First Doctor Medical Reference


Monthly mood swings, headaches, irritability and aggressiveness are common symptoms of premenstrual syndrome, but there is another sign of this period, which many women attribute to problems with the digestive system, and certainly not associated with hormonal "swings" caused by the approach of menstruation. One of the manifestations of PMS is constipation before menstruation.

Constipation is one of the possible reactions of the body to changes in hormonal levels on the eve of critical days. It can cause disruption of the reproductive and endocrine systems, caused by a decrease in sex hormones. In this article we will look at what are the features of the gastrointestinal tract during menstruation, why there may be problems with the chair, and what to do with constipation before menstruation.

Normally, the act of defecation takes place regularly and does not cause a woman any difficulties. If the fecal mass for some reason stagnates in the digestive system, then after a while they begin to rot and decompose. The waste products cause intoxication of the body, because the intestinal walls begin to expel them through the blood, thereby poisoning all organs and tissues. To prevent this, you should regularly get rid of the fecal masses, this is the main task of intestinal motility. It is activated by nerve endings located in the intestinal walls.

When food enters the digestive tract, useful components are gradually taken out of it into the blood, and the waste waste continues to “exit”. In the normal state of the body, these movements are uniform, without jerks and decelerations. So why do menstruating well before menstruation before menstruation?

Consider the main causes of constipation every month before critical days:

  • a week before menstruation, the level of progesterone begins to rise, and estrogen decreases accordingly, such hormonal fluctuations can cause a violation of the water-salt metabolism, which reduces the amount of circulating blood in the body. As a result, the outflow of fluid into the tissue begins, and peripheral edema appears. Such a redistribution of fluids drains fecal mass in the large intestine. They are dehydrated and contain less mucus, which provokes constipation before menstruation,
  • proper functioning of the autonomic nervous system contributes to the revitalization of the motility of the digestive tract. Inhibition of the autonomic nerve plexus, violates intestinal motility and causes problems with its timely emptying,
  • in the second half of the menstrual cycle, the endometrium is actively thickened, and blood flow to the pelvic organs is observed, this leads to an increase in the size of the uterus. The uterus puts pressure on the intestines, thereby reducing its motility, and narrows its lumen. For this reason, constipation and bloating are possible before menstruation.

All these reasons are temporary and after menstruation in most cases, the digestive process is normalized. If after the critical days the situation does not change and the woman continues to be tormented by constipation, we can talk about the presence of pathology, which requires the attention of specialists.

If a woman is attentive to her health and is watching all the changes in her condition, then she will easily determine the first signs of constipation during menstruation. Since the main cause of difficulties with defecation during this period are hormonal changes, you can learn about a possible constipation by the following symptoms:

  • Approximately 2 weeks before the onset of critical days, a woman has a big appetite, she is drawn to sweets and chocolate. This behavior causes a decrease in the level of estrogen, which at normal concentration contributes to pain relief and is responsible for the good emotional state of the woman,
  • the desire to eat a lot of sweet and flour can also be dictated by a decrease in the level of insulin in the body, which is also affected by a drop in estrogen and progesterone,
  • before critical days a woman drinks a lot, but not all the liquid comes out in the process of urination, some of it lingers in the body,
  • the wife feels a constant desire to sleep, there are dramatic mood swings,
  • feeling of full belly, bloating,
  • increased tearfulness
  • headaches.

During this period, the gastronomic preferences of a woman can change dramatically, she can lean on smoked, fatty and spicy foods, which in themselves in large quantities can cause digestive problems. If constipation is caused by hormonal changes or increased uterus size, then after the cessation of menstruation the work of the digestive system must necessarily be adjusted.

If the intestinal motility does not return to normal and the fecal mass stagnates in the body for a long time, this can cause the colon and rectum to stretch and pockets form in them. In severe cases, feces linger in these pockets and turn into stubborn stone formations. It is better not to allow such situations and, if necessary, to seek help from a doctor.

