abdominal pain in women
Introduction
Introduction One of the main symptoms of gynecological diseases. The pain is slow, nature, and location. The "region" of the lower abdomen is spread over the nerve endings, which makes it difficult for the brain to distinguish whether the pain comes from the reproductive system or from the urinary system or the intestines. When we describe the condition, we usually say that there is pain and tingling in the lower abdomen. Pain often does not come out alone, and other associated symptoms can provide us with clues.
Cause
Cause
The common diseases that cause acute lower abdominal pain are as follows.
Acute inflammation caused by lower abdominal pain stimulating pelvic infections, including acute endometritis, acute tubal oophoritis, pelvic peritonitis and acute pelvic cellulitis. Among them, acute fallopian tube ovarian inflammation is the most common, and abscess is formed in severe cases.
Acute pelvic infections often occur after products and abortion, such as acute endometrium and pelvic cellulitis;
Sexually transmitted diseases such as gonorrhea, such sexually transmitted diseases, including gonococcal infections and infections such as chlamydia, often recurrent, causing tubal empyema in severe cases.
Examine
an examination
Related inspection
Gynecological ultrasound examination gynecological routine examination gynecological inflammation examination
Acute lower abdominal pain is a common complaint of a visit.
1) During the monthly holiday, the abdominal pain is severe, and there is also mild pain before menstruation.
Endometriosis - The cells in the uterus gradually grow beyond the uterus where they do not belong to them, such as the fallopian tubes, ovaries, and bladder. At the end of the menstrual period, these cells also bleed a small amount, causing inflammation and damage to the areas where they extend. Our body automatically produces scar tissue to surround these cells and block this damage. The production of scar tissue can cause abdominal pain and reduce our fertility. At first, the patient felt the feeling of abdominal fullness that was often seen before, and then it was similar to the feeling of abdominal pain before the time, but the time was not before the puerperal.
2) The lower abdomen twitches with pain, accompanied by dizziness, bloating, persistent diarrhea or constipation.
Acute enteritis - large bowel dysfunction causes extreme sensitivity to nerves and muscles. 20% of the population have developed intestinal sensitivity syndrome, of which 65% are women. Bathing can effectively eliminate pain, dizziness, bloating, persistent diarrhea or constipation.
3) The lower abdomen has a pain in the middle, and the urine is uncomfortable and frequent urination.
Interstitial cystitis (ic) - Your urinary tract is in an inflammatory state that causes the bladder to enlarge. There may be lesions on the inner wall of the bladder, which stimulates the central nervous system to produce a urinary response. Pain near the pubic bone, increased pain when trying to urinate; frequent urination (at least once a day during the day, many nights at night), there is a sharp pain when making love.
4) The lower abdomen is accompanied by pain during activities.
Ovarian cysts - ovarian cysts are masses with effusions in the uterus. In people with ovarian cysts, only less than 5% of people will develop cancer. All ovarian cysts are functional cysts, that is, the developing egg may be surrounded by cystic fluid, causing the ovary to enlarge, causing pain. Ovarian cysts develop over time, so that when you exercise or sit still, you will feel pain. At this time, the condition has been more serious. Because the effusion in the cyst causes the ovaries to sag due to gravity, there is a kind of pain when you exercise.
5) Continued or intermittent pain in the lower abdomen.
Uterine fibroids - a benign tumor that may grow in the medial, lateral, or ovarian wall of the ovary. Before the discovery, the patient's symptoms were mild and almost impossible to detect. According to the study data of uterine fibroid tissue, 80% of women have the possibility of suffering from this disease, but only a quarter of them will be worried about their symptoms and will be checked and finally found, so that they can be treated promptly. A sense of fullness in the lower abdomen is not exactly a painful feeling. In addition, the increase in menstrual bleeding is also a major symptom - the amount of bleeding is so large that it can soak a sanitary napkin in an hour, with symptoms of pain and local edema during the period. The biggest hazard of fibroids is the birth barrier.
6) If you have severe pain in your lower abdomen, or if you have any of the following symptoms, it is best to seek medical attention:
1 powerless. 2 dizzy. 3 afraid of cold. 4 fever. 5 vomiting. 6 is similar to the intense pain of menstruation.
If you have these symptoms, you may have an enlarged uterus. If not treated early, it may lead to placenta ectopic, uterine rupture or atrophy, appendicitis and so on.
Auxiliary inspection:
1. Gynecological ultrasound examination.
2. Anti-transparent antibody.
Diagnosis
Differential diagnosis
1. Upper left abdomen tenderness
Mainly caused by problems in the stomach, spleen and so on. The main manifestation is that the pain is felt when the hand is placed on the abdominal wall of the left upper abdomen. The upper left abdomen is tender, mainly caused by problems such as stomach and spleen. The main manifestation is that the pain is felt when the hand is placed on the abdominal wall of the left upper abdomen.
2. Right upper quadrant tenderness
From gallbladder or liver problems, it may also be caused by diseases such as duodenum. Common in hepatitis B, common bile duct stones, amoebic liver abscess, liver abscess, bacterial hepatitis, viral hepatitis, liver cancer, duodenal ulcer and other diseases.
3. Upper abdominal tenderness
Upper abdominal tenderness refers to the pain caused by placing your hand on the abdominal wall of the upper abdomen. Tenderness: Diagnostic term refers to the pain that occurs when the palpation of the right index finger and the middle finger refers to the deepening of the abdominal wall and is called tenderness, mostly from the abdominal wall or the abdominal cavity.
4. Pregnant women have abdominal pain due to pregnancy
Refers to some diseases during pregnancy, can also cause abdominal pain in pregnant mothers, but these diseases are not directly related to pregnancy. Abdominal pain in pregnant women without pregnancy refers to some diseases during pregnancy, which can also cause abdominal pain in pregnant mothers, but these diseases are not directly related to pregnancy.
5. Pregnant women with abdominal pain
During pregnancy, due to venous block or dystrophy, poor blood circulation and small abdominal pain, known as "pregnancy abdominal pain" during pregnancy, due to venous block or dystrophy, poor blood flow and abdominal pain , called "pregnancy abdominal pain"
