Hello doctor,My 17 years old daughter had her periods last month as normal for six days. After 10 days, she suddenly got bleeding again. Apparently, it looks like periods. Is it normal? She had this problem of having her periods occurring quite frequently twice a month, but since last year it was going fine. Once a month, just that first two days are very painful with vomiting. I am worried if I need to take her to the hospital for a checkup.
Hi. These are teenager menstrual cycles. They can have frequent cycles and anovulatory cycles with premenstrual syndrome (having multiple cyclic symptoms near and around periods like abdominal cramps, mood variations, vomitings, nausea, etc. Yes, you should have a check-up as well but have some precautions also. When she is having periods have simple tablet Ponstan (Mefenamic acid) 500 mg from day two to day five or if symptomatic, can have for total five days eight hourly it will not only reduce pain but also blood flow. For vomitings as well she can have antiemetic like tablet Cyclizine 50 mg eight hourly half an hour before meals. There are many hormonal medications to prevent symptoms as you described but along with Ponstan in menses day you can give her tablet Primolute N (Norethisterone) 10 mg twice daily from day five to day 24 for total three cycles to regulate cycles. She should have it on supplements to prevent anemia as having recurrent bleeding. She should have complete blood count, thyroid function test to check any abnormality in thyroid and any clotting disorder or anemia. Better to have one abdominal scan if not sexually active with a full bladder. I have considered her virgin. For patient sexually active have different investigations (like transvaginal scan, cervical smear, high vaginal swab, etc). Have healthy nutritious diet with less salt, sugar, oil, and spice. Have daily exercise, yoga or walk. Have recreational activities to have nice emotional health. Collect laboratory reports and discuss with gynecologist here or local. For more information consult an obstetrician and gynecologist -->