Treatment and normalization of stool

If a woman did not have time to prevent problems with the digestive system, and she had constipation before her menstruation, only complex treatment will help to get rid of them:

  • a few drops of the drug Picolax will help to soften and dilute the feces. This medicine is mild, it does not accelerate peristalsis and does not affect the absorption capacity of the intestinal walls, therefore it is safer than other remedies for constipation.
  • rectal glycerin suppositories have the same effect as the previous preparation,
  • if, after taking previous medications, the intestines are not emptied, laxatives should be used that reduce the absorption of the intestinal walls and accelerate peristalsis. The preparation of magnesia has this effect, additionally reduces appetite. There are other laxative drugs, among the popular Senade, Duphalac, etc.,
  • in case of anatomical constipation, appetite decreases, lethargy and weakness appear, in this case prokinetics are prescribed that increase intestinal motility, such as Motilium,
  • so that laxatives do not harm the body, they should be combined with calcium supplements and probiotics, such as Linex,
  • If, against the background of problems with defecation before menstruation, a woman is irritable and emotionally unstable, then the constipation is spastic. In this case, the lady needs to relax and improve the state of the nervous system. To help in this can the drug Fitosed and soothing herbal infusions.

When preventing constipation before critical days, special attention should be paid to the selection of consumed products. It is necessary to exclude from the diet flour, fatty, spicy and smoked dishes, fast food, confectionery, chocolate, legumes, and everything that can cause fermentation, bloating and increased gas formation. On the table should always be fresh vegetables and fruits, berries, sea kale, low-fat milk, greens. It is best to eat small portions 5-6 times a day, do not overeat or eat before bedtime.

To prevent dehydration, you need to drink regular water a glass 2 hours after a meal and 1 hour before it. The liquid is drunk not in one gulp, but a maximum throat per minute. This method works especially well in hot weather.

Prunes and compote or decoction of rhubarb improves the formation of mucus, which helps pushing feces in the large intestine. To improve peristalsis, you can take an infusion of nettle or birch buds, in more serious situations, you can make microclysters on the decoction of these herbs.

Exactly how to treat constipation before menstruation can only the attending physician, taking into account the general condition of the patient and the available contraindications.

Constipation with menstruation what to do

Hormones regulate not only the sexual function of a woman, her mood, but also the work of internal organs. Falling levels of estrogen and progesterone in the early days of the uterine cycle due to constipation before menstruation, after and during them.

Why it happens?

The menstrual phase of the uterine cycle each month begins with the fall of hormones. The changes that the female body undergoes during menstruation cause intestinal spasm and stool retention. These changes include:

Endometrial rejection, filling of the uterus with blood clots and pressure of the enlarged organ on the intestines, Increased blood levels of prostaglandins provoking spasm, Hormonally-induced decrease in intestinal motility, Delayed sodium excretion and water in the kidneys, leading to the development of edema of the circulatory cellulose, Exit from the intestinal lumen of the liquid component of the stool.

Contribution to the development of constipation with menstruation make a change in the nature of the diet, the consumption of excessive fluid.

They are due to a decrease in the level of estrogen, which is manifested by increased appetite, thirst.

The fall of progesterone has a direct effect on the increase in intestinal peristalsis, this explains why an intestinal spasm and impaired bowel movement occur before menstruation. During menstruation, the pressure of the uterus on the digestive tract joins. Persistent stool retention after menstruation is due to a residual hormone deficiency.

Constipation during menstruation is usually spastic, combined with gas retention. Some women with a predisposition to intestinal atony, concomitant diseases of the gastrointestinal tract have atonic constipation.

Risk factors

The use on the eve of menstruation of locking products, dietary errors: alcohol intake, intolerable foods, spices, smoked products that increase gas formation or reduce the tone of the intestinal wall, Excessive drinking, aggravating the internal edema and pressure of the uterus on the intestinal wall, Diseases of the gastrointestinal tract, for example, irritable bowel syndrome, irritable bowel syndrome diseases, hormonal failures (violation of frequency, duration of menstruation, delayed menstruation).

Symptoms, diagnosis

The presence of constipation can be said if there is a lack of a chair for more than 2 days.

