Are you experiencing cramps and thinking that your period might come? However, a week is gone by, and there is no period, but the cramping continues. Then there may be some other reasons for your cramps.

Cramps are contractions or spasms that happen beyond your control and without any warning in your abdominal area. Many women experience pelvic pain even when their period is not near. The reason may be cysts, constipation, pregnancy or even cancer.

IBD or Irritable Bowel Disease

IBD is a long-term chronic swelling and irritation in different parts of the digestive tract that can happen when something goes wrong with your immune system. However, it is not the same as irritable bowel syndrome (IBS).

There are two kinds of IBDs: Crohn's disease and ulcerative colitis. Crohn's can affect any part of the digestive tract, while ulcerative colitis only affects your large intestine.

If you have Crohn's, you may feel cramps in the right lower or middle parts of your belly, while if you have ulcerative colitis, you might feel cramps in the lower side of your stomach.

Ovulation

Ovulation can also cause your lower belly to cramp. The side of the pain depends on which ovary is releasing the egg. It happens about 10 to 14 days before you get your period and your ovaries release an egg. This discomfort is also called mittelschmerz or middle pain.

Ruptured Ovarian Cyst

Cysts are sacs of fluid and form in your ovaries. There are various types, one of which is called a follicular cyst that breaks open to release an egg and then dissolves in your body. If it does not happen, a different cyst can form, however, if it grows, it could burst. It can cause sharp pain like cramps in the lower stomach and the location depends on which ovary had the cyst.

Pregnancy Cramps

It occurs when a baby is growing in your body. It is also called implantation pain and the sign of pregnancy progress. This might occur 4 weeks into your pregnancy.

Even in the case of ectopic pregnancy, cramps can occur as the baby grows outside of the womb in one of the fallopian tubes.

Miscarriage too can lead to cramps which might be more severe than a period cramp.

Endometriosis

This is a chronic condition where tissue similar to your womb's lining is attached to the other organs and begins to grow. It causes severe cramps and affects your ovaries, fallopian tubes and pelvic tissues.

Pelvic Inflammatory Diseases (PID)

It is a bacterial infection that is spread by sex and can affect your fallopian tubes, womb, ovaries, vagina and cervix. It can cause pain in both the sides of your belly and lower back.

Ovarian Cancer

This cancer starts in the ovaries where the egg is made and the cramps might feel like mild pain in your lower belly. You can pass it off as constipation pain, however, the sign is when you see that it does not go away.

Other Reasons

Other reasons for cramps include IBS, appendicitis, interstitial cystitis, pelvic-floor muscle dysfunction, sex involving deep penetration, intrauterine device (IUD) insertion cramps or cramps during menopause.

It is always advisable to go see a doctor.

Covid-19 is back again, and it is here to stay. Globally too, especially in the UK, the cases are surging. New variants with new symptoms are constantly being detected. This phenomenon is called the Long Covid. Several studies have shown that Long Covid is capable of affecting not just your respiratory system, but also your heart, brain, nervous system, gut, and more.

Many are also developing lingering fatigue, breathlessness, brain fog, chest pain and heaviness, palpitations, sleep problems, and mood changes.

However, there is a way to manage them. Experts from across the world have come up with 10 tips that can help you stay a step ahead of Covid.

Pacing

Many people with Long Covid experience post-exertional symptom exacerbation (PESE). Pacing involves balancing rest and short activity bursts, monitoring energy use, and stopping before exhaustion sets in. This approach helps reduce relapses and supports gradual recovery.

Journal Your Symptoms

Recording sleep, mood, meals, activity levels, medication, and symptom severity can reveal useful patterns. For instance, poor sleep might worsen brain fog. Such diaries also help clinicians evaluate whether treatments or rehabilitation plans are effective.

Sleep Hygiene Is A Must

Poor-quality sleep makes fatigue, pain, and concentration issues worse. Setting consistent sleep and wake times, limiting screens before bed, avoiding late caffeine, and having a calming bedtime routine can improve rest.

A Guided Rehabilitation

Tailored pulmonary and physical rehabilitation can aid recovery, especially for breathlessness and reduced stamina. However, overexertion may worsen symptoms. Gradual, supervised programmes designed by physiotherapists or rehab teams are recommended.

