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Ask Dr. Norm S. Your Own Question

Dr. Norm S.
Dr. Norm S., Doctor
Category: Medical
Satisfied Customers: 11061
Experience:  Over 30 years of experience in OB/GYN practice.
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I am a female, non-smoker, almost 47, 5ft 7" and 9st 4 ish.

Customer Question

I am a female, non-smoker, almost 47, 5ft 7" and 9st 4 ish. I have the following questions:
1) My periods have been getting increasingly painful with PMT being so bad that I spend half of the month in discomfort. BUT I have not had a period now for 65 days (but feel as though it is always about to start)..not pregnant!
2) At the same time I have been having a feeling of pressure in my back passage, like I need to go. Sometimes when I get period pains I get aches in my back passage too! But I have had loose stools for around 10 days now, with bloating every evening and aching lower back. The feeling in my back passage is constantly there.
3) I have picked up a sore throat and the last 2 mornings I have been coughing ORANGE phlegm. It is only on a morning when I wake - the cough is quite dry and hurts but only slightly when I cough in my upper back.
4) I did a dip stick test on my urine this morning and normally the ketone is normal and light pink but this morning it shows brown on the dip stick.
sigh! Thanks?
Submitted: 3 months ago.
Category: Medical
Expert:  Dr. Norm S. replied 3 months ago.

Dol you take any medications?

Do you use anything for birth control?

Have you tried birth control pills?

How much exercise do you get?

How much stress do you have?

How much caffeine and sugar is in your diet? Thank you.

Customer: replied 3 months ago.
No medications, I did try the POP contraceptive but it made feel worse!I get light exercise but I am quite active.I have major amounts of stress. My husband has a severe brain injury (5 years now) and we have a 6 year old....so I do have high amounts of emotional stress.Normally sugar is low - I do eat healthily but lately my sugar intake has increased (no reason other than lots of chocolate lately) that I am stopping again now! Caffeine I probably have 1 cup of coffee and 1 cup of tea a day.I drink lots of water and normally eat healthily.
Expert:  Dr. Norm S. replied 3 months ago.

1. Combination birth control pills (not progestin only pills) are the best method we have to relieve painful periods. 90% of women who take the pill find relief from menstrual pain.

At age 47, it's not unusual to miss a period or two and to have periods become more irregular. The pill will also resolve that irregularity.

Pre menstrual syndrome or tension (PMT) is not well understood, but we do know that it increases when there is mores stress. It is often relieved by increased exercise, and decreased sugar and caffeine.

There are certain birth control pills that have been shown to decrease PMT for many women.

2. The feeling of pressure in your rectal area should be evaluated by your doctor. It could be related to a rectal polyp or other tumor, or could possibly be due to irritable bowel syndrome, which would go along with the loose stools. Diverticulitis may also be a possible cause.

3. Your sore throat and coughing up orange phlegm are likely due to an upper respiratory infection, possibly with some sinus infection. It can be treated by drinking lots of fluids, getting extra rest, and cough drops. If it doesn't resolve, then see your doctor.

4. When you see your doctor, I would have the urine ketones re-checked and evaluated. If it's an isolated finding, it's not likely to mean much. Best wishes.

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