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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Painful Menstrual Cramps And Stomach Ulcer

hi doctor i usually go to sleep late due late hours online however since a while now over two months or more i have alot of burning and cramps in my stomach , since i was about 9 i was diagnosed with ulcerated stomach and i have been able to control it but i dont know what causes me to get that strong pain . it always feels like menstural cramps . in 2010 i was involved in an accident where i was crossing the road and a car hit me and since that i always have extreme menstural cramps and only this year after that accident i have started seeing my period regular because since that time i was only seeing my period every two months and skip a month or skip 3 months . now i think things are normal why do i get this strong cramp i honestly dont know how indicate if my period is coming or not with this cramps what can i do
Tue, 5 Jan 2016
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General & Family Physician,  's  Response
Hello
Welcome to HCM.
I have read your question and i understand your concerns.

If i were your treating physician i would have done tests for H pylori and an upper gastrointestinal endoscopy to look for any ulcer or gastritis.for ulcer i would have prescribed antiobitics such as klarithromycin 500,amoxicillin 500mg and metronidazole 400mg with a proton pump inhibitor ie lansoprazole 30mg.

For cramps i would have prescribe nospa 40 mg.
I would also like to know that does these cramps occur before onset of menstrual cycle..??are they associated with pain and breast tenderness..??is there any history of anxiety or agitation or depression during these episodes..these questions are to rule out premenstrual syndrome and premenstrual dysmorphic disorders.

I would suggest you to meet gastroenterologist and a gynaecologist.

Thanks.
Hope the answer is helpful.
Further questions will be apreciated.
Regards
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Suggest Treatment For Painful Menstrual Cramps And Stomach Ulcer

Hello Welcome to HCM. I have read your question and i understand your concerns. If i were your treating physician i would have done tests for H pylori and an upper gastrointestinal endoscopy to look for any ulcer or gastritis.for ulcer i would have prescribed antiobitics such as klarithromycin 500,amoxicillin 500mg and metronidazole 400mg with a proton pump inhibitor ie lansoprazole 30mg. For cramps i would have prescribe nospa 40 mg. I would also like to know that does these cramps occur before onset of menstrual cycle..??are they associated with pain and breast tenderness..??is there any history of anxiety or agitation or depression during these episodes..these questions are to rule out premenstrual syndrome and premenstrual dysmorphic disorders. I would suggest you to meet gastroenterologist and a gynaecologist. Thanks. Hope the answer is helpful. Further questions will be apreciated. Regards