Severe pain in the lower abdomen on one side

Introduction Sudden side of the lower abdomen severe pain, often accompanied by nausea and vomiting.

Cause

The cause of severe pain in one side of the lower abdomen:

The ectopic pregnancy is ruptured.

an examination

Related inspection

Abdominal auscultation abdominal obstetrics obstetrics B-ultrasound

Examination and diagnosis of severe abdominal pain in one side:

The main performance of ectopic pregnancy:

1, menopause: the menstrual period of several days to tens of days, often undetected when the disease.

2, abdominal pain: lower abdomen pain, a sense of defecation, sometimes severe pain, accompanied by cold sweat dripping.

3, vaginal bleeding: often a small amount of bleeding.

4, other symptoms: can have nausea, vomiting, frequent urination.

5, check: pregnancy test positive, B-scan or laparoscopic can help diagnose.

Differential diagnosis

Symptoms of complication of severe pain in one side of the lower abdomen:

Lower abdominal pain: 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. Refers to lower abdominal pain caused by pelvic organic or functional lesions.

Right lower abdominal pain: Abdominal pain is one of the most common clinical symptoms. But because abdominal pain is mostly sporadic, it is often easy for patients to take it lightly. Right lower abdominal pain is a disease of the cecum, appendix, right ovary and fallopian tube, right ureter.

Left lower abdominal pain with abdominal pain and diarrhea: may be colitis. Colitis abdominal pain is usually pain or cramping, often located in the left lower abdomen or lower abdomen. Other manifestations include loss of appetite, bloating, nausea, vomiting, and large liver. The left lower abdomen may have tenderness and sometimes reach the colon of the sputum. Left lower abdominal pain is generally a problem of the sigmoid colon, left ovary and fallopian tubes, left ureter.

One side of the lower abdomen pain: should be considered for the side of the uterine attachment lesions such as ovarian cyst pedicle torsion. Ovarian cyst pedicle can cause cramps on the lower abdomen, nausea and vomiting. However, some patients have a history of lower abdominal mass, no fever, no vaginal bleeding. The original mass can increase after the pain occurs. Abdominal examination can touch the mass in the lower abdomen, and the tenderness is obvious. During the gynecological examination, the accessory area on one side touched the cystic mass, the surface was smooth, the activity was obvious, the tenderness was obvious, and the ipsilateral uterine horn had tenderness. The number of white blood cells is increased or normal.

Local pain in the lower abdomen: more manifested as tender points, tenderness is limited to a little. Clear and fixed tenderness points are important signs of abdominal organ lesions. Such as: tenderness point of peptic ulcer, in the middle or left side of the xiphoid process, the penetrating point of the posterior wall penetrating ulcer is in the 6th to 10th thoracic vertebrae or both sides of the back; acute pancreatitis tenderness point, in The middle or the left side of the upper abdomen; the tender point of the gallbladder lesion (the gallbladder point), located at the junction of the right rectus abdominis rim and the rib arch; the appendicitis tender point (the appendix point, McBurney point), located in the right anterior superior iliac spine The outer 1/3 of the umbilical cord and the inner 2/3 junction; in the renal and urinary tract lesions, at the 10th rib front end (quarter rib point), the umbilical horizontal line at the outer rectus abdominis (upper ureteral point), two The intersection of the anterior superior sinus line with the perpendicular line through the pubic tubercle (middle ureteral point), the rim outer edge and the 12th posterior rib lower edge (rib ridge point or rib ridge angle), the 12th posterior rib There is tenderness at the intersection of the edge and the outer edge of the psoas muscle (helping the waist point or the rib waist angle).

Persistent lower abdominal pain: severe abdominal pain lasted more than an hour without relief. Reason one: Causes of ovulatory abdominal pain II: dysmenorrhea. Cause three: rupture of the corpus luteum. Cause four: The ovarian cyst is twisted or broken. Reason 5: Pregnancy-related diseases. Cause six: acute appendicitis.

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