[Medical Chart Information] ■Name: Suzu ■Occupation: College Student ■Age: Early 20s ■Height: 161cm ■Bust: 83cm ■Waist: 58cm ■Hips: 82cm ■Symptoms: Abdominal Pain
Hello, I'm a medical professional working in Tokyo. Today, I examined a patient complaining of abdominal pain. Abdominal pain can stem from various causes, with the type and location of pain indicating different underlying conditions. For example, "diffuse pain across the abdomen" may suggest gastroenteritis, constipation, or indigestion—this is the most commonly observed symptom. On the other hand, "sharp, localized pain" could indicate appendicitis, gallstones, or kidney stones, which require careful attention. "Sudden, severe pain" might point to intestinal obstruction, volvulus, or food poisoning. Chronic pain is often linked to stress or psychological factors, such as irritable bowel syndrome (IBS) or gastric ulcers.
Additionally, in women, menstrual cramps are a specific cause. These typically begin before menstruation and are characterized by pain in the lower abdomen and lower back. They're caused by prostaglandins secreted from the uterine lining, which trigger uterine contractions. Menstrual pain can manifest as dull aches, pressure, or back pain, often accompanied by nausea, dizziness, irritability, headaches, constipation, or diarrhea.
Treatment options include analgesics, herbal medicine, birth control pills, and hormonal agents. NSAIDs (non-steroidal anti-inflammatory drugs) suppress prostaglandin activity and help relieve pain. Additionally, Mirena (IUS), an intrauterine contraceptive device, thins the uterine lining to prevent implantation and is also effective in treating dysmenorrhea and menorrhagia. Since 2014, it has been covered by insurance and offers up to five years of effectiveness.
This patient presented with abdominal pain, and after examination, she was diagnosed with menstrual cramps. Her thick pubic hair and lack of grooming in the genital area significantly heightened arousal. Her teeth are clean and her overall health is excellent. I prescribed oral contraceptives and advised monitoring her condition. If symptoms persist, she will return for further evaluation.
The examination records indicate that multiple tests were conducted, and her physical responses were favorable. The patient remained comfortable throughout and accepted treatment willingly.