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Diarrhea with your period. Managing Diarrhea During Menstruation: Causes, Symptoms, and Treatment Options

by alexxlab

Can your period cause diarrhea. How does menstruation affect bowel movements. What are the best ways to manage period-related digestive issues. Is diarrhea during menstruation a sign of a more serious condition. How can you prevent diarrhea associated with your menstrual cycle.

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The Link Between Menstruation and Digestive Changes

Many women experience changes in their bowel movements during their menstrual cycle. Dr. Francisco J. Marrero, a gastroenterologist at Lake Charles Memorial Health System, explains that hormone fluctuations can significantly impact digestive patterns. While some women may experience diarrhea, others might face constipation during their period.

Hormonal shifts, particularly in estrogen and progesterone levels, can affect the gastrointestinal tract’s motility and sensitivity. This hormonal dance can lead to various digestive symptoms, including diarrhea, bloating, and nausea, which may occur not only during menstruation but also in the week leading up to it.

Premenstrual Syndrome (PMS) and Digestive Symptoms

For some women, diarrhea may be part of a broader set of premenstrual syndrome (PMS) symptoms. PMS typically includes mild mood changes and physical discomfort in the days leading up to menstruation. The connection between PMS and digestive issues highlights the complex interplay between the reproductive and digestive systems.

Effective Strategies for Managing Period-Related Diarrhea

If you frequently experience diarrhea during your menstrual cycle, there are several strategies you can employ to manage this uncomfortable symptom:

  • Over-the-counter medications: Antidiarrheal agents like loperamide (Imodium) or bismuth subsalicylate (Pepto-Bismol) can help slow down bowel movements.
  • Preventive measures: If you can predict when diarrhea is likely to occur, consider starting medication before symptoms begin.
  • Hydration: Ensure you drink plenty of fluids to replace those lost through diarrhea.
  • Dietary adjustments: Increasing fiber intake can help solidify loose stools and potentially reduce diarrhea symptoms.
  • Probiotics: Consuming foods rich in beneficial bacteria, such as yogurt, may help maintain gut health and alleviate digestive issues.

It’s important to note that if diarrhea is only occasional or not particularly bothersome, you may not need to take any action, as it will likely resolve on its own as your menstrual cycle progresses.

When to Seek Medical Attention for Menstrual Diarrhea

While period-related diarrhea is often a benign and temporary issue, there are instances where it may signal a more serious condition. Dr. Marrero advises seeking medical attention if you experience:

  • Significant abdominal pain
  • Bloody stools
  • Persistent or severe diarrhea that doesn’t respond to over-the-counter treatments

These symptoms could potentially indicate conditions such as endometriosis, which in rare cases can affect the bowels. Early diagnosis and treatment of underlying conditions are crucial for maintaining overall health and well-being.

Understanding the Broader Context of Diarrhea

Diarrhea is a common digestive issue that affects everyone from time to time, regardless of menstrual status. It’s characterized by loose, watery stools and can be caused by various factors, including:

  • Viral or bacterial infections
  • Food intolerances or allergies
  • Medications
  • Stress
  • Digestive disorders

Understanding the potential causes of diarrhea can help you better identify whether your symptoms are related to your menstrual cycle or if there might be another underlying issue at play.

Preventing Diarrhea: Lifestyle and Dietary Considerations

While it may not always be possible to prevent diarrhea entirely, especially when it’s related to hormonal changes, there are steps you can take to reduce its frequency and severity:

  1. Maintain a balanced diet rich in fiber
  2. Stay hydrated by drinking plenty of water throughout the day
  3. Manage stress through relaxation techniques or exercise
  4. Practice good hygiene, especially when preparing and consuming food
  5. Consider keeping a symptom diary to identify potential triggers

By incorporating these practices into your daily routine, you may be able to minimize the impact of diarrhea on your life, whether it’s related to your menstrual cycle or other factors.

The Role of Hormones in Digestive Health

To better understand why menstruation can affect bowel movements, it’s important to explore the role hormones play in digestive health. Estrogen and progesterone, the primary female sex hormones, don’t just influence the reproductive system; they also have a significant impact on the gastrointestinal tract.

