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Can premenstrual syndrome make a woman vomit an entire day?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

For every three weeks or a month, I have throwing up pain in my stomach from the morning to night for a day. I go to the bathroom every thirty minutes. Today is one of those days and I do not know what to do to make my stomach feel better. How to stop the throwing up pain present in my stomach? This has happened to me for five times. Currently, I am taking birth control pills.

Answered by Dr. Artur Holubka

Education:

MD

Professional Bio:

Dr. Artur Holubka is a skilled General Practitioner and Family Physician with expertise in managing common medical conditions. He is also highly experienced in medical imaging, having worked as an MR-Radiographer on the Siemens Magnetom Aera 1.5T (syngo MR) system, performing classical radiography, radioscopy, and advanced MRI tasks with expert proficiency. Dr. Holubka combines clinical care with imaging expertise for comprehensive patient management.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I assume that you have premenstrual syndrome (PMS), premenstrual tension syndrome, premenstrual illness, cyclic syndrome. It causes complex cyclical symptoms in women in premenstrual days. It occurs two to ten days before menstruation. It is characterized by psychoemotional, vegetative, metabolic, and endocrine disorders. It negatively affects the women's usual lifestyle.

The symptoms of PMS occur due to some provoking factors such as childbirth and abortion, neuropsychic stress, infectious diseases, or hormonal imbalance due to intake of contraceptives. You need to remember that a women's menstrual cycle is directly related to ovaries and estrogens. The most active form of estrogen is estradiol and it is synthesized in the follicles. The other two estrogens are derivatives of estradiol and synthesized in the adrenal glands and placenta.

During menstruation, these hormones induce the proliferation of endometrium and vaginal epithelium. They also result in increased mucus secretion by the cervical glands. In addition, estrogen stimulates the manifestation of secondary sexual characteristics in women. They cause enlargement of mammary glands during pregnancy and regulates luteinizing hormones and gonadoliberin. They also synthesize a number of transport proteins.

Progesterone is produced by the corpus luteum of the ovary, placenta, and adrenal glands. It is usually formed in the second half of the menstrual cycle. It acts on the endometrium and induces the secretion of mucus. Just like estrogen, progesterone is responsible for the enlargement of the woman's mammary glands during pregnancy.

Taking contraceptives affects these processes. You have a cephalgic form of premenstrual syndrome. They cause headaches, irritability, nausea, vomiting, dizziness, hypersensitivity to smell and sound, depression, heart pain, enlargement of mammary glands, numbness of hands, and sweating.

The headache seems to be pulsating and twitching and it begins in the temporal lobe. You have manifested only with vomiting. In terms of prevalence, it takes second place and it occurs in twenty percent of women. It is often observed in the early and late reproductive stages. The treatment is simple and patience is needed.

Investigations to be done

You need to do a complete hormonal panel with estradiol, prolactin, complete blood count, blood biochemistry with electrolytes, and urine albumin.

Differential diagnosis

You can have side effects due to contraceptives.
Medically reviewed by Dr. Sneha Kannan
Published At October 6, 2020
Reviewed At July 5, 2024

Education:

MD

Professional Bio:

Dr. Artur Holubka is a skilled General Practitioner and Family Physician with expertise in managing common medical conditions. He is also highly experienced in medical imaging, having worked as an MR-Radiographer on the Siemens Magnetom Aera 1.5T (syngo MR) system, performing classical radiography, radioscopy, and advanced MRI tasks with expert proficiency. Dr. Holubka combines clinical care with imaging expertise for comprehensive patient management.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Artur Holubka is a skilled General Practitioner and Family Physician with expertise in managing common medical conditions. He is also highly experienced in medical imaging, having worked as an MR-Radiographer on the Siemens Magnetom Aera 1.5T (syngo MR) system, performing classical radiography, radioscopy, and advanced MRI tasks with expert proficiency. Dr. Holubka combines clinical care with imaging expertise for comprehensive patient management.

This doctor is not available for online consultations on the platform anymore.

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