Practice Breathing Techniques

Practices like pursed-lip breathing, diaphragmatic breathing, and energy-conserving postures can ease breathlessness episodes. Learning safe methods from a physiotherapist can make these techniques more effective.

Treat Symptoms, One At A Time

Since Long Covid is a broad diagnosis, meaningful care often comes from addressing underlying issues. For example, palpitations may require heart rate checks, while severe fatigue may warrant tests for anaemia, thyroid conditions, or sleep disorders.

Brain Workouts To Beat Brain Fog

Memory lapses and concentration problems are common. Tools such as written lists, phone reminders, focusing on one task at a time, and short cognitive exercises can help. Cognitive pacing, working in short blocks with rest, works better than forcing through fatigue.

Take Care Of Your Mental Health

Anxiety and depression are frequent after COVID-19 and can worsen fatigue and pain perception. Therapy, including CBT where appropriate, and social support can reduce distress. Integrated programmes addressing both physical and mental health show the best results.

Keep A Check On Vaccine Updates

Vaccination not only reduces the risk of severe COVID-19 but may also lower the chance of developing Long Covid. Preventing infection remains the most effective protection.

Ensure A Support Plan

A clear care plan from specialists can guide you on warning signs, contacts for urgent help, and workplace adjustments such as reduced hours or flexible tasks. Where post-COVID clinics aren’t available, integrated primary and community care can be valuable.

The Ministry of Health & Family Welfare noted India contributes to 18% of the global population, and as per the World Health Organization (WHO), the burden of mental health problems in India is 2433 disability-adjusted life years (DALYs) per 10000 population. The age-adjusted suicide rate is per 21.1 per 100000 population, and the economic loss between 2012-2030 is estimated at USD 1.03 trillion.

Another study published in 2024 in Cureus, quotes a previous study from early 2021 by UNICEF and Gallup that reveals that children in India were hesitant seeking help for mental health.

According to another 2024 study, the prevalence rate of mental health issues in children and teenagers in India was determined to be 23.33% in school and 6.46% in the community. The National Mental Health Survey 2016 also found that teenagers had a 7.3% prevalence of illness, distributed equally across boys and girls. However, it was greater in metropolitan metro areas, and the prevalence of anxiety issues was 3.6%, with depression-related conditions at 0.8%

What Is India Doing To Tackle The Mental Health Problem?

While the challenges remain, the government has taken several initiatives to tackle mental health issues. It was especially during the COVID-19 pandemic, when mental health problems rose in India, as a result the government set up a 24/7 helpline to provide psychosocial support, by mental health professionals, to the entire affected population, divided into different target groups viz children, adult, elderly, women and healthcare workers. Till date a total of 5,77,743 calls have been received on the helpline.

Furthermore, as part of the National Mental Health Programme, in 2024, 25 Centres of Excellence were sanctioned set up to train more postgraduate students in mental health and provide advanced treatment. 47 postgraduate departments in mental health were also established or upgraded in 19 government colleges. Mental health services were also introduced in 22 newly established AIIMS.

Read: India Health Summit 2025 | How India Is Bringing Innovation And Accessibility To Advance Cancer Care

Why Is India's Youth Struggling?

A 2025 study published in the International Journal of Indian Psychology notes certain risk factors due to which the Indian youth is struggling with mental health issues:

Family Environment and Parenting Style: Dysfunctional family dynamics lead to poor mental health outcomes in Indian youth

Substance Use and Peer Influence: Interaction with antisocial peers can lead to substance abuse and further lead to depression

Academic Pressure and Performance Anxiety: There is intense pressure to perform in academics, and the parental expectation that leads to risk of depression in youth

Socioeconomic Status: Youth from financially disadvantaged families face higher risks of depression and anxiety due to income struggles and financial stress

Violence, Abuse, and Trauma: Exposure to physical or sexual abuse significantly increases the likelihood of depression and anxiety in young people

Gender, Identity, and Relationship Issues: Struggles with gender, sexuality, or relationships heighten vulnerability to mental health crises, often worsened by stigma and isolation

Urban vs. Rural Settings: Urban youth report more mental health disorders than rural youth, linked to academic pressure, social isolation, and weaker family support

Pandemic-Related Stress: The COVID-19 pandemic intensified depressive symptoms among students, with women disproportionately affected due to added household burdens and limited social interaction.