Estrogen can increase the production of bile, which aids in digestion but can also lead to looser stools. Progesterone, on the other hand, can slow down intestinal movement, potentially leading to constipation. The fluctuation of these hormones throughout the menstrual cycle can result in varying digestive symptoms from person to person.

The Gut-Brain Connection

Recent research has shed light on the intricate relationship between the gut and the brain, often referred to as the gut-brain axis. This connection may explain why emotional changes associated with PMS can manifest as digestive symptoms. Stress and anxiety, which often increase during the premenstrual phase, can directly affect gut motility and sensitivity, potentially exacerbating diarrhea or other digestive issues.

Holistic Approaches to Managing Menstrual Symptoms

While addressing diarrhea specifically is important, taking a holistic approach to managing menstrual symptoms can lead to better overall well-being. Consider incorporating the following strategies:

  • Regular exercise: Physical activity can help regulate hormones and reduce stress, potentially alleviating both emotional and physical PMS symptoms.
  • Mindfulness practices: Techniques such as meditation or yoga can help manage stress and improve body awareness.
  • Dietary adjustments: Some women find relief by reducing caffeine, alcohol, and sugar intake, especially in the days leading up to their period.
  • Herbal remedies: Certain herbs like ginger or peppermint may help soothe digestive discomfort, though it’s important to consult with a healthcare provider before starting any new supplement regimen.
  • Adequate sleep: Prioritizing good sleep hygiene can help regulate hormones and improve overall health.

By addressing menstrual health from multiple angles, you may find that not only does your digestive discomfort improve, but other symptoms associated with your menstrual cycle may become more manageable as well.

The Importance of Tracking Menstrual and Digestive Symptoms

Keeping a detailed record of your menstrual cycle and associated symptoms, including digestive changes, can be incredibly valuable. This practice can help you:

  • Identify patterns in your symptoms
  • Predict when diarrhea or other digestive issues might occur
  • Recognize potential triggers for your symptoms
  • Provide valuable information to healthcare providers if you need to seek medical attention

Many smartphone apps are available to help track menstrual cycles and symptoms, making it easier than ever to gather this information. By consistently logging your experiences, you can gain insights into your body’s unique patterns and take proactive steps to manage your health.

Communicating with Healthcare Providers

When discussing menstrual-related digestive issues with your healthcare provider, having detailed information about your symptoms can lead to more productive conversations and potentially more effective treatment plans. Don’t hesitate to bring up concerns about diarrhea or other digestive symptoms, even if they seem embarrassing or unrelated to your reproductive health.

Healthcare providers can offer personalized advice and, if necessary, conduct further tests to rule out any underlying conditions that might be contributing to your symptoms. They can also help you develop a tailored management plan that takes into account your overall health, lifestyle, and specific symptom patterns.

Exploring the Connection Between Menstrual Disorders and Digestive Issues

While occasional diarrhea during menstruation is common and often benign, persistent or severe digestive symptoms may be indicative of underlying menstrual disorders. Conditions such as endometriosis, adenomyosis, or uterine fibroids can sometimes manifest with gastrointestinal symptoms, including diarrhea, constipation, or abdominal pain.

Endometriosis, in particular, can affect the bowels directly if endometrial tissue grows outside the uterus and onto the intestines. This can lead to cyclical digestive symptoms that coincide with the menstrual cycle. If you experience severe or persistent digestive issues along with other menstrual symptoms like heavy bleeding or intense pelvic pain, it’s crucial to consult with a gynecologist for a thorough evaluation.

Diagnostic Approaches for Menstrual and Digestive Concerns

When investigating the root cause of menstrual-related digestive symptoms, healthcare providers may employ a variety of diagnostic tools and techniques, including:

  • Detailed medical history and symptom review
  • Physical examination
  • Blood tests to check hormone levels
  • Imaging studies such as ultrasound or MRI
  • In some cases, laparoscopy for conditions like endometriosis

These diagnostic approaches help differentiate between normal menstrual-related digestive changes and more serious underlying conditions, ensuring that you receive appropriate care and treatment.

