The onset of this syndrome is abrupt, generally with a headache which is often accompanied by vomiting. A general feeling of depression and irritability permeate the entire experience. What is worse, these symptoms intensify progressively, making the last day of the PMS the worst.

Tension headaches are common during this period, but in some cases, migraines attacks occur with severe pain and vomiting. The patient suffers from breast tenderness, which is sometimes so severe that it is almost unbearable. There may also be abdominal bloating , accompanied in some cases, by odema of the ankles and hands. Some women resort to dieting to get rid of the abodminal bloating but this only leads to fatigue and depression. Others may experience a craving for sweet foods.

Some of the less common symptoms are exacerbation of epilepsy dizziness, back ache, hoarse voice, greasy hair , acne and allergic reactions.

Patients suffering from premenstrual tension may show a gain of weight of one kg or more in the latter part of the menstrual cycle due to salt and water retention. The retention of fluid is partly due to ovarian steroids, but there is also an increased output of anti diuretic hormone from the posterior pituitary gland.

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