What More Can Be Done To Make Indian Youth Mentally Fit And Healthier?

While there have been initiatives by the government to make mental health more accessible, there still exists a gap between the ratio of mental health experts and those who need it. Furthermore, there is a huge gap of accessibility between rural and urban areas. To understand how can one solve this, the upcoming Times Now Health Summit is hosting a session on Youth and Mental Health: Coping in the Age of Pressure and making India Fitter and Healthier. The session will feature experts from across various fields, including healthcare experts and mental health advocates.

The panel will feature Mayank Srivastava(IPS), Deputy Director General, Major Gen(Retd.) Vikram Dev Dogra, Dr. Praveen Gupta, Chairman, Marengo Asia International Institute of Neuro & Spine (MAIINS), Gurugram, and actress Pooja Bedi.

For more details, visit TIMES NETWORK INDIA HEALTH SUMMIT 2025.

After two psychologists raised questions about the US President Donald Trump's mental health, saying that he showed signs of frontotemporal dementia (FTD), questions about his cognitive health is again intensified after Dr Narinder Kapur, a consultant neuropsychologist and visiting professor at the University College London said that president's behavior over the last six months has been "quite odd and strange," as reported by Express, UK.

Kapur said that Trump's suggestion that Canada should become the 51st US state. and his desire to "take over Greenland", and his controversial comments linking autism with paracetamol are really "bizarre". “Even though he’s probably been led a bit by [Robert F.] Kennedy [Jr.] on that, still for Trump to say the things he did was really quite odd and bizarre,” he said.

While Kapur did not diagnose Trump with dementia, he did suggest the possibility of frontotemporal dementia. “If one was thinking about the various possible dementias he’s got, certainly frontotemporal dementia is one of them, because some of his behavior has been really quite bizarre,” he said, adding that an Alzheimer’s test would help clarify concerns.

Is Trump Really Mentally Fit?

Trump, 79, has dismissed doubt about his mental fitness and calling himself the "stable genius". However, a report by the Guardian highlights growing number of unusual public appearances of Trump, which may suggest otherwise.

On his July trip to the UK, Trump unexpectedly veered into a monologue about windmills while meeting European Commission president Ursula von der Leyen. For two minutes, he claimed without evidence that wind turbines were driving whales “loco” and destroying scenery. “The abrupt changes in conversation are an example of Trump digressing without thinking, he’ll just switch topics without self-regulation,” Harry Segal, senior lecturer in psychology at Cornell University, told The Guardian.

Another instance is from a cabinet meeting intended to discuss global crises, Trump instead spoke for over 13 minutes about lamps, frames, and the color of paint used in the cabinet room.

What Are The Experts Saying?

Experts have pointed out that Trump's apparent tendency toward confabulation, which refers to confidently recounting events that never happened. The Guardian reported that Trump recently claimed his late uncle professor John Trump had taught Ted Kaczynski, the Unabomber, at MIT. The timeline makes this impossible: John Trump died in 1985, more than a decade before Kaczynski was publicly identified, and Kaczynski never studied at MIT.

Richard A. Friedman, professor of clinical psychiatry at Weill Cornell Medicine, told The Atlantic after one such performance: “If a patient presented to me with the verbal incoherence, tangential thinking, and repetitive speech that Trump now regularly demonstrates, I would almost certainly refer them for a rigorous neuropsychiatric evaluation to rule out a cognitive illness.”

Psychologist Dr. John Gartner, formerly of Johns Hopkins University, has tracked what he describes as a “major deterioration” in Trump’s language skills, motor skills, and impulse control. “If you go back and look at film from the 1980s, [Trump] actually was extremely articulate… now he really has trouble completing a thought and that is a huge deterioration,” Gartner told The Guardian.

He warned that Trump’s decline may accelerate: “At the rate he is deteriorating, it’s going to get worse. That’s my prediction.”