Hello XXXXXXX

Thanks for writing to us. I am trying to solve your problem.

First of all, above said clinical features are mostly corresponded with Pre Menstrual Syndromes (PMS). It has several symptoms & includes abdominal bloating, breast tenderness, weight gain, headache, anxiety/ depression, mood swing, fatigue, dyspareunia, increased appetite, irritability etc. PMS is a good sign for ovulatory cycle and indicates to get period shortly.

Your approaching steps for life style modification is quite appreciable. Please continue all above said measures for prevention of PMS and to stay in good health. In addition, you need to control body weight by regular physical exercise by means of jogging/ running/ treadmill etc. Regular bowel habit and taking a sound sleep with more relaxing way are essential in such cases.

There are several treatment modalities to cure above said features. These include as follows:

NON HORMONAL - 1) Taking Selective Serotonin Reuptake Inhibitors (SSRI) drugs (like fluoxetine) is very much effective to improve behavioral & psychiatric symptoms.
2) Low dose diuretics (like Frusemide) can help to reduce fluid retention & facial swelling.
3) Supportive medication like pyridoxine or low dose anti-anxiety drugs are useful to eliminate depression & anxiety.

HORMONAL- Combined OCP/ Progesterone pill are quite helpful to prevent above symptoms.

Those medicines are widely available and based on prescription only. Herein, you must consult with your nearest health care provider for proper medication after physical check up to avoid unnecessary side effects.

Common side effects of diuretics include nausea/ vomiting/ diarrhea, electrolyte imbalance, hypotension, allergic reaction, general weakness, metabolic derangement etc.

Hope I have answered your query. If you have any further questions I will be happy to help.

Wish your good health in future and take care yourself

Regards,
Dr Soumen

---

Hello XXXXXXX

Thanks for follow up query.

You can take low dose diuretics to get relief from above said condition. But it is prescription only medication. Right doses and duration of the drug therapy can only be adjusted after physical check up & assessing the severity of the clinical condition. So please contact with your nearest health care provider at the earliest.

If you do not have any clarifications, you can close the discussion and rate the answer.

Be well & stay healthy.

Regards,
Dr Soumen

---