Nutritional Strategies for Managing Menstrual Diarrhea

Diet plays a crucial role in managing digestive health, especially during menstruation. Tailoring your nutritional intake around your menstrual cycle can help alleviate diarrhea and other gastrointestinal symptoms. Consider the following dietary strategies:

  • Increase soluble fiber intake: Foods like oats, bananas, and apples can help firm up loose stools.
  • Stay hydrated: Drink plenty of water and electrolyte-rich fluids to replace those lost through diarrhea.
  • Opt for bland, easily digestible foods: The BRAT diet (Bananas, Rice, Applesauce, Toast) can be helpful during bouts of diarrhea.
  • Limit caffeine and alcohol: These can stimulate the intestines and worsen diarrhea.
  • Consider probiotic-rich foods: Yogurt, kefir, and fermented vegetables can support gut health.

Remember that individual responses to foods can vary, so it may take some experimentation to find the dietary approach that works best for you during your menstrual cycle.

The Role of Anti-Inflammatory Foods

Incorporating anti-inflammatory foods into your diet may help reduce overall menstrual symptoms, including digestive issues. Foods rich in omega-3 fatty acids, such as fatty fish, chia seeds, and walnuts, have been shown to have anti-inflammatory properties. Additionally, colorful fruits and vegetables, which are high in antioxidants, can support overall health and potentially ease menstrual discomfort.

Complementary and Alternative Approaches to Menstrual Health

While conventional medical treatments are important, many women find relief from menstrual-related digestive symptoms through complementary and alternative approaches. These methods can be used alongside traditional treatments to provide a more comprehensive approach to menstrual health:

  • Acupuncture: Some studies suggest that acupuncture may help regulate menstrual cycles and reduce PMS symptoms, including digestive issues.
  • Herbal remedies: Certain herbs like chamomile, ginger, and fennel have traditional uses for menstrual and digestive discomfort.
  • Essential oils: Aromatherapy using oils like lavender or peppermint may help alleviate stress and digestive discomfort.
  • Heat therapy: Applying a heating pad to the lower abdomen can help relax muscles and ease cramps and digestive discomfort.
  • Massage: Gentle abdominal massage may help stimulate digestion and relieve menstrual cramps.

It’s important to note that while these approaches can be beneficial for many women, they should be used under the guidance of a qualified practitioner, especially if you have any underlying health conditions or are taking medications.

The Importance of Personalized Care

Every woman’s menstrual experience is unique, and what works for one person may not be effective for another. It’s crucial to approach menstrual health, including the management of digestive symptoms, with a personalized strategy. This may involve combining various approaches, from conventional medical treatments to lifestyle modifications and alternative therapies.

Working closely with healthcare providers, including gynecologists, gastroenterologists, and integrative medicine practitioners, can help you develop a comprehensive plan that addresses all aspects of your menstrual and digestive health. By taking a proactive and holistic approach, you can work towards minimizing the impact of menstrual-related diarrhea and other symptoms on your daily life.

Can Your Period Cause Diarrhea?

“[Bowel movements] can change with differing hormone levels,” says Francisco J. Marrero, MD, a gastroenterologist with the Lake Charles Memorial Health System in Louisiana. In fact, some women may even notice the opposite and become constipated during their period, Dr. Marrero says.

Diarrhea, as well as other gastrointestinal symptoms, such as bloating and nausea, may also occur during the week prior to your period. In this case, the diarrhea may be part of a group of symptoms, usually including mild mood changes, called premenstrual syndrome (PMS).

Managing Diarrhea During Your Period

Women who often experience bouts of diarrhea during their period should prepare for what is about to come.

“Try some agent that will slow [diarrhea] down,” says Marrero, such as loperamide (Imodium) or bismuth subsalicylate (Pepto-Bismol). “If women can predict when it’s going to happen, they can start taking medication before symptoms start. ” If the diarrhea is only occasional or isn’t bothersome, you donÆt have to do anything, since you know it will pass quickly.

More in Digestive Health

What to Eat and What to Avoid When You Have Diarrhea

Taking loperamide or another antidiarrheal can help soothe or prevent diarrhea symptoms, but make sure to check with your doctor before taking these medicines. Also, be sure to stay well-hydrated by drinking a lot of fluids. Bulking up on extra fiber can also help solidify loose stools and perhaps reduce your diarrhea symptoms. Another tip is to try to eat foods that contain active cultures of beneficial bacteria (probiotics), like the ones found in yogurt.