Signs of atonic type of constipation:

Abdominal distention, a feeling of fullness in the intestines with feces or gases, Loss of appetite, sluggishness, feeling unwell.

Spastic constipation is accompanied by:

Twisting abdominal pains, Rumbling, Bloating, Feeling unwell.

Independently diagnose a type of constipation using antispasmodics (No-shpa, Drotaverin), which women often use to reduce pain during menstruation.

Symptoms of spastic constipation after taking these drugs decrease or disappear, with atonic constipation, these drugs do not help.

What to do?

For any type of constipation before or during menstruation, follow a laxative diet. If possible, normalize diet as early as possible (5-7 days before the onset of menstruation). Recommended products are:

Sour-milk - kefir, yogurt, sour milk, Dried fruits, Fruits and vegetables containing coarse fiber, Bran, Berries, berry drinks, Porridge from "gray" cereals, Karkade tea, Sea cabbage, Vegetable oil, Flax seeds, plantain seeds.

Contraindications (fixing the chair) are:

White bread, “White” cereals - semolina, rice, Potatoes, Pasta, Soft fruits: bananas, pears, Chocolate, cocoa.

When abdominal distention, gas formation is not recommended to use the following products:

Cabbage, Beans, peas, beans, Sweet yogurts, ryazhenka, milk, Carbohydrate-rich fruits and vegetables: onions, apples, pears, grapes, tomatoes, Buns, white bread.

Sample menu

Breakfast: Buckwheat porridge, boiled chicken breast, weak tea or berry compote.

Lunch: Low-fat soup or broth, boiled dietary meat (rabbit, turkey), vegetable salad without onions with vegetable oil, dried fruit compote.

Lunch: Green apple, seaweed salad with carrots, berry compote.

Dinner: A glass of kefir, a handful of prunes.

Folk remedies

1 tbsp. l sunflower oil stir in a glass of yogurt. Drink before bed. Add in the dishes laxative foods - 2 tbsp. l bran, grated carrots, beets, plums with peel. 1 st. l Pharmaceutical chamomile and oregano herbs pour in a thermos, pour boiling water (2 tablespoons - 500 ml boiling water). Insist the night. Drink during the day after meals for 1 glass. After eating drink 1 glass of warm cucumber pickle. It is desirable that the salt in it was as low as possible. It is better to take, previously diluted with water. 150 ml of aloe juice mixed with 30 g of honey. Take 1 tsp. morning and evening on an empty stomach. Keep the mixture cold. 2 tbsp. l mixture of buckthorn bark, elderberry leaves, fruits of fennel pour 500 ml of boiling water. Boil for 30 minutes over low heat. Cool, strain. Take 1 cup in a diluted form in the morning and evening.

Seeing a doctor

With the ineffectiveness of self-treatment, with the regularity of constipation, interfering with the performance of household and professional duties, you should contact the therapist. You may need to measure hormone levels and gynecologist treatment.

If you are forced to take medications every month, consult your doctor if they are safe for you.


Adherence to a diet that excludes locking products, alcohol, smoked meats, sweets. Regular consumption of laxative products. Consumption of 1.5-2 liters of clean water per day. Moderate physical activity, charging. Before the start of the month it is possible to carry out prophylaxis with folk remedies. In order to avoid constipation, you can take 1 tablet of Drotaverin before the onset of menstruation.

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Often, the beginning and end of the monthly cycle in women is associated with weight gain, at this time they often refuse to diet. However, those who are already inclined to be overweight or have extra pounds should carefully monitor their weight. Symptoms of premenstrual syndrome are known, probably, to all women. This thirst, increased appetite, sometimes passing into zhor, mood swings, irritability, abdominal discomfort and so on. At the same time, at a young age, such manifestations may be absent altogether or be mild, and with age, the so-called PMS becomes more pronounced. Especially full women tend to him and those who severely restrict their diet.

