This type of pain, radiating from the rectum to the vaginal area, can be caused by pelvic muscle spasms or underlying conditions like endometriosis flare-ups during your period. Since the mefenamic acid and dicyclomine in Meftal Spas are not helping, please avoid taking extra doses. I highly recommend consulting your gynecologist for a proper evaluation. They can help identify the exact cause and prescribe more effective, targeted treatments. In the meantime, a warm bath or heating pad may help soothe the muscles.

While Meftal Spas (which contains dicyclomine and mefenamic acid) is effective for period pain, using it as an injection is generally not recommended for routine menstrual pain at home. Injections carry risks like localized pain or infection and should be administered under medical supervision. Since swallowing pills is uncomfortable, please consult your healthcare provider. They can suggest much safer and more convenient alternatives, such as liquid formulations, soluble options, or even simple heat therapy,

Your constant tiredness and constipation are classic symptoms of an underactive thyroid (hypothyroidism). While Meftal Spas (which contains dicyclomine) can sometimes cause constipation, it is less likely to cause ongoing fatigue if you only take it occasionally for period pain. I recommend speaking with your doctor to check your thyroid levels (TSH), as your thyroid medication may just need a slight adjustment. In the meantime, try increasing your daily fiber intake, staying well-hydrated, and getting gentle exercise to help with digestion.

Mefenamic acid is generally not recommended in early pregnancy as it may pose risks to your developing baby. Regular stomach pain during these early weeks should always be evaluated by your obstetrician to ensure you and your baby are safe and healthy. Please consult your doctor before taking any medication so they can recommend a safe, gentle alternative for your comfort.

Since standard medications aren't helping, it is very important to see a gynecologist to investigate underlying causes, such as endometriosis. Clinical options include prescription-strength anti-inflammatories, hormonal therapies (like generic oral contraceptives or progestins) to help regulate or suppress your cycle, and generic antiemetics (like ondansetron) to control the vomiting. For temporary relief, applying continuous heat to your lower back and abdomen can help soothe the muscles.

Repeated pain in a child needs proper diagnosis to find the exact cause, and using Meftal Spas without medical advice is not recommended because self-medication can hide symptoms and delay correct treatment. A doctor should examine her to identify the root cause of the pain and then decide if this medicine or any other treatment is safe and appropriate for her.