Extreme pain 1: Severe pain in the lower abdomen during monthly menstruation, and slight pain before menstruation. Preliminary diagnosis: Endometriosis Let’s break it down: Cells in the uterus gradually grow to places outside the uterus that do not belong to them, such as the fallopian tubes, ovaries, and outside the bladder. At the end of the menstrual period, these cells also bleed a small amount, causing inflammation and damage to the areas they extend to. Our bodies automatically create scar tissue to surround these cells and block this damaging effect. The formation of scar tissue can cause lower abdominal pain and reduce our fertility. Main symptoms: At first, the patient feels the abdominal fullness that often occurs before menstruation, and then there is a feeling of lower abdominal pain similar to premenstruation, but the time is not before menstruation. Action to take: If the gynecologist feels that the patient's lower abdomen is soft and thin, he may check for endometriosis and then perform an intrauterine or ultrasound examination of the patient's lower abdomen. How to treat it: If endometriosis is mild, it can be cured with medication. If the situation is more serious or the patient is preparing to have a child, endoscopic surgery (i.e. laparotomy) may be required. The doctor will use a hysteroscope with a laser to remove scar tissue and endometrial hyperplasia. The more prompt the treatment, the faster the recovery. Extreme Pain 2: Twitching pain in the lower abdomen, accompanied by dizziness, bloating, persistent diarrhea or constipation. Preliminary diagnosis: acute enteritis. Listening to decomposition: Large intestine dysfunction leads to extreme sensitivity of nerves and muscles. 20% of the population suffers from irritable bowel syndrome (IBS), 65% of whom are women. Main symptoms: Bathing can effectively relieve pain, dizziness, bloating, persistent diarrhea or constipation. What to do: See a doctor who treats digestive problems. Often, after your doctor has thoroughly examined you and ruled out the possibility of IBS infection, he will tell you that the cause of the pain is simply stress. How to treat it: Many IBS sufferers use medications to relieve constipation. Extreme pain 3: Pain in the middle of the lower abdomen, discomfort during urination, and frequent urination. Preliminary diagnosis: interstitial cystitis (IC) Let's break it down: Your urinary tract is in a state of inflammation that causes the bladder to swell. Doctors usually believe that women with IC may have lesions on the inner wall of their bladder, which stimulates the central nervous system of the brain to produce a urination response. Main symptoms: pain near the pubic bone, which worsens when trying to urinate; frequent urination (at least once an hour during the day and multiple times at night), and sharp pain during sex. What to do: Have your gynecologist look for urinary tract infections and kidney disease. If so, just carry out anti-inflammatory treatment for a period of time. How to treat it: Your condition will improve greatly after you undergo an internal bladder exam, which destroys the nerve endings that carry pain from the bladder to the central nervous system. A scientific and reasonable diet, eliminating those foods that are likely to cause trouble, will help improve your condition and keep you healthy. Very painful 4: Pain in the lower abdomen during activity. Preliminary diagnosis: ovarian cyst. Let’s break it down: Ovarian cyst refers to a mass wrapped with fluid in the uterus. Less than 5% of people with ovarian cysts will develop cancer. All ovarian cysts are functional cysts, which means that the developing egg may be surrounded by fluid in the cyst, causing the ovary to swell and cause pain. Main symptoms: Ovarian cysts may develop over time, causing pain when you stand up after exercising or sitting still. By this time, the condition was already serious. Because the fluid in the cyst causes the ovary to droop due to gravity, you will feel a falling pain when you exercise. Measures to be taken: A gynecologist can understand the condition by touching the lower abdomen and determine whether there are ovarian cysts. How to treat: If an ovarian cyst is found during ultrasound examination and may be cancerous or too large, the doctor will recommend surgical removal. Very painful 5: Continuous or intermittent distending pain in the lower abdomen. Preliminary diagnosis: uterine fibroma and hearing breakdown: This is a benign tumor that may grow on the inside, outside of the ovary or inside the body of the ovarian wall. Before detection, the patient's symptoms were so mild that they were almost undetectable. According to research data from the Uterine Fibroids Organization, 80% of women are likely to suffer from this disease, but only 1/4 of them will worry about their symptoms and go for examination and finally find out, so as to receive timely treatment. Main symptoms: A feeling of fullness in the lower abdomen, not exactly a feeling of pain.
In addition, increased menstrual bleeding is also a major symptom - the bleeding is so heavy that it can soak through a sanitary napkin in one hour, and there are symptoms of labor pain and local edema during menstruation. The biggest danger of fibroids is reproductive impairment. Measures to be taken: The gynecologist will perform an abdominal examination for you to assist you in describing your symptoms, and the condition will gradually become clearer. How to treat it: If the bloating is not severe, it means that the fibroids are not serious enough to affect fertility. You only need to buy some painkillers or birth control pills to inhibit the growth of fibroids. Surgery should not be performed until the tumor growth cannot be suppressed, because surgery will leave scars and affect fertility. If the abdominal distension becomes so severe that it affects daily life, tumor resection will be necessary. The recovery time of the surgery is about 6 weeks, but it depends on the size of the fibroid and the circumstances of the surgery. Reminder - If you have severe lower abdominal pain, or are accompanied by any of the symptoms in the following table, it is best to seek medical advice nearby: ● Weakness ● Dizziness ● Cold intolerance ● Fever ● Vomiting ● Strong labor pains similar to menstruation If you have these symptoms, you You may have uterine enlargement (PID). If not treated early, it may lead to placental ectopy, uterine rupture or atrophy, appendicitis, etc. PID is completely curable, but there is a fear of delaying treatment.
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