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Extreme pain in periods

Since the age of 16, my first periods, I am experiencing huge amount of pain. My mother had this tendency but not as much as me. All docs so far say that it is normal and many girls experience a lot of pain. The last one happened yesterday for 10 straight hours from 1am to 10 am. I felt like dying,  literally.  Advice?
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Dr. Chethan R S
General Physician Bangalore

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Hi, Dysmenorrhea refers to the symptom of painful menstruation. It can be divided into 2 broad categories: primary (occurring in the absence of pelvic pathology) and secondary (resulting from identifiable organic diseases). A low-fat vegetarian diet has been reported to reduce menstrual pain in some women. Certain dietary supplements may be effective, Thiamine, fish oil,pyridoxine, magnesium, and vitamin E... A patient whose history and clinical presentation clearly suggest primary dysmenorrhea may be treated symptomatically and provided with appropriate follow-up. A patient whose presentation is less clear or whose vital signs or physical findings are abnormal deserves a more thorough workup, including full laboratory studies, pelvic ultrasonography, and potentially an obstetrics/gynecology consultation.
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