Menstrual Pain: When to See a Doctor for Abdominal Issues

Menstrual-related issues, lower abdominal pain during menstruation, abdominal problems?

Hello doctor, I would like to ask about some symptoms I'm experiencing.
Three days before my period and during my menstruation, I have pain in my lower abdomen, specifically at the junction of my thighs and upper body, about three finger widths above that area.
Should I see a doctor? Drinking brown sugar water helps alleviate the pain, and while I have experienced menstrual cramps before, this time it is more intense.
Three days before my period, I drank milk (sometimes milk makes me have diarrhea).
On the first day of my period, I moved a double mattress into my room by myself; could that have an impact?
Additionally, during those three days of drinking milk, my stool was hard at the front but became somewhat mushy like sweet potato puree at the back.
After my period, I sometimes feel a bit empty in my stomach at night.
I usually skip breakfast, but after lunch, I experience significant pain in my left lower abdomen (not as low as menstrual cramps, but around the left of my belly button).
After using the restroom, the pain subsides, and my stool is consistently mushy, once a day.
However, I also feel a bit of discomfort in the upper left abdomen and the area that feels like my stomach; sometimes it feels tight after eating, and about an hour after a meal, I feel empty again, with slight pain that lasts only a moment, similar to hunger pangs from waiting too long to eat.

Should I see a gynecologist or a gastroenterologist for these issues? Since these symptoms started after my period, I'm unsure which specialist would be more appropriate.
Also, is it necessary to see a gynecologist for the left-sided pain after eating? I noticed online that there are references to the ovaries, and I wonder if that area is relevant.
Furthermore, I see that many people have their periods for a week, but mine only lasts three days, with very little bleeding on the third day—sometimes there is blood, sometimes not, and I only use panty liners.
Is this situation something I should consult a doctor about? Is having a three-day period considered normal? Please help me with these questions.
Thank you.

Xunwenren, 20~29 year old female. Ask Date: 2022/06/12

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is recommended to see a gynecologist first to determine if there are any gynecological issues.
If there are none and the symptoms do not improve, you may need to consult other specialties.
Having a menstrual period that lasts for 3 days is somewhat short, so it can be addressed during the same appointment.
Wishing you good health.

Reply Date: 2022/06/12

More Info

When it comes to menstrual pain and abdominal issues, it is essential to understand the various factors that can contribute to discomfort and when it is appropriate to seek medical attention. Based on your description, it seems that you are experiencing significant pain in your lower abdomen, particularly around the time of your menstrual cycle, which can be quite common. However, there are several aspects to consider regarding your symptoms and whether you should consult a doctor.

Firstly, menstrual pain, or dysmenorrhea, is a prevalent condition among women, often characterized by cramping and discomfort in the lower abdomen. This pain can radiate to the thighs and lower back, and it is typically most intense during the first few days of menstruation. The fact that you have experienced menstrual pain in the past suggests that your body may be accustomed to this type of discomfort. However, if the pain has intensified or changed in nature, it may warrant further investigation.

You mentioned that you experienced abdominal pain three days before your period and that it has persisted into your menstrual cycle. The location of the pain, particularly near the junction of your upper thighs and lower abdomen, could be related to several factors, including hormonal changes, uterine contractions, or even gastrointestinal issues. It is also important to note that physical activity, such as moving a heavy mattress, can sometimes exacerbate existing pain or lead to new discomfort, especially if there was any strain involved.

Regarding your gastrointestinal symptoms, such as changes in bowel movements and the consistency of your stool, these could be indicative of dietary influences or stress on your digestive system. You mentioned that you sometimes experience diarrhea after consuming milk, which could suggest lactose intolerance. This condition can lead to gastrointestinal discomfort, particularly if dairy products are consumed close to the onset of your menstrual cycle, as hormonal fluctuations can also affect digestion.

In terms of whether to see a gynecologist or a gastroenterologist, it may be beneficial to start with a visit to a gynecologist, especially since your symptoms are closely tied to your menstrual cycle. A gynecologist can assess whether your pain is related to menstrual issues, such as endometriosis or fibroids, which can cause significant discomfort. They can also evaluate your menstrual cycle's regularity and duration, as having a period that lasts only three days can be normal for some women, but it can also indicate underlying hormonal imbalances that may need to be addressed.

If the gynecologist rules out any reproductive health issues, you may then consider consulting a gastroenterologist to investigate any potential digestive problems. They can help determine if your abdominal pain and changes in bowel habits are related to dietary factors or other gastrointestinal conditions.

In summary, given your symptoms, it would be prudent to schedule an appointment with a gynecologist first. They can provide a thorough evaluation of your menstrual pain and any associated symptoms. If necessary, they can refer you to a gastroenterologist for further investigation of your digestive issues. It is always better to err on the side of caution when it comes to health concerns, especially if the pain is severe or persistent. Keeping a symptom diary, noting when the pain occurs, its intensity, and any associated symptoms, can also be helpful for your healthcare provider in making an accurate diagnosis.

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