets Aspirin - the maximum single dose of 2 tablets, but not more than 6 tablets 3-4 times a day.
• Paracetamol tablets - maximum single dose of 2 tablets, but not more than 8 tablets 3-4 times a day.
• Tablets Ibuprofen - the maximum single dose of 2 tablets, but not more than 6 tablets 3-4 times a day.
• Naproxen tablets - the maximum single dose of 2 tablets, but not more than 4 tablets 2 times a day.
• Diclofenac tablets - maximum single dose 1 tablet, but not more than 3 tablets 3 times a day. It can be used in the form of rectal suppositories: 1 candle-1-2 times a day.
• Tablets Indomethacin - the maximum single dose of 1 tablet, but not more than 3 tablets 3 times a day. It can be used in the form of rectal suppositories: 1 candle-1-2 times a day.
• Tablets Piroxicam - the maximum single dose of 1 tablet, but not more than 3 tablets 3 times a day. It can be used in the form of rectal suppositories: 1 candle-1-2 times a day.
• Ketoprofen tablets - the maximum single dose of 2 tablets, but not more than 6 tablets 3-4 times a day.

All preparations of this group should be taken after meals, washed down with plenty of water( not milk, juice or alcoholic beverages).The effect develops 0.5-2 hours after admission, the maximum analgesic effect after 4 hours. Duration of treatment: up to 4 days or until the pain disappears.

Non-steroidal anti-inflammatory drugs are contraindicated:
• in the presence of an allergic reaction to non-steroidal anti-inflammatory drugs;
• with active or suspected bleeding( exception: menstrual);
• with gastric or intestinal ulcer in the acute stage;
• during pregnancy and lactation;
• with a significant impairment of liver and kidney function.
• in the presence of severe heart failure or hypertension.

2. Spasmolytics. Used alone or in combination with non-steroidal anti-inflammatory drugs with insufficient effectiveness of the latter. For example:
• Papaverin tablets - 1 tablet 3-5 times a day.
• No-pill tablets - 1-2 tablets 2-3 times a day.
• Halidor tablets - 1 tablet 3 times a day.
• Buskopan tablets - 1-2 tablets 3-5 times a day.
• Drotaverin tablets - 1-2 tablets 2-3 times a day. The maximum daily dose is 240 mg.

Duration of treatment: up to 2 days or until the pain disappears.

Spasmolytics are contraindicated:
• with severe renal failure;
• with severe hepatic impairment;
• with severe heart failure;
• with increased sensitivity to the components of the drug;
• with arterial hypotension( due to the danger of collapse);
• for glaucoma( increased intraocular pressure), except drotaverine.

3. Analgesics, derivatives of Metamizol sodium. This group includes well-known tablets Analgin, Baralgin, and also Minalgin, Nebugin, Nobol, Novalgin, Optalgin, Piretin, Ronaldin, Spazdolzin and others. Applied 1-2 tablets 1-3 times a day, but not more than 6 tablets per day. The analgesic effect peaks at 20 minutes after the first dose, the duration of the drug on average is 2 hours. After taking the drug, red staining of urine is possible - do not worry, this is normal. Metamizole sodium derivatives are contraindicated when:

• hypersensitivity to sodium metamizole;
• pronounced violations of the liver and kidney function;
• hematopoiesis;
• bronchial asthma;
• hereditary impairment - deficiency of glucose-6-phosphate dehydrogenase.

In any case, carefully read the instructions before using any medication!

Somewhat alleviate the unpleasant sensations during the menstruation will help to follow a diet. For a few days before and during the month, try to stop drinking alcohol and smoking, limit the amount of fried, salty, sharp and sour dishes, as well as flour products. Some women can be helped by the use of beet or carrot juice. Also useful may be the use of the following herbal infusions:
- lemon balm( grass) - 10.0 g;peppermint( herb) - 10.0 g;Chamomile pharmacy( flowers) - 10.0 g;Marigolds( flowers) -10.0 g;ruta( grass) - 10.0 g;buckthorn( bark) - 10.0 g. Infusion take 1 glass a day;
- buckthorn( bark) - 25.0 g;lemon balm( grass) - 25,0 g;goatee geese( grass) - 25,0 g;valerian( root) - 25.0 g. Infusion take 1 glass 3 times a day for 3-5 days before the onset of menstruation.

Not so often, but there are situations where a patient with pain with menstruation needs emergency hospitalization. So, immediately call an ambulance in the following situations:
- if you have lost consciousness;
- if you feel dizzy again when you get up from a prone position;
- if you experience sudden, intense pain in the lower abdomen or pelvic area, which causes "bend in half";
- if you notice the presence of pieces of tissue in menstrual blood, which are often silvery or grayish in color;
- if possible, that you are currently pregnant.

In the absence of an emergency situation after the end of bleeding, we turn to the gynecologist. The doctor will prescribe a comprehensive examination, and it may be necessary to consult other specialists, such as an endocrinologist. Also, with a specialist, you can discuss methods of anesthesia that are effective for you, as well as drugs that regulate the balance of hormones in the body. With adequate treatment, you will forever forget about pain with menstruation.

Doctor therapist Sirotkina EV