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Severe headache and stomach pain
From past 2 days she had an very bad headache and slight stomach pain also this things are coming again and again after sometime and also slight fever and at the time of hers periods like from 6-7 months it is also very painful and vomiting is also happening now and at the time of periods and she is very uncomfortable due to this things.
Answers (33)
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Headache with vomiting that clusters around her periods, plus 6-7 months of painful cramps, points strongly to menstrual migraine along with dysmenorrhoea, and the stomach pain and low-grade fever are likely acid and inflammation riding on top. At her age this is common and treatable - it is rarely anything dangerous, but it should not be brushed off as "just periods" either, because pain that severe for months needs a pelvic scan to rule out endometriosis or a cyst.
Next Steps
Get a CBC, thyroid profile and a pelvic ultrasound done, ideally just after the period ends. For now she can take a simple painkiller with food when the headache starts, keep meals regular, drink 2-3 litres of water and sleep at fixed hours - skipped meals and poor sleep are the biggest triggers. A short course to control acidity will settle the stomach pain. Book a consult with me on Practo with those reports and we can start a plan that prevents these attacks instead of only treating them. Rush to casualty if the headache becomes the worst of her life, comes with neck stiffness, blurred vision, fits or she cannot keep any fluid down.
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This presentation could be related to several different neurological pathways. To give you an accurate diagnosis, we would need to review your previous reports and conduct a thorough workup. I recommend scheduling an appointment.
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Hello. The acute symptoms over the last 2 days (headache, low-grade fever, vomiting, and abdominal discomfort) suggest an acute viral or systemic infection / acute gastroenteritis. Additionally, the 6-to-7-month history of severe painful periods accompanied by vomiting points toward Primary or Secondary Dysmenorrhea.
Clinical Assessment:
Recent Symptoms (Past 2 Days): Acute fever with severe headache and gastrointestinal disturbances (vomiting, abdominal pain) requires symptomatic relief and ruling out acute systemic viral conditions.
Chronic Period Pain (Dysmenorrhea): Severe cramps accompanied by vomiting every month for over 6 months should be evaluated to rule out underlying structural or hormonal factors such as endometriosis, adenomyosis, or pelvic inflammatory disease (PID).
Symptomatic Management:
For Fever & Headache: Tab. Paracetamol 650 mg after food (up to 3 times a day as needed) to relieve headache and fever.
For Vomiting & Nausea: Tab. Ondansetron 4 mg taken 30 minutes before meals.
For Severe Menstrual Pain: Anti-prostaglandin medications such as Tab. Dicyclomine + Mefenamic Acid during period days under medical prescription to relieve uterine cramping.
Next Steps
Ultrasound Scan of Pelvis & Abdomen: Essential to evaluate the uterus, ovaries, and pelvic structure for cysts, fibroids, or signs of endometriosis.
Blood Work: Complete Blood Count (CBC) and Erythrocyte Sedimentation Rate (ESR) to check for infection or inflammation levels.
Health Tips
Hydration with Electrolytes: Since she is experiencing vomiting, ensure continuous oral hydration using Oral Rehydration Salts (ORS), tender coconut water, or clear soups to maintain electrolyte balance.
Rest & Light Diet: Eat small, bland, easily digestible meals (toast, rice gruel, bananas) and strictly avoid spicy, oily, or heavy foods.
Warm Compress for Period Pain: Using a heating pad or hot water bottle on the lower abdomen during period cramps provides significant local relief.
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Hie relax.... for headache , pain in abdomen , and dysmenorrhoea... I exactly want to know how many days cycle you have , is it regular or not... if u have ultrasoud of whole abdomen done... we can plan your hormonal test for d 2 of period... I need more detailed history for your concern... kindly consult ... I will be happy to help you 🙂
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Consult a gynaecologist for the same get a USG abdomen done.. get thyroid profile checked if she is having any flushing of face or lethargy sweating
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Your recurrent headache with fever and vomiting should not be self-treated without evaluation, especially if this is a new/severe headache.
Painful periods with vomiting for the last 6–7 months may occur with severe dysmenorrhea or conditions such as endometriosis and should be assessed by a gynaecologist.
If you develop severe/worst-ever headache, persistent vomiting, neck stiffness, fainting, weakness, confusion or visual problems, seek urgent medical care.
You may consult me on Practo for a detailed assessment and appropriate next steps.
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Symptoms may be related to painful periods, but recurrent severe pain with vomiting needs evaluation
Prescription:
Tab. Naproxen 250 mg – 1 BD after food × 2–3 days
Tab. Ondansetron 4 mg – SOS
Next Steps
Consult a gynaecologist and get USG pelvis if advised
Advice
Use a heating pad, stay hydrated and rest. Severe pain, heavy bleeding or persistent vomiting → urgent consultation.
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Having stomach pain and a headache together is common..it aften happens because the brain and gut are closely link by the gut brain axis...
Headache aften bring belly ache nausea..
Period cramp is usually caused by surge of chemicals called prostaglandin which trigger the uterine contractions npain and vomiting..
Keep drinking plenty of fluid
Adequate Rest
Do not take regular painkiller
Apply hot water bottle on your lower Abdomen to relax the muscles
Next Steps
severe nausea/vomiting, Blurred vision
severe headache.
to evaluate the underlying causes
need to consult to Gynecology
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The symptoms may be related to painful periods, as nausea, vomiting and headache can sometimes occur along with menstrual pain. However, since the pain has become severe and is recurring for the last 6–7 months, it is better to find out the exact cause rather than taking painkillers repeatedly.
Next Steps
Please consult a gynaecologist for a proper examination. An ultrasound of the pelvis may be advised depending on the examination and symptoms.
Health Tips
keep yourself well hydrated, take adequate rest and you can use a warm heating pad over the lower abdomen for relief. Avoid taking painkillers repeatedly without medical advice.
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Painful periods for 6-7 months with headache, fever, and vomiting around that time deserve a proper look, not just symptom relief.
Next Steps
Please get a pelvic ultrasound and a gynaecology consultation to check what's causing pain severe enough to affect your whole cycle.
Health Tips
If the headache becomes the worst you've ever had, or you can't keep fluids down, please get seen urgently.
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She might be suffering from PMS pre menstruation syndrome. But she should take consultation. detailed history , evaluation and assessment is required to conclude and start treatment.
Need not worry.
Next Steps
Consult me on Practo for details assistance and help.
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