Re: abd pain and fainting

From: D. Ashley Hill (dahmd@cfl.rr.com)
Fri Aug 12 18:29:26 2005


At Fri, 12 Aug 2005, Babycatchers@aol.com wrote: >
>Has anyone else faced this problem?
>I had a 30-ish woman present for her annual exam. G3 P3 with a BTL several
>years ago. She complains of severe abdominal cramping/lightheadedness/headache/
>fainting for the first 3-5 hours of her period. snip

How about AIP (acute intermittend porphyria) exacerbated by menses? Some patients with AIP have worsening symptoms before or during menses, and, I believe, there are reports of using GnRH meds to treat this. It might be worth a workup. Good luck.

Ashley

--
D. Ashley Hill, MD
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
 and Loch Haven Ob/Gyn Group
Orlando, Florida




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