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Bowel Cramps on day 1 or my periods
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Gynecology & Pregnancy Care
Question #18625
69 days ago
173

Bowel Cramps on day 1 or my periods - #18625

Aarohee

Hello Doctor, I’m a 17-year-old female. On day 1 of my period, I get severe bowel cramps with a strong urge to pass stool that lasts for about 5–6 hours. The pain feels like intense poop cramps spreading across my lower abdomen. After day 1, I don’t have any pain or bowel issues at all for the rest of my period. My average menstrual cycle length is 34–35 days. I currently have exams going on, and I’m concerned because I might get my period on an exam day and don’t want this problem to affect my ability to sit and write the exam. I want to know: 1. Which medicine is safe and effective for period-related bowel cramps and urgency on day 1? 2. Is Meftal-Spas or any medicine safe to take 3. Is there anything I can take the night before or the morning of an exam to prevent this problem? Please suggest something safe and non-sedating, as I have exams going on. Thank you.

Age: 17
Chronic illnesses: No
300 INR (~3.53 USD)
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
69 days ago
5

Hello,

What you’re describing is very common on day 1 of periods and is usually due to prostaglandins, which cause both uterine cramps and bowel urgency/diarrhea-like cramps.

1. Yes you can take MEFTAL SPAS Morning After food , Can repeat 12 hourly Take it before pain starts ,works better than waiting for cramps.

2. Yes its is safe No sedation

3. Eat light food Use warm compress over abdomen Warm water in the morning Try Ashokarishta , good for menstrual cramps

I trust this helps Thank you

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
68 days ago
5

Your pattern is normal and manageable

Meftal-Spas is safe and suitable

It will not affect alertness or exam performance

Many students use this successfully during exams

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For your situation, the symptoms of bowel cramps and urgency on day 1 of your period could be related to the rise in prostaglandins that are common during menstruation. These chemicals can increase bowel activity and pain. First, a nonsteroidal anti-inflammatory drug (NSAID) like ibuprofen can help reduce prostaglandin production, thus alleviating cramps. You can take it the day before your period, continuing through the first day. Take it with food or milk to avoid stomach upset. Meftal-Spas (dicyclomine, mefenamic acid) is another option, which provides an antispasmodic effect along with pain relief. Be sure to follow the dosing instructions provided on the packaging or by your healthcare provider.

If you’re considering taking something beforehand, starting an NSAID like ibuprofen a day or two before your anticipated period and continuing for the first day might prevent cramps by getting ahead of prostaglandin production. Ensure that you have some food in your stomach to minimize any gastric side effects, and always be cautious with NSAID use if you have any pre-existing gastrointestinal conditions.

For safety and efficacy, consult with your healthcare provider before starting any new medication, especially during exam periods when clear-headedness is crucial. Also, lifestyle changes such as a diet rich in omega-3 fatty acids and low in processed foods might improve overall menstrual health. If your symptoms are severe or you experience any red-flag symptoms like sudden, unexplained changes in your menstrual cycle or bowel habits, contact a healthcare professional promptly to rule out other underlying issues. Remember that medicine should be used responsibly and not interfere with regular treatments or medical advice from a healthcare provider.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
68 days ago
5

Hello dear I think they are associated with hormonal alterations only As per clinical research meftal space is comparatively safer so it can be taken In addition I suggest you to please get below tests done to rule out any chances of infection Culture Esr CBC Serum ferritin Please share the result with general physician medicine for better clarity Please donot take any medication without consulting the concerned physician and confirmation of exact diagnosis Regards

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
68 days ago
5

Hello Aarohe Thanks for sharing all these details—this is a very common concern, especially during stressful times like exams. What you’re describing is called “period-related bowel cramps” or “primary dysmenorrhea with bowel symptoms.” Many girls and women experience this due to hormonal changes during periods, which can make the bowel more sensitive and active, especially on day 1.

1. Which medicine is safe and effective? For most people, antispasmodic medicines like Meftal-Spas (mefenamic acid + dicyclomine) or just mefenamic acid are commonly used for period cramps, including bowel cramps. They help reduce pain and bowel spasm without causing drowsiness.

2. Is Meftal-Spas safe? Meftal-Spas is generally considered safe for short-term use in healthy young women, especially for period pain. It is non-sedating and usually well-tolerated. However, it should be avoided if you have a history of: - Stomach ulcers or gastritis - Asthma triggered by painkillers - Kidney or liver problems

3. Can you take something before the exam? Yes, you can take Meftal-Spas or mefenamic acid just before your period starts or as soon as you feel the cramps beginning. Taking it early is more effective than waiting for the pain to get severe. You can also take it the morning of your exam if you expect your period.

Some tips: - Take the medicine after food to avoid stomach upset. - Stay hydrated and avoid very spicy or oily food on period days. - Carry a hot water bag if possible—it helps relax cramps.

Thank you

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Dr. Bheruram Netar
I am working in general medicine opd from 3 years now and that gave me wide exposure to all kind of patients walking in with different complain, sometimes mild, sometimes really serious. Most common I handle are seasonal allergies, gestational issues during pregnancy, diabetes and hypertension, but I also see cases of infections like dengue or malaria that need quick attention. In OPD you never know what the next case will be, one moment its a child with fever and next a adult with uncontrolled blood sugar, and I learnt to switch fast and think clear. I focus on proper diagnosis first, using detailed history and examination rather than rushing, cause many conditions overlap and can confuse. For example a viral fever might look like dengue in early days, or hypertension can stay hidden till it shows as headache or dizziness. I try to explain to patients in simple words what is happening with their health, as many come with fear and half information. Making them comfortable and giving them trust matters more than only prescribing medicines. Over these years I also developed a flexible approach in management, not every patient need same treatment plan. Like gestational diabetes require a very diff care compared to a young person with type 1 diabetes. Lifestyle counselling became important part of my practice, talking about diet, exercise, sleep routine and follow-up. Even with allergies or seasonal flu, guiding them on prevention and hygiene reduce re-occurence a lot. In opd practice volume is high and decision making has to be quick but safe. Sometimes you only have a few minutes, still I try to balance efficiency with personal care. Seeing patients recover and come back with gratitude motivate me everyday. Working across such diverse case made me more confident, but also humble because medicine is never fully predictable. There are times I doubt, recheck, ask for labs before final call, and I think that caution is also strength.
67 days ago
5

Hello maintain hygiene Tab meftalspas twice a day it’s safe You can drink coffee Don’t take anything else

Stay hydrated U can eat chuknadar its best Thanks

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