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Diarrhea as soon as you come to menstruation? Don't ignore it, this is actually a kind of "warning"!

Author:Sa Jie (Attending Physician of Obstetrics and Gynecology)

A while ago, Sister Sa told everyone about the "palace cold" that is unique to our Chinese women (the "palace cold" that makes countless Chinese women afraid: are you also curing this disease? At that time, there was a high praise comment, and Sajie felt that it should represent the question in the hearts of many readers, that is:

Why does a big aunt have diarrhea? Every time I came to my aunt, I not only sprayed blood but also squirted, and I felt like I was going to grow on the toilet!

In fact, this problem has also been consulted by many friends to sister Sa, many of them have been troubled by this problem for a long time, although other girls may be because when they come to the big aunt, because of the pain of menstruation, it is difficult to leave the toilet, and for people who come to the big aunt with diarrhea, they cannot do without the toilet not because of blood spraying, but because of spraying...

So, what exactly is the cause of this sour situation of "aunt blood and flying together, painful menstruation and poop color"?

First of all, it is the biggest question of many girls:

I didn't eat anything cold, I didn't eat anything unhygienic, I was very careful to keep warm, I drank hot water, but it was diarrhea!

In fact, the diarrhea during the aunt may really have nothing to do with what you eat, and it is not the legendary "body cold" at all.

This problem also has to start with the hormone levels in our bodies.

Image source: Stand Cool Helo

Remember when Sister Sa told everyone about dysmenorrhea, she mentioned a thing called prostaglandin?

Prostaglandin (PG) is currently widely recognized as the "culprit" of primary dysmenorrhea.

The endometrium is the main place for the synthesis of prostaglandins, and excessive synthesis and release of prostaglandins will stimulate excessive contraction of uterine muscles, resulting in uterine ischemia, making you feel a burst of pain.

In addition to making you feel pain, prostaglandins also make our nerve endings more sensitive to pain stimuli, and our threshold for feeling pain is lowered, making it easier to feel pain.

First, when will this thing come out?

If you think that these prostaglandins only appear when menstruation begins, then you are too simple.

In fact, before menstruation, that is, the late stage of the corpus luteum, as the corpus corpus atrophy after ovulation, the level of progesterone in the body begins to decline, and the activation of lysosomal will begin to release phospholipase A2, which is one of the sources of arachidonic acid, and arachidonic acid will bring about an increase in the synthesis of PG.

Therefore, some women already have a variety of discomfort before menstruation, because 24 hours before menstruation, the level of PG in the body can reach a peak.

Second, is this thing related to my diarrhea?

Yes, of course there is, it doesn't matter what Sister Sa bothers to write so much for you to see!

This PG, it's annoying, it doesn't just affect your uterus, it can also affect the smooth muscle peristalsis of the gastrointestinal tract.

Prostaglandins are high, it will stimulate the smooth muscles of the gastrointestinal tract, let them peristalsis speed up, should not have come out of the xiang, because the gastrointestinal tract movement is accelerated, running out faster, you have diarrhea... In addition, the stimulation of menstrual blood also has a certain effect.

When you come to the great aunt, the stimulation of menstrual blood, the outflow through the vagina, including the nearby uterine contractions, may cause some disturbance to the neighbor- the rectum, making you feel the feeling of falling, and even the tenesmus, so you rely more on the toilet...

So why don't some people?

This is a matter of luck, just like some people have painful menstruation, some people do not have painful menstruation, menstrual diarrhea, in fact, is also a kind of luck, but not so like the "luck".

So if it is really bad luck, every time the great aunt is tortured by painful menstruation, but also by spraying, what can we do?

Sister Sa once again invites us to play our star role here:

Prostaglandin synthase inhibitors!

This is the drug we use to treat dysmenorrhea, and it also has a name called nonsteroidal anti-inflammatory drugs, that is, the legendary NSAIDs, which also occupy a place in The Sister's novel, is a warm and powerful soothing drug, not only can soothe your body, but also can comfort your pessimistic and depressed heart because of your great aunt's pain.

It blocks the cyclooxygenase pathway, inhibits prostaglandin synthesis, and reduces uterine tone and contractility, thus achieving analgesic effect.

Similarly, there are fewer prostaglandins that are making waves, because their restless intestines will also subside. Maybe many girls have seen this and their eyes are already red: what are you waiting for, I want to buy!

Wait, Sister Sa hasn't told you how to eat to be the most healing!

People who have read SaJie's novel know that Sajie once wrote that for prostaglandins that have been generated, you can't do anything about it, because people have synthesized it.

We can only block before the pain is generated, and the pain that has already been generated is only metabolized by itself.

Therefore, for patients with dysmenorrhea, our recommended way of taking is:

Start eating before your period comes!

This kind of drug is simple to take, the adverse reactions are small, the efficiency can reach 60% to 100%, the recommended way to take, that is, to start taking before menstruation, because prostaglandins are released the most in the first 48 hours of menstruation, so eat in advance, eat a 2 to 3 days, the big aunt comes, basically you can get the pain and discomfort of this menstruation.

The purpose of continuous medication is to reduce the synthesis and release of prostaglandins, but it is already painful, prostaglandins have been released, and at this time, it is not good to take intermittently.

Fourth, what if it is useless to eat?

Don't worry, there is a second set of regimens PLANb, that is, for people who are not sensitive to NSAIDs, or tolerated, they can take the compound oral short-acting contraceptive pill as their own second-line medication.

Just said, after ovulation without conception, close to menstrual corpus atrophy, then the synthesis of prostaglandins begins, but if you say that there is no ovulation, then the endometrium is less affected by progesterone, so we generally think that the pain of ovulatory menstruation is more serious than the pain of anovulatory menstruation.

During the period of taking compound short-acting contraceptives, the ovulation function of the ovaries is suppressed, there is not so much progesterone, there are not so many tossed prostaglandins, not only dysmenorrhea, but even many women's pms of premenstrual syndrome have been significantly reduced!

Diarrhea as soon as you come to menstruation? Don't ignore it, this is actually a kind of "warning"!

If you belong to the group of people who "talk about the discoloration of medicine", or stubbornly think that "it is a three-point poison of medicine", then you can also try some other methods: eat less irritating food, spicy raw cold may give you more stimulation of the stomach that is already accelerated, so these days honestly eat warm, warm, digestible and delicious food.

The feeling of warmth can help promote blood circulation and make you feel relaxed and comfortable, so stick a warm baby, have a hot water bottle, or even do moxibustion without bad money, as long as you feel comfortable.

Sweet taste can bring us some happiness, if you usually want to eat and afraid of fat and dare not eat, then in the painful moment of enduring the double torture of the great aunt and diarrhea, it is allowed to give yourself a little sweetness.

Even if it's just a hot waffle, take a good rest, get a good night's sleep, and put aside all the unpleasantness and stress first, after all, life is sometimes hard enough, you have to be nice to yourself, don't you?

* This article is reprinted with permission from the WeChat public account Doctor Girl Zhengchuan.

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