[21F] Experiencing sharp and throbbing migraines with stomach cramps

Patient Description

A 21-year-old female has been experiencing sharp and throbbing headaches located at the back of the head, rated as 7 on the pain scale, for several months. These headaches are random in occurrence but are notably worsened by loud conversations. Additionally, she reports daily stomach cramps described as sharp and painful, also rated as 7 on the pain scale, persisting for several days. The patient mentions significant mood swings, fluctuating between irritability and happiness, which have notably impacted her relationships. She has a history of asthma diagnosed 2 years postpartum and engages in vaping and smoking weed, though she notes no correlation between substance use and symptom onset. No current medications are reported, and she has no known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Hormonal changes related to your IUD: Intrauterine devices (IUDs) can sometimes cause side effects such as headaches, mood swings, and cramping. This is particularly common in the first few months after insertion.

    • Treatment typically involves over-the-counter pain relief for cramps and headaches. If symptoms persist or worsen, your healthcare provider may recommend removal of the IUD.
  • Migraines: Migraines are a type of headache characterized by severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can cause significant pain for hours to days, and can be so severe that the pain is disabling.

    • Treatment of migraines often involves a combination of medications to relieve symptoms and prevent future attacks, as well as lifestyle changes to avoid triggers.
  • Premenstrual syndrome (PMS): PMS refers to a variety of physical and emotional symptoms that occur in the one to two weeks before a woman's period. Symptoms often vary between women and resolve around the start of bleeding. Common symptoms include mood swings, tender breasts, food cravings, fatigue, irritability and depression.

    • Treatment of PMS may involve lifestyle changes such as regular exercise, a healthy diet, and stress management. In some cases, medication may be recommended.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to alleviate your symptoms:

  1. Over-the-counter pain relievers: Non-prescription medicines such as ibuprofen or naproxen can help relieve headache and cramp pain.
  2. Heat: Applying a heating pad to your lower abdomen may help reduce cramping.
  3. Regular exercise: Physical activity can help reduce headache pain and improve mood swings.
  4. Adequate hydration: Drinking plenty of fluids can help prevent dehydration, which can exacerbate headaches.
  5. Limit caffeine: Caffeine can trigger headaches in some people. Try to limit your intake and see if your symptoms improve.

What you should look out for

Reasons to see a doctor more urgently:

  • If your headaches become more severe or frequent
  • If your cramps are severe and not relieved by over-the-counter medication
  • If you notice any changes in your vision or have difficulty speaking
  • If you experience a severe mood swing that leads to thoughts of harming yourself or others

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 mo ago

People Also Ask


Can an IUD cause headaches and mood swings?

Yes, an IUD can cause side effects such as headaches and mood swings, especially in the first few months after insertion. If these symptoms persist or worsen, it's important to consult with a healthcare provider.


What are common triggers for migraines?

Common triggers for migraines include stress, certain foods and drinks (like caffeine and alcohol), hormonal changes, lack of sleep, and sensory stimuli such as bright lights or loud noises.


How can I manage premenstrual syndrome (PMS) symptoms?

Managing PMS symptoms can involve lifestyle changes such as regular exercise, a healthy diet, and stress management. Over-the-counter pain relievers and, in some cases, prescribed medications may also help.


Is vaping or smoking weed linked to headaches or mood swings?

While there is no direct evidence linking vaping or smoking weed to headaches or mood swings, these substances can affect individuals differently. It's important to monitor symptoms and discuss any concerns with a healthcare provider.


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1 Comments


Margot#4035

9 mo ago

I'm not sure when you had your IUD places but for the first month of my first one, I had some headaches and mood instability, maybe some pelvic pain here and there.

But your headaches sound more like migraines. Are you on any prophylactic or symptomatic medication? For my migraines the acetaminophen-aspiring-caffeine tablets you can get at CVS seem to work pretty well

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