Can you get diarrhea from your period. Managing Diarrhea During and Before Your Period: Causes and Solutions

25.10.202108.06.2023 by alexxlab

Can diarrhea be caused by menstruation. What are the reasons for experiencing diarrhea before and during periods. How can period-related diarrhea be managed effectively. What dietary changes can help alleviate menstrual diarrhea. Are there any long-term solutions for recurring period-related diarrhea.

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The Link Between Menstruation and Digestive Disturbances

Many women experience digestive issues, particularly diarrhea, in connection with their menstrual cycle. This phenomenon, while uncomfortable, is quite common and usually not a cause for serious concern. Understanding the relationship between menstruation and gastrointestinal symptoms can help in managing these issues more effectively.

A 2014 study involving 156 women revealed that abdominal pain and diarrhea were the most prevalent period-related gastrointestinal symptoms. Specifically, 24% of participants reported diarrhea before the onset of their periods, while 28% experienced it during menstruation. Interestingly, those who reported feelings of depression or anxiety had even higher rates of GI symptoms.

The Role of Prostaglandins in Menstrual Diarrhea

The primary culprit behind period-related diarrhea is believed to be prostaglandins. These hormone-like substances are released before menstruation and play a crucial role in the menstrual process. But how exactly do prostaglandins affect the digestive system?

Prostaglandins cause contractions in the uterus to help shed its lining.
They can also trigger contractions in the intestines, leading to various GI symptoms, including diarrhea.
These substances reduce the intestine’s rate of food absorption, causing food to pass through the colon more quickly.
Prostaglandins can increase electrolyte secretions in the intestines, potentially resulting in diarrhea.

Managing Period-Related Diarrhea: Practical Tips

Dealing with diarrhea during your period doesn’t have to be a monthly ordeal. There are several strategies you can employ to alleviate symptoms and maintain comfort:

Stay hydrated: Drink plenty of fluids to counteract fluid loss from diarrhea. Aim for pale yellow urine as a sign of adequate hydration.
Modify your diet: Avoid foods known to exacerbate diarrhea, such as artificial sweeteners, caffeine, dairy products, spicy foods, and very sugary items.
Consider over-the-counter medications: In severe cases, anti-diarrheal medications like loperamide (Imodium) may provide relief.
Pain management: OTC pain relievers such as ibuprofen can help with menstrual cramping and potentially reduce prostaglandin production.

The Potential of Birth Control in Regulating Menstrual Symptoms

For those experiencing severe or persistent menstrual-related diarrhea, birth control pills may offer a solution. How can hormonal contraceptives help with this issue?

Birth control pills can help regulate the menstrual cycle, potentially reducing the occurrence of diarrhea.
Some women opt to skip the placebo week of pills, effectively eliminating their period and associated symptoms.
By regulating hormonal fluctuations, birth control can lead to fewer episodes of diarrhea.

It’s important to consult with a healthcare provider to determine if birth control is a suitable option for managing your menstrual symptoms, including diarrhea.

The Impact of Stress on Menstrual Symptoms

Stress and anxiety can significantly exacerbate menstrual symptoms, including cramping and diarrhea. Implementing stress-reduction techniques can be beneficial in managing these issues. Here are some strategies to consider:

Meditation: Dedicate 10 minutes daily to meditation, which can help focus your mind and reduce stress. Meditation apps can be helpful for beginners.
Digital detox: Set a specific time each evening to unplug from electronic devices, allowing your mind to quiet down and reduce stress levels.
Exercise: Regular physical activity, even as simple as a 15-minute walk outdoors, can significantly help in stress relief.
Professional help: If stress management becomes overwhelming, consider seeking help from a therapist or mental health professional to develop effective coping strategies.

Dietary Approaches to Mitigate Period-Related Diarrhea

Adapting your diet before and during your menstrual cycle can help reduce the likelihood and severity of diarrhea. What dietary changes can be beneficial?

Increase fiber intake: A few days before your period, start consuming more fiber-rich foods. Fiber adds bulk to stool, making it more solid and potentially reducing diarrhea.
Probiotic-rich foods: Incorporating yogurt, kefir, or other probiotic-rich foods can help maintain a healthy gut flora, potentially reducing digestive disturbances.
Hydrating foods: Consume water-rich fruits and vegetables to support hydration while providing essential nutrients.
Avoid trigger foods: Pay attention to foods that seem to worsen your symptoms and avoid them during your menstrual cycle.

