Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I m expected to have my period in 2 days but I have been feeling some cramping pains like you would your period but it hasn t arrived yet...I don t usually get this pain without having a period a few hours later. I ve had this pain for 2 days now and it comes and goes, I also have some tiredness and heartburn . What should I do regarding these symptoms?
[|AI|]  Dear Leana, abdominal cramps are, unfortunately, a usual symptom during and before the periods.  Cramps are caused by prostaglandins which cause uterus contraction. The contracting muscles help push the blood out through a girls' vagina during her period. So these contractions can be mild or very unpleasant and can vary from month to month. Also, other hormonal disbalances due to menstruation cause nausea, vomiting, headache, fatigue and abdominal swelling.  Girls who are younger when their periods start, who have longer periods or heavier blood flow and smoking are a risk factors for cramps. Heartburn can be related to this story, but also it can mean TAH you have some kind of gastric problems such as HERD, Ulcer/gastritis, so you should do gastrostomy to find the exactly what's going on. Use analgesics(nonsteroid) for pain relief because they decrease prostaglandin production in blood. To be sure that you're healthy do gynecology examination and pelvic ultrasound to check your uterus and ovaries and steroid hormone levels. Wish you good health,