What is the dull pain in the woman's abdomen?

For people in poor health, there may often be various physical discomforts. Generally, if it is not very serious, it will not be too concerned. Abdominal pain may be more common in women, but the causes of different abdominal pains may be different. Many people have a dull pain in their stomachs and worry about what disease they have. How is the dull pain in female abdomen? What disease is abdominal pain in women?

1, what is the dull pain in a woman's abdomen?

When it comes to a dull pain in women's abdomen, we can't help but talk about it. As we all know, the pain is mild and severe, and the most serious pain is called explosive pain in medicine, such as gallbladder perforation, appendix abscess rupture, late cancer pain and so on. It really hurts. It hurts. Followed by severe pain, such as intestinal volvulus, hydrosalpinx torsion and so on. , make you feel uneasy; Then there is severe pain, which is very obvious and unbearable, such as bile duct stones and intestinal obstruction. As for hidden pain, it is tolerable pain, mild or intermittent. For the hidden pain, many women don't even want to talk about it, which has laid a hidden danger for related diseases. So, what is the dull pain in women's abdomen related to?

The causes of abdominal pain in women are, in short, physiological dull pain and pathological dull pain.

First, physiological dull pain is a normal physiological phenomenon, and there is no need to worry and treat it.

1 ovulatory abdominal pain

Most women of childbearing age find that their lower abdomen always aches in the middle of two menses, but they can't find anything wrong when they go to the hospital. This is ovulation abdominal pain. The reason is that when some women ovulate, follicles and fluid in follicles overflow into the abdominal cavity, which stimulates the peritoneum and causes mild pain in the lower abdomen.

However, this kind of ovulatory abdominal pain does not happen to every woman, and only a few women who are sensitive to pain, have a large ovarian fissure during ovulation and have more bleeding will feel abdominal pain.

It is suggested that these women should not do strenuous or heavy physical labor during ovulation, so as to avoid excessive ovarian rupture and pain during ovulation.

A dull pain in the lower abdomen at the beginning of pregnancy.

This is also the experience of some pregnant women. Why? First, a few women have dull pain due to embryo implantation in the early pregnancy, or it may be caused by the enlargement of the uterus and the pulling of the ligament. Obviously, this is a normal physiological reaction after pregnancy. Pay attention to rest and sleep on the left side.

Second, pathological dull pain is mostly a sign of gynecological inflammation and disease, which has very dangerous hidden dangers and needs high vigilance.

1 ectopic pregnancy

Ectopic pregnancy is a pregnancy outside the uterus, that is, sperm "sits in the wrong position" and grows in the wrong place. Ectopic pregnancy mostly occurs in fallopian tubes, which is mostly caused by chronic salpingitis. The reason is that tubal inflammation will narrow the internal space of fallopian tube cavity, and the peristalsis of fallopian tube will be affected to some extent, so the fertilized egg will weaken during the transfer, and the blocked sperm may stay in the fallopian tube at will.

With the aggravation of inflammation, the fallopian tube may be partially or completely blocked, and the occurrence of ectopic pregnancy becomes inevitable. In addition, tubal dysplasia or abnormality is also the cause of tubal pregnancy. Early ectopic pregnancy and abdominal pain are common symptoms. It is very dangerous to ignore this hidden pain. Once the fertilized egg is ruptured, it will cause acute and severe abdominal pain, female private bleeding, dizziness, shock, and even life-threatening.

2 dysmenorrhea

It is no stranger to most women. It is pain before, during or after menstruation, accompanied by symptoms such as general malaise. Due to the different degree of dysmenorrhea, there will be different pain situations, among which dull pain in the lower abdomen is one of the common symptoms. Some women have regular sexual life after marriage, and dysmenorrhea will heal itself without treatment. This situation does not rule out that such women have cervical stenosis before marriage, or that menstrual blood stays in the uterus due to the flexion of the uterus position, and the uterus is stimulated to cause dysmenorrhea. After sexual life, women's private parts and cervix become larger, endometrium and menstrual blood can be discharged smoothly, and dysmenorrhea will definitely disappear.