When to Seek Medical Attention for Menstrual Diarrhea

While period-related diarrhea is usually not a cause for concern, there are instances when medical attention may be necessary. When should you consult a healthcare professional about menstrual diarrhea?

If diarrhea is severe or persists beyond your menstrual cycle
When accompanied by severe pain, fever, or bloody stools
If you experience significant weight loss or dehydration
When over-the-counter remedies and lifestyle changes do not provide relief
If diarrhea significantly impacts your quality of life or daily activities

A healthcare provider can help determine if your symptoms are related to your menstrual cycle or if there’s an underlying condition that needs attention.

Long-Term Strategies for Managing Recurring Menstrual Diarrhea

For those who experience diarrhea as a regular part of their menstrual cycle, developing long-term management strategies can be crucial. What approaches can be effective for ongoing management of this issue?

Keeping a symptom diary: Track your symptoms, diet, and stress levels throughout your cycle to identify patterns and potential triggers.
Regular exercise: Maintaining a consistent exercise routine can help regulate hormones and reduce stress, potentially alleviating menstrual symptoms.
Nutritional counseling: Working with a nutritionist can help develop a diet plan that supports digestive health and minimizes menstrual-related GI issues.
Stress management techniques: Incorporate stress-reduction practices into your daily routine, such as yoga, mindfulness, or regular relaxation exercises.
Hormonal balance: Consider discussing options for hormonal regulation with your healthcare provider, which may include birth control or other hormonal treatments.

By implementing these strategies and working closely with healthcare professionals, many women find they can effectively manage and reduce the impact of period-related diarrhea on their lives.

The Role of Hormonal Fluctuations in Digestive Health

Understanding the broader impact of hormonal changes on digestive health can provide valuable insights into managing menstrual-related diarrhea. How do hormones affect the digestive system throughout the menstrual cycle?

Estrogen and progesterone levels fluctuate throughout the cycle, influencing gut motility and sensitivity.
During the luteal phase (after ovulation), some women may experience constipation due to increased progesterone levels.
As estrogen and progesterone levels drop before menstruation, it can lead to increased gut motility and potentially diarrhea.
These hormonal changes can also affect the gut microbiome, potentially influencing digestive health and symptoms.

Recognizing these hormonal influences can help in tailoring management strategies to specific phases of the menstrual cycle.

Alternative Therapies for Menstrual Symptom Relief

While conventional methods are effective for many, some women find relief through alternative therapies. What alternative approaches might help with menstrual-related diarrhea?

Acupuncture: Some studies suggest acupuncture may help regulate menstrual symptoms, including digestive issues.
Herbal remedies: Certain herbs like chamomile or peppermint may help soothe digestive discomfort.
Essential oils: Aromatherapy using oils like lavender or ginger might help alleviate stress and digestive symptoms.
Dietary supplements: Supplements such as calcium or magnesium might help with menstrual symptoms for some women.

It’s important to consult with a healthcare provider before starting any alternative therapies, especially if you’re taking other medications.

The Connection Between Menstrual Diarrhea and Other Health Conditions

For some women, menstrual-related diarrhea may be linked to or exacerbated by underlying health conditions. What conditions might be associated with increased digestive symptoms during menstruation?

Irritable Bowel Syndrome (IBS): Women with IBS often report worsened symptoms during their menstrual periods.
Endometriosis: This condition can cause digestive symptoms that may worsen during menstruation.
Inflammatory Bowel Disease (IBD): Some women with IBD experience flare-ups coinciding with their menstrual cycle.
Thyroid disorders: Hormonal imbalances associated with thyroid conditions can affect both menstrual and digestive functions.

If you suspect an underlying condition may be contributing to your menstrual symptoms, it’s crucial to discuss this with a healthcare provider for proper diagnosis and treatment.

The Impact of Lifestyle Factors on Menstrual Symptoms

Various lifestyle factors can influence the severity of menstrual symptoms, including diarrhea. How can lifestyle choices affect period-related digestive issues?

Sleep quality: Poor sleep can exacerbate stress and hormonal imbalances, potentially worsening menstrual symptoms.
Alcohol consumption: Drinking alcohol can irritate the digestive system and may worsen menstrual diarrhea.
Smoking: Tobacco use can affect hormone levels and exacerbate menstrual symptoms.
Physical activity: Regular exercise can help regulate hormones and reduce the severity of menstrual symptoms.
Stress management: Chronic stress can worsen both menstrual and digestive symptoms.

