I have been having a lot of pain in my lower abdomen lately.

Many people have recently experienced a heavy pain in their lower abdomen. The causes are quite complicated and it is difficult to identify the cause of a single pain. Therefore, we need to have a comprehensive understanding of the possible causes and conduct a comprehensive analysis based on other symptoms that appear in the body so that we can know the specific problem. So, what’s going on with the heaviness and pain in my lower abdomen lately? Let’s take a look below.

There are many types of acute lower abdominal pain with various manifestations, but they have one common characteristic, that is, they change greatly and progress rapidly. If delayed, it will bring serious consequences to the patient, so it must be taken seriously. Acute inflammation causes lower abdominal pain : acute endometritis, acute salpingo-oophoritis, pelvic peritonitis, etc. Among them, acute salpingo-oophoritis is the most common, and in severe cases, abscesses may form. Acute pelvic infection often occurs after delivery and abortion. Non-inflammatory lower abdominal pain: Common causes include ectopic pregnancy, ovarian tumor pedicle torsion and rupture, etc. Lower abdominal pain caused by ectopic pregnancy is usually severe. If the fallopian tube pregnancy ruptures, the amount of bleeding is large and the rate is fast. The blood quickly spreads to the entire abdominal cavity and causes pain in the whole abdomen, leading to anemia and shock in the patient. When the pedicle of an ovarian tumor twists, it can cause persistent colic. In addition, the contents of an ovarian cyst that ruptures can irritate the peritoneum and cause pain.

Other causes of acute lower abdominal pain: Acute lower abdominal pain may occur when uterine perforation occurs during artificial abortion or IUD. In addition, acute intestinal obstruction, abdominal organ stones, hydrosalpinx, intestinal torsion, dysmenorrhea, and pelvic and abdominal trauma can all cause acute lower abdominal pain. The differential diagnosis of acute lower abdominal pain is not easy. Moreover, improper behavior before going to the hospital emergency room may aggravate the condition and may also mask the patient's original symptoms, giving the doctor a false impression when making a diagnosis. There are many causes of chronic lower abdominal pain, the most common of which are chronic inflammation of the reproductive organs, endometriosis, adenomyosis, pelvic congestion and psychological pelvic pain. Chronic inflammation of the genitals: chronic cervicitis, chronic pelvic inflammatory disease, dysmenorrhea, etc. Pelvic congestion : also known as pelvic varicose veins, caused by chronic pelvic congestion. Tumor pain: When gynecological malignancies develop to the late stage, the pelvic nerves may be infiltrated or compressed by the tumor, causing pain. Psychological pelvic and lower abdominal pain: Psychological pelvic pain is generally manifested as recurrent lower abdominal pain, but examination confirms that there is no organic lesion. Psychogenic pelvic pain is more of a physical reaction. Some people may develop a fear of sex and pain during intercourse due to psychological trauma related to sexual behavior, which may eventually develop into pelvic pain. Studies have found that patients tend to transform some repressed emotions into physical symptoms to relieve psychological disorders, and the external manifestation is psychological pelvic pain.

The diagnosis can be made based on the nature and characteristics of the lower abdominal pain. Dull or dull pain in the lower abdomen is often caused by chronic inflammation or fluid accumulation in the abdominal cavity. The pain may be caused by blood or pus in the uterine cavity that cannot be discharged. Paroxysmal colic can be caused by contractions of intrauterine organs such as the uterus or fallopian tubes. Sharp, tearing pain may be caused by a ruptured ovarian tumor. Intractable pain may be caused by advanced cancer invading the nerves. Lower abdominal pain: Dull pain in one side of the lower abdomen occurs during the menstrual cycle, which is mostly caused by ovulation. Lower abdominal pain and distension before, during, or after menstruation may be due to primary dysmenorrhea or endometriosis. Regular lower abdominal pain without menstruation is mostly caused by menstrual blood discharge, which can be seen in congenital reproductive tract malformations or postoperative adhesions of the uterine cavity and cervical canal. Lower abdominal pain Pain in the middle of the lower abdomen is mostly caused by uterine diseases and is less common. Lower abdominal pain on one side is mostly caused by lesions in the uterine adnex on that side, and lower abdominal pain on the right side can also be caused by appendicitis. Bilateral lower abdominal pain or even general abdominal pain may be caused by ruptured ovarian cysts, ruptured fallopian tube pregnancy, or pelvic peritonitis. To self-diagnose lower abdominal pain, you need to understand whether you have a history of amenorrhea, vaginal bleeding, the location, nature, radiating pain of the abdominal pain, and a history of anemia. If you are unable to diagnose the condition yourself, you should go to the hospital in time for a diagnosis based on internal examination and detailed examinations such as B-ultrasound, pregnancy test, posterior fornix puncture, and lower abdominal X-ray. If necessary, laparoscopy or laparotomy should be performed. Lower abdominal pain may also be related to uterine discomfort. It is recommended to do a detailed B-ultrasound examination, find a professional Chinese medicine practitioner to feel your pulse, and use Chinese medicine for treatment.

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