However, there are many reasons for dysmenorrhea, such as excessive uterine retroversion, uterine hypoplasia, endometriosis, adenomyosis, pelvic inflammatory disease and other diseases. It is impossible to solve the problem by marriage. Medically speaking, the dysmenorrhea mentioned above belongs to primary dysmenorrhea, and the problem is not big; The related diseases mentioned later are secondary dysmenorrhea. If ignored, it will lose the good opportunity of treatment and aggravate the harm to health.

3 adnexitis

As we all know, fallopian tubes and ovaries are called uterine appendages, and the inflammation of these two organs is adnexitis. Women suffering from adnexitis, a gynecological disease, need not argue. The main reason for their illness is that they don't pay enough attention to hygiene in their sexual life. It is natural for bacteria to invade unclean environment and cause infection. In addition, some people can't stand it, and having sex during menstruation is also a risk factor for adnexitis. There are other reasons, such as abortion, which are also easy to cause. But judging from its symptoms, there is often a dull pain in the left lower abdomen. Increased leucorrhea, low back pain, menstrual disorder, etc. Often accompanied by. Appendicitis can not be ignored. If the treatment is not timely and standardized, it will easily lead to tubal atresia, infertility and ectopic pregnancy.

4 urinary calculi

Urinary calculi are urinary calculi, and the main causes of abdominal pain are ureteral calculi, bladder calculi and urethral calculi, with a very high incidence rate, accounting for the largest number of inpatients. Many patients complained clinically, "I didn't care about abdominal pain at the beginning of the disease, but I didn't expect the stones to be so big during the examination." Indeed, the symptoms of dull pain in the lower abdomen, especially large stones, will only get worse after exercise, so it is easy to be ignored. However, it must not be ignored. Stones can easily induce urinary tract infection, and severe urinary tract infection can cause septicemia, threatening the health and life of patients. The best policy is to go to the hospital in time and receive scientific and standardized treatment.

5 Endometritis

Endometritis is a common gynecological disease, but female friends don't know it very well. In fact, it is mainly caused by the infection of some pathogenic bacteria, and the inducement is mostly female genital inflammation. Because, if female genital inflammation is not treated in time, its pathogenic bacteria will invade the endometrium and make it inflamed. In addition, abortion, stillbirth, etc. Damage to the uterus, in the case of incomplete recovery of the uterus, is easy to cause female endometrial inflammation. The main symptom of endometritis is mild abdominal pain, often accompanied by irregular bleeding, excessive leucorrhea and peculiar smell. Many patients show hidden pain. If this point is ignored and the treatment is not timely, it may be complicated with intrauterine empyema and infertility. Even if pregnant, it is likely to affect fetal development, and even lead to fetal malformation, abortion, premature delivery, premature rupture of membranes, neonatal infection and so on.

6 endometriosis

Endometriosis is the formation of endometrial cells outside the endometrium, which mostly occurs in women of childbearing age. The main symptom is dull pain in the lower abdomen. Dysmenorrhea, chronic pelvic pain and pain in the same room are all related to endometriosis. For endometriosis, once neglected, it will not only aggravate the condition and make the pain unbearable, but also lead to abnormal menstruation and even infertility.

To sum up, I especially remind female friends not to endure dull pain in the lower abdomen, but to go to a regular hospital for examination in time, make clear the cause and treat it as soon as possible.

2. Causes of lower abdominal pain in women

dysmenorrhoea

Dysmenorrhea can be divided into primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea is common in adolescent girls. The reason is related to prostaglandin level, cold, mood and psychological factors, but there is no organic disease. With the growth of age or after marriage and childbirth, it can generally heal itself. The common causes of secondary dysmenorrhea are endometriosis and adenomyosis. It is characterized by gradual aggravation of pain, mostly periodic attacks, or dull pain in the lower abdomen during non-menstrual period, which is aggravated before and after menstruation. In addition, it is often accompanied by infertility and menstrual disorders, and it is often necessary to seek medical treatment.

