Stomachache is the most common thing for women, but usually the following abdominal pain is more common. At this time, female friends will first alert: is menstruation coming. If it is not caused by dysmenorrhea, lower abdominal pain will need to consider other reasons. Adolescent girls in ovulation, follicle rupture, follicular fluid on the peritoneum may have a certain stimulating effect, so they sometimes appear around the alternate, once a month of mild abdominal pain.
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Causes of lower abdominal pain in women:
Ovulatory abdominal pain
Adolescent girls in ovulation, follicle rupture, follicular fluid on the peritoneum may have a certain stimulating effect, so they sometimes appear around the alternate, once a month of mild abdominal pain. This belongs to the physiological, performance for the side of the abdominal pain, blunt pain or distension like pain, some girls accompanied by a little vaginal bleeding, namely ovulation bleeding, more than one or two days after the disappearance, generally no more than seven days. This kind of abdominal pain without any pathological changes, gynecological examination is also completely normal, belongs to physiological abdominal pain, generally do not need to deal with.
Dysmenorrhea
Dysmenorrhea is divided into primary dysmenorrhea and secondary dysmenorrhea. Primary pain is often seen in adolescent girls, the reason is related to prostaglandin levels, cold, emotional and psychological factors, but no organic disease, with the growth of age or marriage and childbirth, generally can self-healing. The common causes of secondary dysmenorrhea are endometriosis and adenomyosis. It is characterized by gradual aggravation of pain, mostly periodic attack, or non menstrual lower abdominal pain and aggravation before and after menstruation. In addition, often accompanied by infertility and menstrual disorders, often need drug treatment.
Rupture of corpus luteum
This is due to more bleeding in the corpus luteum, accompanied by a sudden attack of abdominal pain in the lower abdomen or one side, severe shock can occur. Most of the rupture of corpus luteum occurs on the 20th to 26th day of menstrual cycle. Before the rupture of corpus luteum, there is a process of ovarian hyperemia and enlargement. When the ovary is affected by external force or indirect external force, especially the hyperemia in premenstrual period, it is induced by stool exertion, trauma, sexual intercourse and violent activity. After the onset of ovarian corpus luteum rupture, it is best to go to the hospital for diagnosis and treatment immediately. Do not abuse analgesics on your own, so as not to cover up the symptoms and affect the normal diagnosis and treatment.
Torsion or rupture of ovarian cyst pedicle
This is because the pedicle of the cyst is long, the volume is large, there is no adhesion with the surrounding, the activity is large, when affected by intestinal peristalsis or postural changes, torsion occurs. When the ovarian tumor pedicle is twisted, the pain suddenly occurs on one side of the lower abdomen, which is persistent colic, often accompanied by nausea and vomiting; there may be obvious tenderness and muscle tension in the abdomen; enlarged and tender appendages can be found by anal digital examination. Ovarian cysts can rupture, rupture after the contents of the peritoneal stimulation produce severe pain. B ultrasonic examination can be diagnosed. Emergency operation is usually needed.
Pregnancy related diseases
In recent years, the cases of teenage pregnancy are not rare. In 2005, 220 pregnant teenage girls were treated in the flower care center of a hospital in Shanghai. Abdominal pain caused by pregnancy related diseases can be seen in threatened abortion, ectopic pregnancy (ectopic pregnancy) and so on. Taking ectopic pregnancy as an example, occult pain or distending pain can appear in the affected side of the adnexal area. When ectopic pregnancy has abortion or rupture, it can cause intraperitoneal hemorrhage. The manifestation of pain varies with the amount and speed of bleeding. If it is tubal pregnancy abortion, abdominal pain is often limited to one side of the lower abdomen, blood accumulation in the uterine rectum depression, can cause anal pain; when the occurrence of tubal pregnancy rupture, the amount of bleeding, fast, blood quickly spread to the whole abdominal cavity, causing abdominal pain. In addition, some pregnant girls abortion without permission, not only easily cause pelvic inflammatory disease and other infections or pelvic organs, genital tract trauma, and even endanger life safety.
acute appendicitis
It belongs to surgical disease, but needs to be differentiated from gynecological disease. About 70% - 80% of the patients begin to feel pain in the upper abdomen or around the umbilicus, and then transfer to the right lower abdomen after a few hours. Simple appendicitis abdominal pain is limited to the right lower abdomen, which can be persistent or paroxysmal. Suppurative appendicitis abdominal pain, more paroxysmal pain or pain. Necrotizing appendicitis began to show continuous jumping pain, abdominal pain expanded, the degree of aggravation. Early more mild nausea, vomiting food, often accompanied by loss of appetite and constipation. Abdominal distension occurs in severe inflammation. Metastatic right lower abdominal pain is characteristic of appendicitis. The disease usually needs surgical resection.
