Does soaking feet in hot water work for menstrual cramps?

Written by Huang Shuai
Obstetrics and Gynecology
Updated on December 31, 2024
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During menstrual cramps, soaking feet in hot water can promote blood circulation and somewhat relieve the pain. However, applying a hot water bottle to the abdomen is more effective as it raises the local temperature, which enhances local blood circulation and helps alleviate menstrual pain. The principle behind this is that the occurrence of menstrual cramps is due to an increase in prostaglandin levels in the blood during menstruation, leading to muscle contractions and even spasms, causing pain. Applying heat locally through methods like hot compresses can maintain high temperatures and promote blood circulation, facilitating the metabolism of prostaglandins and the relief of muscle spasms, thereby reducing or alleviating pain.

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Does dysmenorrhea affect pregnancy?

Whether dysmenorrhea affects pregnancy cannot be generalized. Dysmenorrhea can be divided into primary dysmenorrhea, which is physiological, and secondary dysmenorrhea. Primary dysmenorrhea refers to cases where there are no pathological changes in the female reproductive organs, and the pain is solely due to uterine contractions during menstruation, commonly seen in adolescent girls. Moreover, conditions such as adenomyosis, severe uterine fibroids, and endometriosis can also cause pain and are associated with changes in the uterus, which can affect pregnancy. However, primary, functional dysmenorrhea generally does not impact the ability to conceive. Thus, whether dysmenorrhea affects pregnancy depends on the specific circumstances.

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How to treat dysmenorrhea?

If menstrual pain is severe, initial treatment can often include heat therapy, such as using a hot water bottle or applying a warm bottle to the abdomen, and soaking feet in warm water. Heat therapy generally provides quick relief from the spasm of smooth muscles, and alleviates pain. Menstrual pain is primarily caused by the contraction and spasm of smooth muscles. In severe cases, painkillers may be necessary, but they can potentially harm the stomach and have other side effects, so they are generally not the first choice. To manage menstrual symptoms, it is important to keep warm before and during the menstrual period, avoid getting chilled, maintain regular exercise, and work on improving overall physical health.

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Written by Xia Min
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How to regulate menstrual pain caused by a cold uterus?

For menstrual pain due to a cold uterus, the commonly used gynecological formula "Wen Jing Tang" is typically selected. Wen Jing Tang is a standard formula for regulating menstruation and is generally used for cold uterus and painful menstruation due to a deficiency-cold in the Ren and Chong meridians with blood stasis. Its main ingredients include Evodia, Ophiopogon, Cinnamon Twig, Angelica, Chuanxiong, Peony, Moutan Bark, Donkey-hide Gelatin, Ginseng, Licorice, Pinellia, and Ginger. If there is severe cold pain in the lower abdomen, Moutan Bark and Ophiopogon are removed and Artemisia leaves are added, or Cinnamon is used instead of Cinnamon Twig to enhance the effect of dispelling cold and relieving pain. If there is abdominal distension, Cyperus and Lindera are added.

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Written by Zhang Xiu Rong
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Can I take painkillers for menstrual cramps?

Patients with dysmenorrhea usually take painkillers when the pain is severe. Dysmenorrhea is generally treated with painkillers which relieve symptoms but do not address the root cause. If the pain during menstruation does not alleviate, it's not advisable to continually use painkillers. Therefore, before taking painkillers again, it is crucial to undergo relevant examinations to identify the cause of the dysmenorrhea. If the pain is caused by a cold uterus, it is advisable to take medicine that warms the meridians, dispels cold, and relieves pain, and to manage the condition regularly. If the dysmenorrhea is caused by stagnation of Qi and blood stasis, one can take medicine that activates blood circulation, removes blood stasis, and relieves pain before the onset of the next menstruation to properly manage the symptoms. Thus, severe pain can be managed with painkillers. For minor abdominal discomfort, observing the situation generally suffices. If dysmenorrhea gradually worsens, it is essential to visit a hospital for an ultrasound to check for endometriosis. Painkillers can be used during painful episodes of dysmenorrhea, but other times should be managed with appropriate medicines. (Please take medications under the guidance of a physician and do not self-medicate.)

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Can you drink milk during menstrual cramps?

Generally, it is okay, but it is recommended to heat the milk before drinking to avoid catching a cold. During menstruation, women can drink a cup of hot milk before going to bed each night, which can help with sleep and alleviate symptoms of painful menstruation. Dysmenorrhea is a common gynecological condition in women, characterized by pain in the lower abdomen, bloating, accompanied by backache or other discomforts before and during menstruation, which in severe cases can affect the quality of life. During menstruation, it is important to maintain a regular schedule, avoid staying up late, avoid consuming spicy and stimulating foods, and refrain from eating cold foods such as ice cream. It is also important to keep the abdomen warm, possibly using a hot water bottle to apply heat to the abdomen.