Since you are still experiencing abdominal pain and vomiting despite taking ondansetron (Ondem MD) and mefenamic acid with dicyclomine (Meftal Spas), it is very important to be evaluated by a doctor right away. At 68, persistent vomiting can quickly lead to dehydration. Please visit the nearest clinic or emergency room. Avoid taking more oral medications for now, as your stomach needs to rest. The medical team can safely administer intravenous (IV) fluids and medications to relieve your symptoms and identify the underlying cause.

While this medication helps temporarily manage cramps, finding a permanent solution starts with identifying the root cause, such as endometriosis or hormonal imbalances. A gynecologist can help evaluate this. Long-term management options often include generic hormonal treatments (like oral contraceptive pills or a hormonal intrauterine device) to lighten periods, or lifestyle modifications. Please schedule a consultation with a specialist.

It is best to avoid alcohol tonight. Meftal Spas contains mefenamic acid and dicyclomine. Combining this medication with alcohol can increase your risk of stomach upset or irritation, and it might make you feel unusually drowsy or dizzy. Since you took the tablet just an hour ago, it is fully active in your system. Please skip the alcohol for now, stay hydrated, and rest.

Pain during menstruation is usually managed with over-the-counter pain relievers that reduce cramps and inflammation. Other measures may also help, such as a warm compress, light exercise, and hydration. Consult your doctor if the pain is severe or not relieved by these methods.

Meftal Spas (which contains the generic ingredients mefenamic acid and dicyclomine) is generally safe to use for period pain, even if you have a breast lump. This medication is a pain reliever and muscle relaxant; it does not contain any hormones and will not cause hormonal changes that could affect or grow your breast lump. While it is safe for pain relief, please ensure you have the breast lump evaluated by a healthcare professional for an accurate diagnosis.

A missed period, especially when combined with constipation and stomach pain, can often be linked to hormonal changes. First, I highly recommend taking a home pregnancy test, as early pregnancy is a common cause for these combined symptoms. Other possibilities include hormonal imbalances or irritable bowel syndrome. Since Meftal Spas only gave temporary relief, please avoid self-medicating further. Focus on drinking plenty of water and eating fiber-rich foods to help with constipation. I gently encourage you to consult a healthcare professional or a gynecologist for a proper evaluation and a safe treatment plan.