
What Causes Abdominal Cramps And Bloating?

Detailed below.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
I can understand the discomfort you are going through. I can offer some possible reasons for your condition:
1. Excess prostaglandin release just before the onset of a period. This can result in the pain, bloating and frequency of micturition.
2. Endometriosis of the bladder. This can cause the severe pain in the pelvis and perineum. Hormones and anti-inflammatory drugs are the mainstay of medical management.
3. Interstitial cystitis. This is a type of bladder inflammation not caused by virus or bacteria but by a leaky lining membrane of the bladder. Thus, urine leaks into the inner layers of the bladder wall causing inflammatory reaction.
4. Dysmenorrhea. This is less common at your age.
A proper clinical evaluation, a sonogram of the abdomen and pelvis, preferably in the trans-vaginal route, a renal scan to look for any anatomical causes or pathology, urine culture and general evaluation are needed. I would ask you to see a urogynecologist for proper appraisal of your situation.
As investigations are reported, the situation is clarified and further management can be planned.
Management of weight, exercise, strengthening of the pelvic floor through Kegel's exercises, bladder training etc., are some helpful measures. Use of antispasmodics can help get relief from the spasm.
Hope your query has been answered. Please feel free to contact for further clarification. I will be happy to help.
regards,
Shanti.V.

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