Lower abdominal pain

Introduction Lower abdominal pain is a common symptom in women, mostly caused by gynecological diseases. Various gynaecological conditions should be considered based on the nature and characteristics of lower abdominal pain. However, it is not uncommon to see diseases in the lower abdomen that are thought to be caused by genitals in the scorpion. Special attention should be paid to identification.

Cause

Caused by a gynecological lead:

1. Inflammation: acute and chronic endometritis, uterine empyema, acute and chronic salpingitis, acute and chronic pelvic peritonitis, acute and chronic pelvic connective tissue inflammation, pelvic abscess, appendicitis, bladder inflammation, pyelonephritis. Oviductitis, acute and chronic pelvic peritonitis, acute and chronic pelvic connective tissue inflammation, cavity abscess, appendicitis, bladder inflammation, pyelonephritis.

2. Abnormal pregnancy: threatened abortion and so on.

3. Tumor: ovarian tumor pedicle torsion, ovarian tumor rupture, uterine fibroids red, subserosal uterine fibroids pedicle, advanced malignant tumors.

4. Others: dysmenorrhea, uterine adenomyosis, pelvic venous stasis.

an examination

Related inspection

Fertility microscope obstetrics B-duodenal gastrointestinal reflux measurement and imaging uterus and attachment lumps

Some abdominal pain is in or near the lesion, and some do not match the lesion, and as the disease progresses, the site of abdominal pain changes. Abdominal pain is divided into two types, (1) where the pain is located, that is, the organ pain in the diseased organ itself. (2) The pain involved in the release to the body wall. The former can also be converted to the latter. The acute abdomen of gynecology is often manifested as organ pain, such as ovarian tumor pedicle torsion, torsion of the fallopian tube. However, there are also those who first feel abdominal pain in the affected part, and then change their condition. Therefore, special attention should be paid to the involvement of pain.

Differential diagnosis

Differential diagnosis of lower abdominal pain:

1, acute lower abdominal pain: rapid onset, severe pain, often accompanied by nausea, vomiting, fever and so on.

(1) lower abdominal pain with vaginal bleeding: history of menopause, and more related to pathological pregnancy.

(2) lower abdominal pain with fever: common in acute pelvic inflammatory disease, endometritis, fallopian tube ovarian abscess or acute appendix cyst, etc., can also be seen in red degeneration of uterine fibroids.

(3) lower abdominal pain with attachment mass: common ovarian tumor or ovarian non-neoplastic cyst torsion or cleft palate, uterine subserosal fibroids torsion.

2, chronic lower abdominal pain: slow onset, mostly dull or dull pain, long course, sometimes related to the menstrual cycle. Periodic chronic lower abdominal pain includes:

(1) menstrual lower abdominal pain: progressive exacerbation of menstrual lower abdominal pain, sometimes accompanied by sexual pain, given endometriosis or adenomyosis. Abdominal pain before and after menstruation is also seen in the posterior kyphosis, primary dysmenorrhea, cervical stenosis and pelvic inflammatory disease.

(2) Lower abdominal pain during menstruation: The pain is located on the lower abdomen side, often lasting 3 to 4 days, may be accompanied by a small amount of vaginal bleeding. This type of abdominal pain is called ovulation abdominal pain.

3, dysmenorrhea: abdominal pain during menstruation, or primary dysmenorrhea, or the possibility of endometriosis. Abdominal pain refers to lower abdominal pain caused by pelvic organic or functional lesions.

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