Abstract
Introductıon: Dysmenorrhea attacks may be accompanied by extragenital symptoms such as nausea, vomiting, diarrhea, headache and leg pain and by emotional symptoms such as tension and irritability. Therefore, we think that dysmenorrheic symptoms may be more severe in patients with dyspeptic symptoms. The purpose of this study was to determine whether pain scores would differ between dysmenorrheic patients with or without dyspeptic symptoms.Methods: Patients presenting to the emergency department with dysmenorrhea attacks and volunteering to participate were included in this case-control study. Subjects with dyspeptic symptoms were enrolled as the case group and those without dyspeptic symptoms were enrolled as the control group. Participants were administered the Faces Pain Scale and a questionnaire involving demographic characteristics.Results: Pain scores on arrival were higher in the case group than in the control group (4.20 ± 0.71, 3.70 ± 0.74, n=30, p=0.011). A significant difference was observed between pain scores on arrival and at discharge in both the control and case groups. A decrease in pain scores was determined in all the subjects in the case group, while no change was observed in three volunteers in the control group.Conclusions: We conclude that pain is significantly more severe in dysmenorrheic patients with dyspeptic symptoms.
Highlights
Dysmenorrhea attacks may be accompanied by extragenital symptoms such as nausea, vomiting, diarrhea, headache and leg pain and by emotional symptoms such as tension and irritability [1]
We suggest that pain scores in dysmenorrheic patients with dyspeptic syndromes are higher than in patients without dyspeptic syndromes
Thirty dysmenorrheic patients with dyspeptic symptoms presenting to the Nevşehir Public Hospital Emergency Department were enrolled as the case group, and 30 dysmenorrheic patients without dyspeptic symptoms were enrolled as the control group
Summary
Dysmenorrhea attacks may be accompanied by extragenital symptoms such as nausea, vomiting, diarrhea, headache and leg pain and by emotional symptoms such as tension and irritability [1]. Increased activation of vagal afferents following either gastrointestinal dysrhythmia or dysmotility or following abnormal distension of the stomach, intestine or biliary tract evokes nausea [5]. Both vagus nerve and peripheral vagal nerve terminals play an active role in the development of symptoms of the gastrointestinal tract such as nausea, vomiting and diarrhea [6]. One-third of asymptomatic women may experience gastrointestinal symptoms and an increase in symptoms in almost 50% of women with irritable bowel syndrome [9,10,11]
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