Rupture of corpus luteum

This is due to more corpus luteum bleeding, accompanied by sudden abdominal pain in the lower abdomen or one side, and even shock in severe cases. Rupture of ovarian corpus luteum mostly occurs on the 20th to 26th day of menstrual cycle, and lower abdominal pain may occur at the onset, with different severity. Before corpus luteum rupture, there is a process of ovarian hyperemia and swelling. When the ovary is affected by external force or indirect external force, especially when it is congested before menstruation, it is induced by defecation force, trauma, sexual intercourse and strenuous activity. It is best to go to the hospital immediately after the onset of corpus luteum rupture, and don't abuse painkillers on your own, so as not to cover up the symptoms and affect the normal diagnosis and treatment.

Ovulatory abdominal pain

When adolescent girls ovulate, follicular rupture and follicular fluid may stimulate the peritoneum to a certain extent, so sometimes there will be slight abdominal pain, alternating once a month or so. This is physiological, and the manifestations are mostly unilateral dull pain in the lower abdomen, dull pain or painful pain. Some girls will be accompanied by a little bleeding in women's private parts, that is, bleeding during ovulation, which will usually disappear after one or two days, usually not more than seven days. This kind of abdominal pain has no pathological changes, and the gynecological examination is completely normal. It belongs to physiological abdominal pain and generally does not need treatment.

Torsion or rupture of ovarian cyst pedicle

This is because the cyst has a long pedicle, large volume, no adhesion with the surrounding area and high activity. When it is affected by intestinal peristalsis or posture change, it will be distorted. When the pedicle of ovarian tumor is twisted, one side of the lower abdomen suddenly hurts, which is persistent colic, often accompanied by nausea and vomiting; There may be obvious tenderness and muscle tension in the abdomen; Anal digital examination can find swollen and tender attachments. Ovarian cysts can still rupture, and the contents after rupture stimulate the peritoneum to produce severe pain. B-ultrasound examination can confirm the diagnosis. Emergency surgery is usually needed.

Pregnancy-related diseases

In recent years, cases of teenage pregnancy are not uncommon. In 2005, the adolescent health care center of our hospital treated 220 pregnant girls. Abdominal pain caused by pregnancy-related diseases can be seen in threatened abortion and ectopic pregnancy. Take ectopic pregnancy as an example, there may be dull pain or swelling pain in the affected side attachment area, and when ectopic pregnancy has abortion or rupture, it can cause abdominal bleeding. The symptoms of pain vary with the amount and speed of bleeding. If it is tubal pregnancy abortion, abdominal pain is often confined to the lower abdomen, and blood accumulates in the uterus and rectum depression, which can cause anal pain; When tubal pregnancy is ruptured, the amount of bleeding is large and fast, and the blood quickly spreads to the whole abdominal cavity, causing total abdominal pain. In addition, some pregnant girls have private abortions, which not only easily lead to infections such as pelvic inflammatory disease or trauma of pelvic organs and reproductive tract, but also endanger life safety.

acute appendicitis

It is a common lower abdominal pain for girls. It belongs to surgical diseases, but it needs to be differentiated from gynecological diseases. About 70%~80% of patients begin to feel pain in the upper abdomen or around the umbilicus, and after a few hours, they transfer to the right lower abdomen. Abdominal pain in simple appendicitis is limited to the right lower abdomen and can be persistent or paroxysmal. Abdominal pain of suppurative appendicitis is aggravated, mostly paroxysmal severe pain or swelling pain. Necrotizing appendicitis began to appear persistent jumping pain, abdominal pain expanded and aggravated. Early mild nausea and vomiting, often accompanied by loss of appetite and constipation. Abdominal distension sometimes occurs when inflammation is serious. Metastatic right lower abdominal pain is the characteristic of appendicitis. This disease usually requires surgical resection.

Psychogenic abdominal pain

For girls with school phobia, patients are afraid of going to school and exams. If the patient is forced to go to school, she will have anxiety and anxiety-related physical discomfort, such as pallor, increased heart rate, shortness of breath, unbearable abdominal pain, vomiting, headache, dizziness and so on. Some patients have been treated for severe abdominal pain for many times, but the results of various tests are normal. Once the patient is temporarily suspended from school, the symptoms of anxiety and discomfort will be relieved soon, and the abdominal pain will disappear immediately. Such patients need psychological treatment.