Psychogenic abdominal pain
If there are girls with school phobia, the patients are afraid of going to school and taking exams. If the patient is forced to go to school, she will have anxiety and anxious physical discomfort, such as pale complexion, rapid heart rate, shortness of breath, unbearable abdominal pain, vomiting, headache and dizziness. Some patients have been treated with severe abdominal pain for many times, but all kinds of examination results are normal. Once the patient is temporarily suspended from school, the anxiety and discomfort will be relieved soon, and the abdominal pain will disappear immediately. Such patients need psychotherapy.
Self diagnosis of lower abdominal pain:
1. The onset of the disease is slow and gradually aggravated, mostly caused by internal genital inflammation or malignant tumor; sudden onset should consider torsion or rupture of ovarian cyst pedicle, or torsion of uterine subserosal myoma pedicle; repeated dull pain after sudden tearing like pain, should think of the possibility of rupture or abortion of oviduct pregnancy.
2. The location of lower abdominal pain is generally divided into the middle of lower abdomen, unilateral lower abdomen and bilateral lower abdomen. The pain in the middle of the lower abdomen is mostly caused by uterine lesions, which is rare; the pain in one side of the lower abdomen should be considered as the lesions of the uterine appendages, such as torsion of ovarian cyst pedicle, acute inflammation of fallopian tube and ovary, ectopic pregnancy, etc.; the pain in the right side of the lower abdomen should also be considered as acute appendicitis; the pain in both sides of the lower abdomen is common in pelvic inflammatory lesions; the pain in the right side of the lower abdomen should be considered as acute appendicitis; Rupture of ovarian cyst, rupture of tubal pregnancy or pelvic peritonitis can cause whole lower abdominal pain or even whole abdominal pain.
3. The nature of lower abdominal pain: persistent dull pain is mostly caused by inflammation or peritoneal effusion; intractable pain is intolerable, often caused by advanced reproductive organ cancer; uterine or fallopian tube and other cavity organs contraction performance for paroxysmal colic; fallopian tube pregnancy or ovarian cyst rupture can cause tearing sharp pain; intrauterine hematocele or pus can not be discharged, often lead to lower abdominal pain.
4. Time of lower abdominal pain: if one side of lower abdominal pain occurs in the middle of the menstrual cycle, it should be considered as ovulatory pain; if abdominal pain occurs in the menstrual period, it may be primary dysmenorrhea or endometriosis; if periodic lower abdominal pain occurs without menstruation, it is mostly caused by blocked menstrual blood discharge, which is seen in congenital genital tract malformation or postoperative intrauterine and cervical adhesion. Chronic lower abdominal pain unrelated to menstrual cycle was found in tissue adhesion after lower abdominal surgery, endometriosis, sequelae of pelvic inflammatory disease, residual ovarian syndrome, pelvic venous congestion syndrome and gynecological tumor.
5. Abdominal pain radiation site - radiation to the shoulder, should be considered for intra-abdominal bleeding; radiation to the lumbosacral, mostly caused by cervical and uterine lesions; radiation to the groin and the inner thigh, generally caused by the side of uterine adnexal lesions.
6. Abdominal pain accompanied by symptoms: at the same time, with a history of menopause, pregnancy complications are considered; with nausea and vomiting, the possibility of ovarian cyst pedicle torsion is considered; with chills and fever, it is often pelvic inflammatory disease; with shock symptoms, it should be considered to have intraperitoneal hemorrhage; with anal distention, it is generally caused by recto uterine depression and effusion; with cachexia, it is often the manifestation of advanced genital cancer.