By addressing these lifestyle factors, many women find they can significantly improve their overall menstrual experience, including reducing the occurrence of diarrhea.

The Role of Gut Health in Menstrual Symptom Management

Maintaining a healthy gut microbiome can play a crucial role in managing menstrual symptoms, including diarrhea. How can supporting gut health help with period-related digestive issues?

Probiotic supplements: These can help maintain a balanced gut flora, potentially reducing digestive disturbances.
Prebiotic foods: Consuming foods rich in prebiotics can support the growth of beneficial gut bacteria.
Fermented foods: Including items like kimchi, sauerkraut, or kombucha in your diet can promote gut health.
Diverse diet: Eating a wide variety of plant-based foods can help maintain a diverse and healthy gut microbiome.

By focusing on gut health, many women find they can improve their overall digestive function and potentially reduce the severity of menstrual-related symptoms.

The Psychological Aspect of Menstrual Symptoms

The mind-body connection plays a significant role in how we experience menstrual symptoms, including diarrhea. How can addressing psychological factors help in managing these issues?

Cognitive Behavioral Therapy (CBT): This type of therapy can help change negative thought patterns and behaviors associated with menstrual symptoms.
Mindfulness practices: Techniques like mindfulness meditation can help reduce stress and improve the perception of menstrual discomfort.
Positive self-talk: Developing a more positive attitude towards menstruation can help reduce anxiety and potentially alleviate symptoms.
Support groups: Connecting with others who experience similar issues can provide emotional support and practical tips for symptom management.

Addressing the psychological aspects of menstrual symptoms can lead to a more holistic approach to managing period-related diarrhea and other discomforts.

Exploring Emerging Research on Menstrual Health

As scientific understanding of menstrual health continues to evolve, new insights and potential treatments are emerging. What are some areas of ongoing research that might benefit those experiencing menstrual-related diarrhea?

Microbiome studies: Research into the relationship between gut bacteria and menstrual symptoms may lead to new probiotic treatments.
Hormonal therapies: Advancements in hormonal treatments could provide more targeted relief for menstrual symptoms.
Nutritional interventions: Studies on specific dietary compounds and their effects on menstrual health may lead to new dietary recommendations.
Wearable technology: Development of devices that track hormonal changes could help predict and manage menstrual symptoms more effectively.

Staying informed about these emerging areas of research can help individuals make more informed decisions about their menstrual health management strategies.

The Importance of Open Communication About Menstrual Health

Breaking the taboo around menstrual health discussions is crucial for improving understanding and management of symptoms like period-related diarrhea. How can fostering open dialogue benefit individuals and society?

Increased awareness: Open discussions can lead to better recognition and understanding of menstrual health issues.
Improved education: More open dialogue can result in better education about menstrual health in schools and communities.
Reduced stigma: Breaking down barriers to discussion can help reduce the stigma associated with menstrual symptoms.
Better healthcare: Open communication can lead to improved patient-doctor discussions and potentially better treatment outcomes.

By promoting open and honest conversations about menstrual health, including symptoms like diarrhea, we can work towards better understanding, management, and overall quality of life for those who menstruate.

Diarrhea During Period and Before Period: How to Manage It

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Medically reviewed by Debra Sullivan, Ph. D., MSN, R.N., CNE, COI — By Rachel Nall, MSN, CRNA on June 28, 2019

It’s not exactly pleasant, but it’s normal to have diarrhea before and during your period. The same hormonal changes that cause your uterus to contract and shed its lining can also affect your gastrointestinal (GI) tract.

While it usually isn’t anything to worry about, there are steps you can take to either prevent or reduce diarrhea related to your period.

Experts don’t know exactly why some people have diarrhea during their periods and others don’t. Most believe it’s closely related to an increase in hormones called prostaglandins, which are released before your period.

Prostaglandins cause contractions that help your uterus shed its lining. Sometimes, they also cause contractions in your intestines, which can cause a range of GI symptoms, including diarrhea.

They also reduce the intestine’s rate of food absorption, which makes food pass through your colon faster. Prostaglandins can also increase electrolyte secretions, which can lead to diarrhea.

