Abdominal pain after childbirth

Even though the technology of caesarean section is becoming more and more advanced in modern society, many women still choose caesarean section to give birth to their children, but there are still many women who still choose the traditional method of natural birth to give birth to their children. Because the recovery time after a natural birth is shorter than that after a caesarean section, and the harm to the woman's body is not great. But doctors tell us that women experience abdominal pain after giving birth. What is going on?

Causes

Traditional Chinese medicine believes that postpartum abdominal pain is mostly caused by poor circulation of Qi and blood, which is usually divided into two types: blood stasis in the cell organs and deficiency of both Qi and blood. Postpartum abdominal pain, if the pain is caused by excessive blood loss, it is blood deficiency pain; if it is caused by insufficient lochia loss and blood stasis, it is excess pain; if the pain is caused by food, the patient will suffer from aversion to food and bloating; if the pain is caused by wind and cold entering the uterus, the patient will suffer from cold pain.

1. Blood stasis and blockage of cell organs

Most of the time it is due to poor circulation of qi and blood after childbirth, and stagnation of blood. It may be due to postpartum blood loss, emptiness of all meridians, lack of blood and weak qi, resulting in poor blood flow and stagnation; it may also be due to postpartum weakness, which allows cold evil to enter the body, causing blood to coagulate due to cold, and blood stasis inside the body, which causes pain due to blood obstruction.

2. Deficiency of Qi and Blood

It may be due to blood deficiency, or excessive blood loss during delivery, Chong and Ren meridians are empty, the uterine vessels are malnourished, or Qi and blood are weak, blood circulation is weak, blood flow is not smooth, and there is pain. It may also be due to careless daily life after delivery, cold evil takes advantage of the opportunity to enter, or eating raw and cold food, blood is cold and coagulated, or postpartum emotions are not smooth, liver Qi is stagnates, Qi stagnation and blood stasis, or postpartum lochia is not excreted smoothly.

Clinical manifestations

Paroxysmal severe pain in the lower abdomen, or dull pain in the lower abdomen, occurs from the postpartum period to the puerperium, which does not go away for several days and is not accompanied by chills or fever. It is often accompanied by a small amount of lochia that is dark purple in color with lumps and is not discharged smoothly; or a small amount of lochia that is light red in color.

1. The symptoms of Qi and blood deficiency are lower abdominal pain after delivery, preference for warmth and pressure, small amount of light-colored lochia, dizziness, palpitations, insomnia, constipation, pale red tongue, thin tongue coating, and weak pulse.

2. Blood stasis syndrome is characterized by lower abdominal pain after delivery, refusal to press, obvious coldness in the abdomen, which is relieved by heat, small amount of lochia, dark purple color, and blood clots, distension and pain in the chest and flanks, cold limbs, pale face, dark purple tongue, thin white fur, and deep and tight pulse.

examine

Perform abdominal MRI examination, abdominal plain film examination, etc. as appropriate.