Such phenomena are associated with changes in hormonal levels, which leads to increased appetite, mood swings, constipation during menstruation, edema, and other troubles. Even women who can cope with their appetite can gain up to a kilogram of excess weight during this period. If you succumb to the desires of the body, you can gain 3 kg or more. In this case, weight gain is often combined with edema and constipation during menstruation.

To cope with the problems that arise during the period before the beginning of the next monthly cycle, you need to follow certain recommendations:

It is necessary to control your weight. It is desirable to do this at least once a month. The most appropriate is considered the day immediately after menstruation. On a selected day of the cycle, each month should be weighed, record the result obtained and compare it with those obtained earlier. If the weight does not increase, it means that there are no special problems. Mood swings - not a reason to have everything. Changes in hormonal levels lead to increased appetite and a constant desire to eat something. This can lead to weight gain and the formation of constipation during menstruation. Be sure to follow the diet and diet. In the period before the menstrual period, traction is often awakened specifically for “harmful” high-calorie foods, such as sausages, cheese, lard, fatty meats, mayonnaise, alcohol, sweets, sweets and so on. To reduce the consumption of such products by removing them from home. To do this, talk to your family members and ask them to introduce some dietary restrictions. To cope with weakness, dizziness, drowsiness will help balanced diet. After all, during a woman's menstruation, she loses approximately 100-150 ml of blood, which can lead to the occurrence of these unpleasant symptoms. Especially the girls, who severely limit their diet, and hunger strikers, who often experience anemia, are prone to them. As a result, iron deficiency is formed in the female body, and this causes an increase in appetite. Если же диета сбалансирована и содержит достаточно железа, то такие неприятные явления могут совсем не наблюдаться. Proper nutrition.The diet of women in the period before menstruation and during them, if possible, should include lean meats, livers of any kind, pastes, and various boiled clams. It is useful to use salmon, poultry, eggs, especially quail, dried fruits, nuts, wheat bran and other products with high iron content.

Constipation before menstruation

The body of a woman and her physiology are arranged in such a way that cyclical hormonal changes associated with menstruation are characteristic of her. In addition to monthly bleeding and malaise, there may be other unpleasant symptoms. One of them is constipation during menstruation, which is very difficult to get rid of even with the help of special laxatives. This phenomenon is very common and occurs in many women. There are various methods for treating such a condition.

Traditional methods of treating constipation during menstruation

Causes of constipation becomes hormonal changes in the body before the onset of menstruation. Traditional methods and medical drugs can not cope with the problem. However, constipation quickly disappears immediately after the onset of menstruation and some time later. Up to this point, you can try to change the diet and put into the diet prunes, grapefruits, plums or other products with a pronounced laxative effect. This can reduce the appearance of constipation or even completely eliminate it.

What else can you do

Experts recommend to get rid of constipation to increase the use of natural dairy yogurt and products that contain a lot of fiber. You can drink and yogurts sold in stores, but it is advisable to cook them yourself, especially since today there is a kitchen appliance that allows you to do this easily and without problems. It is useful to add prunes to yogurt, it will increase its effectiveness.

Another means to alleviate the problem of constipation, is considered red tea "karkade". To get rid of constipation with menstruation, it is enough every day to drink half a cup of tea in the morning and evening, starting a week before the intended menstruation.

In severe cases, when there is pain in the abdomen and discomfort, and no laxatives do not help, you should use an enema. This method of treating constipation is most effective. However, they should not be abused either, as this can be addictive and aggravate the problem of constipation, making it chronic.

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Constipation in women

A large number of women complain of severe constipation 6–8 days before the onset of critical days, even if on normal days the stool is up to two times a day. Disorder of the digestive tract and intestines during the PMS is a common phenomenon, which manifests itself:

increased appetite, thirst, delayed stool, diarrhea.

One part complains of loose stools, the other suffers from low intestinal motility. With monthly periods, both of these phenomena are normalized and the intestines begin to work stably. What provokes the body to such work the digestive tract?

Causes of slow bowel movement

The main reason for the malfunction of the digestive tract before menstruation is:

changes in hormonal levels, pressure of the uterus filled with blood, decrease in motor activity (peristalsis) of the intestines, changes in salt metabolism, accumulation of body fluid in the tissues.

