A 24 year old woman complaints of cyclic bloating, feeling of distension, depression and episodes of anger occurring 4-5 days before the onset of menses. The symptoms are relieved by day 5 of the period. However she relates mantal discord and severe debility recessitating absenteeism during work. She does not drink and has not been treated for depression. She is not on any medicine.
Physical examination, CBC and thyroid functions are normal. Discussion: This patient most likely has PMS. The cyclicity, the absence of other illness and relief of following menstruation is indicative of the diagnosis.