What Are the Common Causes of Lower Abdominal Pain?

1. Causes of acute lower abdominal pain: (1) Dysmenorrhea: such as primary dysmenorrhea and endometriosis. (2) Pelvic organ inflammation: such as acute pelvic inflammatory disease. (3) pelvic tumor twist: such as ovarian cyst twist. (4) Pelvic tumor rupture: such as ovarian cyst rupture, ovarian chocolate cyst rupture. (5) Menstrual obstruction: such as cervical canal or uterine cavity adhesions, vaginal malformed uterine hemorrhage and so on. (6) Intra-abdominal hemorrhage: such as tubal pregnancy rupture, abortion, ovarian luteal rupture. (7) Injury: such as uterine perforation and uterine rupture. (8) Others: such as appendicitis, ureteral stones, etc. 2. Causes of chronic lower abdominal pain: (1) chronic pelvic inflammatory disease, pelvic venous congestion, etc. (2) Severe chronic cervicitis. (3) posterior uterus, uterine prolapse, uterine fibroids, etc.

Lower abdominal pain

Basic information on lower abdominal pain

Introduction to lower abdominal pain

Lower abdominal pain is a common complaint of gynecological diseases. Pain can often show a corresponding condition, so with lower abdominal pain, you can't be idle.

Impact of lower abdominal pain

Will lower abdominal pain affect women's conception?

Under some of the following conditions, lower abdominal pain can affect a woman's conception. Such as: induced abortion, spontaneous abortion, postpartum placental remnant, and intrauterine adhesions formed after curettage.

Vaginitis, cervicitis, pelvic inflammatory disease, lower abdominal pain and irregular menstruation, dysmenorrhea caused by infection with various pathogens such as mycoplasma and chlamydia, due to the presence of inflammatory secretions and pathogens, which destroy the internal environment of the reproductive tract and are not good Sperm survival and fertilization rate in the reproductive tract are reduced. At the same time, inflammation causes adhesions in the fallopian tubes and leads to infertility. Progressive dysmenorrhea due to endometriosis. At this time, adhesions in the uterus, fallopian tubes, ovaries, and pelvic cavity cause tubal obstruction, and infertility is caused by a causal relationship between endometriosis and ovulation disorders.

Patients have periodic abdominal pain and secondary amenorrhea after surgery, which can cause infertility; or they experience persistent lower abdominal pain and swelling after surgery, accompanied by increased vaginal discharge or concurrent fever and fever. Infertility is caused by appendicitis, blocked fallopian tubes; hymenal atresia, vaginal atresia, cervical stenosis and other periodic abdominal pains, no menstrual cramps, menstrual blood stagnated in the reproductive tract, and fallopian tube hemostasis leading to infertility.

Causes of lower abdominal pain

There are many types of acute lower abdominal pain and their manifestations are diverse, but they have a common feature, that is, they change a lot and progress quickly. If the time is delayed, they will bring serious consequences to the patient.

Acute inflammation causes lower abdominal pain: acute endometritis, acute fallopian tube ovaryitis, pelvic peritonitis and so on. Acute fallopian tube ovarian inflammation is the most common, and in severe cases, abscesses form. Acute intrapelvic infection often occurs postpartum and after miscarriage.

Non-inflammatory lower abdominal pain: common ectopic pregnancy, torsion and rupture of ovarian tumor pedicles. Ectopic pregnancy caused by lower abdomen pain, is usually menacing. If the fallopian tube is ruptured, the amount of bleeding is high, the speed is fast, the blood quickly spreads to the entire abdominal cavity and causes total abdominal pain, leading to anemia and shock. Ovarian tumors can cause persistent colic when twisted. In addition, the contents of ruptured ovarian cysts can also cause pain in the peritoneum.

Acute lower abdominal pain caused by other reasons: Acute lower abdominal pain can occur when induced abortion and uterine perforation occur in the annulus. In addition, there are acute intestinal obstruction, abdominal organ stones, hydrosalpinx reversal, bowel torsion, dysmenorrhea, and pelvic abdominal trauma can cause acute lower abdominal pain.

The differential diagnosis of acute lower abdominal pain is not easy. In addition, misconduct before going to the hospital for emergency treatment may aggravate the condition, and may also mask the original symptoms of the sick patient, and give doctors an illusion during diagnosis.

Chronic lower abdominal pain is caused by chronic genital inflammation, endometriosis, adenomyosis, pelvic congestion, and psychological pelvic pain.

Chronic genital inflammation: chronic cervicitis, chronic pelvic inflammatory disease, dysmenorrhea, etc.

Pelvic congestion: also known as pelvic varices, caused by chronic pelvic congestion.

Tumor pain: When gynecological malignancies develop to advanced stages, infiltration or compression of the pelvic nerve by cancer can cause pain.

Psychological pelvic abdominal pain: Psychological pelvic pain is generally manifested as repeated episodes of lower abdominal pain, but no organic lesions have been confirmed upon examination. Psychological pelvic pain is more of a physical reaction. Some people have had trauma in sexual behavior, and they have fear of sex, pain during intercourse, and they develop into pelvic pain over time. Studies have found that patients are prone to transform a depressed mood into somatic symptoms to relieve psychological disorders, and the external manifestation is psychological pelvic pain

Diagnosis of lower abdominal pain

Disease can be judged according to the nature and characteristics of lower abdominal pain.

Lower abdominal pain

Painful or dull pain is mostly caused by chronic inflammation or fluid in the abdominal cavity. Falling pain can be caused by blood or pus in the uterine cavity. Paroxysmal colic can be caused by contractions of uterine organs such as the uterus or fallopian tubes. Tearing pain can be caused by ruptured ovarian tumors. Refractory pain is intolerable and may be caused by advanced cancer invading the nerves.

Lower abdomen pain time

In the middle of the menstrual cycle, one side of the lower abdominal pain appears, mostly caused by ovulation. Lower abdominal pain and bulging before or after menstruation can be primary dysmenorrhea or endometriosis. Regular lower abdominal pain but no menstruation is mostly caused by menstrual discharge, which can be seen in congenital genital tract malformations or postoperative uterine cavity, cervical canal adhesions, etc.

Lower abdominal pain

Lower abdomen median pain is mostly caused by uterine lesions, which is rare. Lower abdominal pain on one side is mostly caused by lesions on the side of the uterine appendage, and right lower abdominal pain can also be caused by appendicitis. Bilateral lower abdominal pain or even abdominal pain may be caused by ruptured ovarian cysts, ruptured tubal pregnancy or pelvic peritonitis.

To self-diagnose lower abdominal pain, you should know if you have a history of menopause, vaginal bleeding, the location, nature of abdominal pain, radiation pain, and anemia. If you cannot diagnose yourself, you should go to the hospital in time to perform a diagnosis by combining internal examination and B-ultrasound, pregnancy test, posterior fornix puncture, and lower abdominal X-ray film. Laparoscopy or laparotomy should be performed if necessary.

Lower abdomen pain may also be related to uterine discomfort. It is recommended to perform a detailed B-ultrasound, find a professional TCM doctor, and treat with traditional Chinese medicine.