Conversation: The conversation between human and AI assistant.
[|Human|] i am having pain in my back and lower abdomen ..i had it few days back also.i went for an ultrasound also.but the reports are normal.when the pain starts i cannot even turn .it becomes very serious.i had some antibiotics thinking it to be urinary track infection.the pain is like the pain i have during periods.it is already time i have my periods but i still did not have it.i am 24 yers old
[|AI|]  Hi, thank you for your query. Lower back pain and abdominal pain before periods is called Amenorrhea. Menstrual pain is due menstrual uterine contractions, which are generally of higher strength, duration and frequency than in the rest of the menstrual cycle. Dysmenorrhea can feature different kinds of pain, including sharp, throbbing, dull, nauseating, burning, or shooting pain. Dysmenorrhea may precede menstruation by several days or may accompany it, and it usually subsides as menstruation tapers off. It is often associated with changes in hormonal levels in the body that occur with ovulation. It is not a serious condition but requires attention. A specific medical history of symptoms and menstrual cycles and a pelvic exam should be done. Initially for the pain, NSAIDs or COX-2 inhibitors can be used. Thank you, wishing you good health.