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PMS Guide

Rosa Cabrera RN

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ask: ive been moody and my breast have been hurting but im not due to start for two weeks is this normal?

By shelby_15
 
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i havent had sex recently i do take medication for ADD and i recently got a new perscription could this be the cause of it?

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Dr. Daniel Heller

Rosa's comment is very informative and educational about PMS in general. It's hard to comment too much on your individual symptoms without knowing a good deal more, but the timing of your symptoms certainly makes PMS a possibility. It is unlikely that medication is the cause of your symptoms, because most side effects of most medications aren't limited to the premenstrual phase: instead, they would tend to occur throughout the month. You can learn more about PMS and yourself at our site, www.pmscomfort.com. Best of Health, Dr. Daniel Heller

August 18, 2011 - 3:24pm
Rosa Cabrera RN

Hi Shelby,

Thanks for your post. You didn't mention which medication you're on so it's hard to say if that is what's making you moody. But, in general, ADD medications are known to possibly cause mood changes.
However, if you're due to get your period in two weeks, it could also be PMS or Premenstrual Syndrome-- which includes:
Abdominal fullness, feeling gaseous

Bloating of the abdomen

Breast tenderness

Clumsiness

Constipation or diarrhea

Food cravings

Headache

Less tolerance for noises and lights

Other symptoms include:

Confusion

Difficulty concentrating

Fatigue

Feelings of sadness or hopelessness (See also: Premenstrual dysphoric disorder)

Feelings of tension, anxiety, or edginess

Forgetfulness

Irritable, hostile, or aggressive behavior, with outbursts of anger toward self or others

Loss of sex drive (may be increased in some women)

Mood swings

Poor judgment

Poor self-image, feelings of guilt, or increased fears

Sleep problems (sleeping too much or too little)

Slow, sluggish, lethargic movement

These physical symptoms can start anywhere between 5-11 days before your period is set to start.

A healthy lifestyle is the first step to managing PMS. For many women with mild symptoms, lifestyle approaches are enough to control symptoms.

Drink plenty of fluids (water or juice, not soft drinks or other beverages with caffeine) to help reduce bloating, fluid retention, and other symptoms.

Eat frequent, small meals. Leave no more than 3 hours between snacks, and avoid overeating.

Your health care provider may recommend that you take nutritional supplements. Vitamin B6, calcium, and magnesium are commonly used. Tryptophan, which is found in dairy products, may also be helpful.

Your doctor may recommend that you eat a low-salt diet and avoid simple sugars, caffeine, and alcohol.

Get regular aerobic exercise throughout the month to help reduce the severity of PMS symptoms.

Try changing your nighttime sleep habits before taking drugs for insomnia. (See also: Sleeping difficulty)

Aspirin, ibuprofen, and other nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed if you have significant pain, including headache, backache, menstrual cramping, and breast tenderness.

Birth control pills may decrease or increase PMS symptoms.

In severe cases, antidepressants may be helpful.

The first options are usually antidepressants known as selective serotonin-reuptake inhibitors (SSRIs).

Cognitive behavioral therapy may be an alternative to antidepressants.

Light therapy may decrease the need for antidepressant medications.

Patients who have severe anxiety are sometimes given anti-anxiety drugs.

Diuretics may help women with severe fluid retention, which causes bloating, breast tenderness, and weight gain.

Bromocriptine, danazol, and tamoxifen are drugs that are occasionally used for relieving breast pain.

Hope this helps!

Rosa

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002474/

May 2, 2011 - 5:12am
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