Why constipation is considered far from a harmless deviation from the norm? Because fecal masses, as waste material, must be removed daily by the body. A person risks poisoning his body with prolonged constipation.

Weight gain before menstruation

Women who track their weight, notice a significant increase in weight before the arrival of menstruation. He is recruited, as many think, for no reason at all. Physical activity is still the same, nutrition is balanced and caloric content is stable, and a weight of 2-3 kg can take off during the period of PMS.

Before the end of the cycle, hormone levels increase. They provoke the body to accumulate fluid. These are the features of the effect of progesterone and estrogen - to accumulate moisture, to require additional food, to squeeze everything for the accumulation of useful substances.

As hormones change, the intestines revise their work. Water is completely absorbed into the walls, the chair is formed very dense. Peristalsis, due to the enlarged uterus, becomes more sluggish, the passage of fecal masses slows down. A few days of the bowel in this mode gives a strong constipation.

Due to accumulated excess fluid, congestion in the intestines, abdominal distention, physiological weight gain appears. As soon as the monthly cycle comes to an end, the body weight is restored, the stool is normalized.

What's happening

During the period of PMS, the level of progesterone increases, and during menstruation the hormonal background sharply decreases, which causes intestinal spasms. Constipation during menstruation can cause the following physiological factors:

  • endometrial tissue rejection at the beginning of the cycle, increase in size of the uterus, rush of blood to the pelvic organs - all this increases the pressure on the intestine,
  • decrease in peristalsis due to changes in hormonal levels,
  • in the premenstrual period in the body fluid retention occurs. With the onset of menstruation, hormone levels fall, water goes away, sodium accumulates in the kidneys, which causes swelling of fiber around the uterus. The violation of the water-salt balance begins, which provokes the drying of the fecal masses, and they hardly move along the intestine.

Other common causes of delayed stool include: change in nutrition and food addiction girls during menstruation, binge eating, consumption of harmful foods and drinks. Psychological state women on critical days can also affect the digestive tract.

Problems of delayed stool, bloating and flatulence during the period of PMS and at the beginning of the menstrual cycle, caused by hormonal changes, are episodic. If constipation torments a woman not only during menstruation, but also on the other days of the cycle, then the cause is most likely not a change in hormonal levels, but pathological conditions of the body.


The problem of stool retention from an episodic one can develop into a chronic stage. To avoid this, do not need to resort to laxative drugs that are addictive and contribute to the atrophy of the muscles of the intestine. Constipation during menstruation is most often caused by hormonal jumps, so this problem is difficult to solve. Basic preventive measures should improve the digestion, but if it is not possible to alleviate the condition on your own, you need to resort to the help of a gastroenterologist or gynecologist.

Symptoms of PMS

Constipation during menstruation or in front of them is not a rare problem in girls. But it should be said that this is not the only unpleasant moment that ladies face. The very process of "blood loss" is accompanied by pain and weakness.

But the period before menstruation, it is also called PMS (pre menstrual syndrome), so generally brings a lot of inconvenience, namely:

  • there is an increase in weight, even with a normal diet,
  • abdominal distention appears
  • many girls increase their appetite, up to the round-the-clock zhora,
  • swelling appears
  • there is constipation, less diarrhea,
  • growing weakness
  • girls become irritable, angry, others, on the contrary, are more sensitive, even whiny,
  • headaches may occur.

How to get rid of constipation?

Because of constipation, the girls feel a lot of discomfort - abdominal pain, gas, feeling unwell, rash on the face. Eliminating such constipation is not very difficult, although most often it goes away on its own after a week. The principles of constipation during menstruation work as well as prevention to prevent stool retention.

Therefore, girls should take these rules as a basis and begin to follow them in the second half of the cycle to prevent constipation.

The desire to eat everything that you want strongly, but it should be overcome, if you do not want to later lie on the couch, clutching at the stomach. Girls need to know what can and should be eaten before menstruation, and what products should be completely abandoned.