lower abdominal pain
Introduction
Introduction The Chinese medical term refers to the feeling of pain and swelling. It is a characteristic of qi stagnation. Lower abdominal pain is common in menstrual menstruation and various digestive diseases.
Cause
Cause
Pain caused by gynecological inflammation: more common in annexitis and pelvic inflammatory disease, mostly in women of childbearing age, pain on one or both sides, accompanied by increased vaginal discharge. Chronic people often present with dull pain, back pain or bulging sensation; acute patients often show abdominal pain and refuse to press, accompanied by fever.
Pain caused by menstruation: It is a physiological phenomenon that women have lower abdominal pain and general malaise during menstruation. If the pain is severe, it is dysmenorrhea. Most of the puberty is primary dysmenorrhea, which can be self-healing; and the postmenstrual dysmenorrhea is mostly caused by certain diseases, should be treated early, can not use painkillers to solve the problem.
Abdominal pain caused by certain gynecological diseases: such as endometriosis often forms a mass in the vicinity of the ovary, uterus, and rectum, which can exacerbate premenstrual and menstrual abdominal pain, and sexual pain is also one of its characteristics. Another example is pelvic hemorrhage or blood stasis, which can lead to pelvic pain. The pain often manifests as one thigh root.
Abdominal pain caused by ovulation: a feeling of lower abdominal pain during ovulation, which is caused by rupture of follicles. Generally speaking, this kind of pain does not affect health and has no adverse consequences. However, there are very few people who have large holes in the ovulation period, and the small blood vessels cause rupture of the ovary and cause intra-abdominal hemorrhage, which forms a gynecological emergency and must be treated in hospital.
Abdominal pain caused by physiological malformation: common hymen atresia, vaginal diaphragmatic hernia, etc., see puberty menstrual cramps, menstrual discharge blocked and abdominal pain, the pain is closely related to menstruation, and is a periodic episode, requiring surgical correction. Abdominal pain caused by tumors: abdominal pain, bloating, low back pain, and falling sensation caused by tumors are generally persistent. If the tumor is torsion, rupture, or hemorrhage, sudden abdominal pain often occurs. This is the self-exposure of the tumor and usually requires immediate surgical treatment.
Abdominal pain caused by pregnancy: women who have a menstrual period or a known pregnancy, suddenly have a contraction-like pain or vaginal bleeding in the lower abdomen, which is more common abortion. Abdominal pain caused by ectopic pregnancy is usually dangerous. Due to intra-abdominal hemorrhage, the patient will feel anal fall, frequent intentions, pale face, dizziness and weakness, and even a state of shock, surgery should be performed immediately. Abdominal pain caused by acute appendicitis: The pain starts in the upper abdomen and then gradually shifts to the right lower abdomen. It also shows nausea, vomiting, unwanted eating, fever, and lower right abdomen. The disease should go to the hospital emergency as soon as possible.
Examine
an examination
Related inspection
Stomach ultrasonography, gynecological ultrasound, gastrointestinal examination, gastrointestinal examination, gastrointestinal examination
1) Before each menstrual period or after menstruation, women have abdominal pain and pain, and even feel nausea, vomiting, and unable to work properly. It is called dysmenorrhea in Chinese medicine. Chinese medicine believes that menstrual cramps, rushing, arbitrarily, qi, blood changes sharply, blood sea from full and surplus, from surplus and overflow, from overflow and emptiness, at this time if the body is cold and hot, it is vulnerable to external invasion With the interference of organic factors, the rushing, Ren, the palace, the qi, the blood are not running smoothly, and they are lost in support, forming a disgrace and pain.
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 people have intestinal syndrome (ibs), 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. Doctors generally believe that women with ic may have lesions on the inner wall of the bladder that stimulate the central nervous system to produce urination. 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.
Diagnosis
Differential diagnosis
Need to be identified with the following symptoms:
Lower abdomen bulge: one of the medical symptoms, the lower abdomen is the small belly, the part below the navel, the fall is falling, the swelling is full. The general meaning is that the small belly is falling down and expanding. In daily life, women always encounter a lot of unspeakable discomfort, and lower abdominal bulge is a more common one. Lower abdominal bulge is mainly related to pelvic congestion, and many of them can be classified as medically known as pelvic congestion syndrome.
Severe pain in one side of the lower abdomen: sudden side pain in the lower abdomen, often accompanied by nausea and vomiting.
Abdominal cramps: Abdominal cramps are often caused by the strong peristaltic contraction of the muscles of the abdominal duct-like organs without the will of the person. Under normal circumstances, the pipe-like organs in the human body are constantly squirming. For example, the stomach is constantly moving and contracting to digest food, pushing the chyme into the small intestine, the small intestine is constantly squirming, absorbing nutrients and moisture, and allowing intestinal contents to the large intestine. Pushing, the large intestine is also constantly squirming while absorbing moisture and excreting waste; the gallbladder and bile duct are also creeping and contracting, storing and secreting bile according to the needs of the human body. Normal peristaltic contraction does not cause abdominal pain, but if you want to overcome the obstruction in the pipeline, it is necessary to strengthen the contraction, and the strong and severe contraction will cause abdominal cramps. Organs capable of producing abdominal cramps include the stomach and intestine (including the appendix), the cystic duct, the hepatic duct, the common bile duct, the pancreatic duct, the ureter, the uterus or the fallopian tube, and the kidney.
1) Before each menstrual period or after menstruation, women have abdominal pain and pain, and even feel nausea, vomiting, and unable to work properly. It is called dysmenorrhea in Chinese medicine. Chinese medicine believes that menstrual cramps, rushing, arbitrarily, qi, blood changes sharply, blood sea from full and surplus, from surplus and overflow, from overflow and emptiness, at this time if the body is cold and hot, it is vulnerable to external invasion With the interference of organic factors, the rushing, Ren, the palace, the qi, the blood are not running smoothly, and they are lost in support, forming a disgrace and pain.
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 people have intestinal syndrome (ibs), 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. Doctors generally believe that women with ic may have lesions on the inner wall of the bladder that stimulate the central nervous system to produce urination. 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.
