What should I do if I have dysmenorrhea, nausea and vomiting?

During dysmenorrhea, you will often feel symptoms of nausea, vomiting, and diarrhea. This is quite common. After it happens, female friends have no mind to work or study, and even have no appetite for meals. At this time, it is easy to feel anxious, which makes the pain worse. In fact, you can use a hot water bottle to heat your stomach to relieve it, and also ensure adequate sleep.

Dysmenorrhea is a common symptom among women. Dysmenorrhea before marriage will naturally disappear when you are older, especially after marriage and childbirth, and there is no need for treatment. Except in individual cases. However, if the pain of dysmenorrhea lasts for more than 3 days and affects one's life, treatment should be given. The treatment of primary dysmenorrhea is mainly symptomatic treatment, with analgesia and sedation as the main focus.

1. General treatment

(1) Pay attention to psychological treatment and eliminate tension and worries.

(2) Get enough rest and sleep, exercise regularly and moderately, and quit smoking.

(3) When the pain is unbearable, supplement with medication.

2. Medication

(1) For patients with dysmenorrhea caused by adenomyosis who do not desire pregnancy, Mirena is the first choice.

(2) Oral contraceptives: Suitable for women with dysmenorrhea who require contraception, with an effectiveness rate of over 90%.

(3) Over-the-counter drugs: acetaminophen, acetaminophen plus pamabrom, and vinyl salicylic acid (aspirin).

Weak Qi and blood

Dull pain in the lower abdomen during or before and after menstruation, lighter menstrual blood and less menstrual flow. Weakness in the waist and knees, fatigue, poor appetite, bloating in the flanks and abdomen, loose stools, dizziness and tinnitus, palpitations and shortness of breath, thin white tongue coating, fat tongue with teeth marks, and deep, thin and weak pulse. The treatment should be to replenish qi and nourish blood, harmonize the collaterals and relieve pain. The prescription is Bazhen Decoction combined with Taohong Siwu Decoction with modifications. The medicinal ingredients used are Astragalus, Codonopsis, Atractylodes, Poria, Rehmannia, White Peony, Cuscuta, Chinese yam, licorice, Angelica, peach kernel, safflower, Polygonatum, and chicken's gizzard lining.

Qi stagnation and blood stasis

Abdominal pain and waist pain before or during menstruation, distension and pain in the lower abdomen that is resistant to pressure, distension and pain in the chest and flanks, irregular menstruation, dark purple lumps, pain and salty sensation under the lumps, normal cycles and menstrual volume, thin tongue coating, dark ecchymosis, and a stringy pulse. The treatment is aimed at regulating qi and activating blood circulation, removing blood stasis and relieving pain. The prescriptions selected are Chaihu Shugan San and Taohong Siwu Decoction with modifications. The medicinal ingredients used are bupleurum, cyperus rotundus, curcuma, Chuanlianzi, angelica, Chuanxiong, peach kernel, safflower, raw rehmannia, white peony root, eucommia, luffa, and cooked rehmannia.

Cold and dampness stagnation

During or before and after menstruation, there is unbearable cold pain in the lower abdomen, which is relieved by heat. The complexion is pale, cold sweats occur profusely, nausea and vomiting occurs, the body is cold and the limbs are cold, the menstrual volume is scanty, dark purple in color with clots, the urine is clear and long, the tongue coating is thin white, and the pulse is deep and thin or deep and tight. Experts from Shenzhen Far East Women's and Children's Hospital pointed out that the treatment should be to warm the meridians and dispel cold, resolve blood stasis and relieve pain, and the prescription selected was Danggui Sini Decoction with added ingredients, including cinnamon twig, dried ginger, cinnamon bark, asarum, processed aconite, angelica, white peony root, licorice, akebia, mugwort, fennel, cyperus rotundus, Toosendan fruit, and Ligusticum chuanxiong.