tingling in the lower abdomen
Introduction
Introduction Abdominal tingling is a common symptom of gynecological diseases, causing great pain to patients, sometimes it is painful. There are many abdominal pains caused by different genders and ages, but mainly concentrated in the bladder, urethra and reproductive organs. And intestines. Various gynaecological conditions should be considered based on the nature and characteristics of lower abdominal pain. However, lower abdominal pain is caused by diseases caused by internal genital lesions. It is not uncommon to pay special attention to identification. Before using the diagnosis of the original disease, be sure to use analgesics with caution to prevent cover up the disease.
Cause
Cause
Chronic abdominal pain is mainly caused by dull abdominal pain and ankle pain, mostly chronic, chronic appendicitis, chronic pelvic connective tissue inflammation, pelvic congestion, posterior uterus, uterine hypertrophy, uterine prolapse. The lower abdomen is dull, the feeling of falling, the symptoms such as backache are mostly tired, standing for a long time, after sexual intercourse and menstrual period. Some genital tube inflammation can be caused by ascending infection. Need to go to the hospital for examination in time to determine the cause and targeted treatment.
Examine
an examination
Related inspection
Gynecological ultrasound examination
1, B-ultrasound: mainly used to check biliary and urinary calculi, bile duct dilatation, pancreas and hepatosplenomegaly. It also has a good diagnostic value for a small amount of effusion, intra-abdominal cysts and inflammatory masses in the abdominal cavity.
2, blood, urine, feces routine, ketone body and serum amylase is the most commonly used laboratory tests.
3, CT, magnetic resonance and radionuclide scanning examination: for intra-abdominal and retroperitoneal lesions, such as liver, spleen, pancreatic lesions and some intra-abdominal masses and abdominal abscess, effusion, gas, etc. have better Diagnostic value should be selected according to the condition.
4, ECG examination: for older people, should be an electrocardiogram to understand myocardial blood supply, exclude myocardial infarction and angina.
5, for peritonitis, internal bleeding, abdominal abscess and some abdominal masses can be diagnosed puncture, and the puncture for routine smear, bacterial culture or pathological examination.
6, X-ray examination: When the diagnosis is difficult, suspected and chest and abdomen have lesions, feasible chest and abdomen perspective, the purpose is to observe the chest for lesions, underarms with or without free gas, diaphragmatic movement changes, with or without intestinal gas and liquid level Wait, if there are any abnormalities, you should make a regular film. When suspected sigmoid torsion or low intussusception, barium enema examination is feasible; patients with suspected intestinal obstruction, internal hemorrhoids or perforation should not be examined for barium meal.
7, endoscopy: endoscopy has become an important means of finding the cause of abdominal pain. Retrograde cholangiopancreatography, cystoscopy, and laparoscopy can also be performed if the patient's condition permits.
Diagnosis
Differential diagnosis
1. During the monthly holiday, the abdominal pain is severe, and mild pain occurs before the 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 pain, and urinary discomfort, 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 activity of the lower abdomen accompanied by pain.
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, the lower abdomen sustained or intermittent pain.
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:
Powerless, dizzy, cold, fever, vomiting, intense pain similar to 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.
If it is caused by organic causes, it may be:
First, gynecological inflammation: such as vulvitis, vaginitis, pelvic inflammatory disease.
Second, chronic vulvar malnutrition.
Third, after the uterus total surgery.
Fourth, endometriosis.
Five, acute and chronic urethritis.
Six, pelvic congestion syndrome.
If it is painful in the lower abdomen that causes pain in the lower abdomen, consider that it may be:
1, gynecological inflammation.
2. Disease effects of the gastrointestinal tract.
