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[|Human|] My daughter age 19 suffers extreme/severe abdominal pain on the first day and the next half day of her periods. This has started for the las two years. On once occasion she fainted because of the pain. She was prescribed METFAL when she has the pain. However, this seems non effective when she has the pain. One doctor said Cyclopam is not to be used in such cases. One doctor said that this happens in girls closer to their marriage. Need advise on what medication to follow and if any tests are needed. Swapnil
[|AI|]  Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  Your daughter is suffering with pain abdomen, during the first one and half day of the period. Once she fainted with pain. Used metal but not effective now.  The condition is called dysmonerrhoea, causes may be anemia, pelvic infection, P.C.O.S. etc. I advise you to consult a gynecologist for diagnosis and treatment. She may need to have a trans vaginal ultrasound besides other routine tests for confirmation. She may need to be treated for anemia, and infection. Furthermore, she can use dicyclomine and metonymic acid combination for temporary relief.  Wishing for a quick and complete recovery.  Best regards.