There are many things that can be done in the premenstrual and menstrual period to try and alleviate your symptoms. You can alter your diet to include lots of high-fiber foods, whole grains, and vegetables, and limit intake of extra salt, dairy, sugar, alcohol, spicy foods, and caffeine. You can manage or decrease stress by using relaxation techniques such as yoga or meditation or by talking with someone. Regular exercise is also recommended during your premenstrual and menstrual period, which can help reduce stress and help your digestive system function more smoothly. Keeping a diary of your GI symptoms prior to and during your period may help you identify patterns with symptoms and food/exercise/behaviors and then a plan can be developed to optimize or avoid certain things during these times to minimize symptoms. Some people's menstrual symptoms may improve by taking medications such as Advil or Aleve (non-steroidal anti-inflammatory drugs or NSAIDs) that decrease prostaglandin levels. These medications are relatively well tolerated with short-term use, although they can upset the stomach and are best taken with a small amount of food. Contraindications to use of NSAIDs include: pregnancy, history of stomach or intestinal ulcers, asthma, bleeding abnormalities, and history of allergy to this type of drug. For more information on whether this type of medication is safe for you to take, you should consult with your primary care physician.
Heart, liver , or kidney disease . Sometimes swelling can indicate a problem such as heart, liver , or kidney disease. Ankles that swell in the evening could be a sign of retaining salt and water because of right-sided heart failure . Kidney disease can also cause foot and ankle swelling. When kidneys are not functioning properly, fluid can build up in the body. Liver disease can affect the liver's production of a protein called albumin, which keeps the blood from leaking out of the blood vessels into the surrounding tissues. Inadequate albumin production can lead to fluid leakage. Gravity causes fluid to accumulate more in the feet and ankles, but fluid can also accumulate in the abdomen and chest. If your swelling is accompanied by other symptoms, including fatigue , loss of appetite, and weight gain, see your doctor right away. If you feel short of breath or have chest pain , pressure, or tightness, call 911.
Hi, I have mild cardiovascular disease but am only in my mid-fifties. I am very slim, extremely fit, vegan, with a great HDL and triglycerides profile and fabulous HDL/LDL ratio (so clearly my problem is not dietary) but have high LDL cholesterols for familial/genetic reasons as well as high BP. Doctors have tried me with statins (just 8 weeks’ use caused muscle damage and inflammation as well as abnormal liver function tests) and I cannot take ezetimibe (ezetrol) to lower my LDLs as it causes tingling in my extremities and severe depression (suicidal ideation.) I have some pueraria mirifica, bought originally for breast enhancement and daren’t use it, in case it makes my atherosclerotic plaques worse, because my GP said I can’t take HRT owing to my existing cardiovascular plaques. I’ve heard that PM improves your lipids profile, though (and in my case could resolve some of the breast and skin looseness problems I’m having post-menopause) and wondered if it might be safe to take in patients with existing atherosclerosis whereas conventional HRT is not. Does anyone in a similar position or know anything about this?