But, Marrero cautions, if you’re experiencing significant pain or bloody stools, the cause could be more serious than just PMS symptoms or dysmenorrhea. Endometriosis, a chronic illness affecting the reproductive system, can (although rarely) have an effect on the bowels, causing bloody stools.

RELATED: PMS and Your Emotional Health

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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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Why does diarrhea begin in the first days of menstruation?

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9 0015 Oct 24, 2011 04:16 PM

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oh, or white , or transparent?

Maybe because the fecal masses approaching the exit “press” on the wall of the vagina and these secretions are “squeezed out”? Guest

Author, can I also ask in your topic? ) Why, when you want to go to the toilet in a big way, but you don’t go right away, then there is a little discharge, wet, or white, or transparent? Maybe because the fecal masses approaching the exit “press” on the wall of the vagina and these secretions are “squeezed out”?

#8

#9

And dia rhea, and fluid retention (for me personally)

I drink a lot of liquid, in these days, but writing (sorry) is not enough.

And the sense of smell becomes sharper. No appetite, nauseous right from the pulling, aching pain.

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***

when it hurts I drink red wine, it dilates the blood vessels or something and the blood goes more and does not hurt so much, before I always drank a couple of shots of vodka, it also helped. But how disgusting it all is, every month almost a week can be crossed out with these cases 9Night

Today is my first day, my stomach hurts terribly. Is there a way to relieve the pain? And why does diarrhea begin in the first days of menstruation?

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#27

Guest

I have terrible diarrhea and no periods, what is it?

#28

All_nick_busy

If you have an upset stomach, just take a few black peppercorns with half a glass of water. Mustard acts no less radically. For an adult, 1 tsp is enough. mustard powder, diluted in 0.5 cups of water – only cold! Re-application is very rarely required. And also, be sure to take an adsorbent, for example, polysorb to relieve intoxication (for an adult, 3 grams 3 times a day) and normobact to restore the intestinal microflora.

#29

Guest

I have terrible diarrhea and no period, what is it? May 30, 2013 Is there a way to relieve the pain? And why does diarrhea begin in the first days of menstruation?

Both diarrhea and fluid retention (for me personally)

I drink a lot of liquid these days, but I don’t pee (sorry) a little.

And the sense of smell is getting sharper. No appetite, nauseous right from the pulling, aching pain.

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Lilya

Me too, I’m sitting in pain… I took 3 noshpas for pain, but it doesn’t really help, the unpleasant feeling remains:( Need a bath or a heating pad? 9New topics

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#37

KSU

Noshpa does not help everyone. sounds unaesthetic, but masturbation relaxes the muscles of the uterus and helps with pain

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Guest

“parasites… They live imperceptibly, but spoil life thoroughly. ..:((

Remens drops help well or tablets with the same name.

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ksu

noshpa does not help everyone. sounds unaesthetic, but masturbation relaxes the muscles of the uterus and helps with pain 0004

#48

Diarrhea 🙁 a couple of times it got to the point that I also vomited (maybe this is due to the fact that I have a very bad stomach, and these days it’s bad km)

The temperature starts to “jump” from 35. 5 to 37.5

Only Ibuklin helps me

I drink and go to bed for a couple of hours, it’s very hard to fall asleep, but when I wake up everything goes away)

#49

Yozha

It’s from hormones, prolastadins, I think.

#50

Can diarrhea begin before menses?

#1

As soon as the menstruation began, after 12 hours everything was restored. Of course. They also say that in order for menstruation to pass easier, it is necessary to put an enema before the start. And so everything is in a natural way)) 0002

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awn

when the pregnancy is also enlarged, and that all 9 months of diarrhea should be? ????

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  • Day 3-5 of the cycle, when to take tests? 1 answer January 12, 2015, 00:56

    #37

    #38

    Gygysick

    I have exactly the same as you! Already the second cycle of critical days is accompanied by diarrhea, and it begins after 24-2 hours of the night! I ran around all the clinics, I thought my stomach was furious, but they didn’t find anything; (now again, like a lunatic, I run all night; (

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    #47

    Svetlana

    that menstruation is very painful (without diclofenac and ketanov at all), so also diarrhea.