It’s a pretty common issue, too. A 2014 study involving 156 women found that abdominal pain and diarrhea were the most common period-related GI symptoms.

Of the women surveyed, 24 percent reported diarrhea before starting their periods, and 28 percent experienced diarrhea symptoms during their periods. Those with feelings of depression or anxiety reported even higher rates of GI symptoms.

You can treat period-related diarrhea the same way you would any other bout of diarrhea.

First, make sure you’re drinking plenty of fluids to counteract the fluid loss from diarrhea. As a general rule, you’ve been drinking enough fluids when your urine is pale yellow.

In addition, it’s a good idea to avoid foods known to make diarrhea worse, including:

artificial sweeteners
caffeine
dairy products
spicy foods
very sugary foods

In rare instances, you may find you need to take over-the-counter (OTC) anti-diarrheal medications, such as loperamide (Imodium). You can also take also try taking an OTC pain reliever, such as ibuprofen (Advil), to help with cramping.

Birth control

Taking birth control pills may help regulate your cycle and reduce diarrhea. Some even skip their placebo week of pills so they don’t have a period. This usually results in fewer episodes of diarrhea.

Talk to your healthcare provider to find the right option for you.

Stress reduction

In addition to the tips above, it’s important to take steps to reduce stress. Excessive stress and anxiety can make menstrual symptoms, including cramping and diarrhea, worse.

Here are a few tips to get you started:

Meditate. Set aside 10 minutes per day for meditation. This can help you focus your mind day or night. If you’re not sure where to start, try using a meditation app.
Unplug. Decide a time at night when you unplug and stop answering your emails or watching television. This can help you quiet your mind and reduce stress.
Get moving. Exercise helps to relieve stress, even if it’s just a 15-minute walk outside.

If you find that you’re having a hard time staying on top of your stress, consider reaching out to a therapist or other mental health professional. They can help you work through the sources of your stress and develop new coping tools.

If you frequently have diarrhea related to your period, there are some steps you can take to reduce your chance.

A few days before your period, start eating more fiber. Fiber adds bulk to your stool, making it more solid. Examples include whole-grain breads and fruits and vegetables with skins on them, since that’s where much of the fiber is.

In addition, consider adding some probiotic foods into your diet, such as miso, sauerkraut, or yogurt. These may boost the amount of healthy bacteria in the gut, which may help reduce diarrhea symptoms.

Finally, consider taking ibuprofen a day or two before your period. This can help to reduce the effects of prostaglandins on your body.

People can experience a range of other digestive issues before and during their period, too.

These include:

gas and bloating
constipation
more frequent bowel movements

Your symptoms could change from month to month. For a few cycles, you might have diarrhea, only to find yourself feeling constipated during the next few.

These changes are likely all related to the same culprit: prostaglandins. But changes in your diet due to cravings could also play a role.

Learn more about how your period can wreak havoc on your bowel habits.

Occasional diarrhea just before or during your period is completely normal. If it’s starting to get in the way of your everyday activities, there could be something else going on.

Make an appointment with your healthcare provider if you have:

diarrhea or other GI symptoms that last beyond two days
pain or cramping in the stomach or pelvis that’s hard to control with OTC medicines
stools with visible mucus

These could be symptoms of an underlying GI condition that gets worse during your period. Your healthcare provider can help you nail down the cause and provide you with treatment options.

Last medically reviewed on June 28, 2019

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

Bernstein MT, et al. (2014). Gastrointestinal symptoms before and during menses in healthy women. DOI:
10.1186/1472-6874-14-14
Bharadwaj S, et al. (2015). Symptomatology of irritable bowel syndrome and inflammatory bowel disease during the menstrual cycle. DOI:
10.1093/gastro/gov010
Lim SM, et al. (2013). The effect of the menstrual cycle on inflammatory bowel disease: A prospective study.
ncbi.nlm.nih.gov/pmc/articles/PMC3572320/
Premenstrual syndrome (PMS). (2018).
womenshealth.gov/menstrual-cycle/premenstrual-syndrome
Problems of the digestive system. (2014).
acog.org/Patients/FAQs/Problems-of-the-Digestive-System?IsMobileSet=false

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Medically reviewed by Debra Sullivan, Ph.D., MSN, R.N., CNE, COI — By Rachel Nall, MSN, CRNA on June 28, 2019

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