Why do I feel pain in my lower abdomen after standing for a long time?

It is very common for people to experience lower abdominal pain in their daily lives, and this condition can be very distressing, making people feel that their lower abdomen is bloated and painful. Although this is not a serious disease, it may be a precursor to some serious illness. People need to understand the cause in detail and then take effective measures to treat it. Here we will introduce why the lower abdomen hurts after standing for a long time.

1. Bloating due to Qi stagnation: Patients feel fullness and blockage in the upper abdomen, which may extend to the liver area and the back, and may even cause pain due to the bloating. It is often triggered or aggravated by anger or emotional stimulation, and is accompanied by irritability, nausea and vomiting, loss of appetite, belching, and even acid regurgitation. The treatment is to soothe the liver qi, harmonize the stomach and reduce reflux. Commonly selected medicines include bupleurum, white peony root, immature bitter orange, citron, cyperus rotundus, green tangerine peel, and Chuandongzi, which can be flexibly added or subtracted according to different changes.

2. Abdominal distension due to spleen deficiency: Hepatitis has lasted for a long time, with long-term loss of appetite, abdominal distension after eating, which worsens after eating, accompanied by fatigue and weakness in the limbs, shortness of breath and laziness to speak, dry and loose stools, heaviness in the lower abdomen, cold limbs or mild edema. The treatment is to strengthen the spleen and eliminate bloating, raise the clear and lower the turbid. Choose drugs such as Codonopsis pilosula, Atractylodes macrocephala, Poria cocos, Pueraria lobata, Picrorhizoma Coptidis, Cyperus rotundus, Costus root, Magnolia officinalis, etc. If the spleen is deficient and cold and dampness are stagnant in the middle burner, use Xiangsha Liujunzi with added ingredients; if there is abdominal distension and diarrhea, it is advisable to strengthen the spleen and replenish qi and warm the middle and dispel cold.

3. Abdominal distension due to blood stasis: The patient has persistent distension in the lower abdomen, which is lighter during the day and heavier at night. The patient is emaciated, has a pale complexion, bluish nails, dilated capillaries, a red tongue and a sluggish pulse. Physical examination may reveal hepatosplenomegaly, varicose veins of the abdominal wall, etc. The treatment is mainly based on promoting blood circulation and unblocking collaterals, and the prescription includes Angelica sinensis, Ligusticum chuanxiong, Paeonia lactiflora, Eupolyphaga sinensis, Prunus persica, Vaccaria segetalis, Ironleaf fructus, Carthamus tinctorius, Fructus polygoni multiflori, and Achyranthes bidentata.

4. Abdominal distension due to damp-heat: distension in the epigastric and lower abdomen, or even the entire abdomen, which persists and cannot be relieved and is aggravated by eating too much greasy food. It is accompanied by irritability, thirst without desire to drink water, dizziness, nausea, aversion to greasy food, sticky and uncomfortable stools, foul-smelling farts, yellow or red urine, etc. The treatment is mainly to promote diuresis, while also clearing away heat, regulating the intestines and regulating qi. Select silkworm excrement, coptis root, gentian, scutellaria, patrinia, jiao sanxian, sedge,

In addition, there are also abdominal distension caused by spleen and stomach deficiency and cold, and abdominal distension caused by food accumulation. Clinical differentiation should distinguish between the deficiency and excess of Qi and blood, cold and heat. You cannot just regulate Qi when you see abdominal distension, in order to achieve good therapeutic effects.