Female abdominal distension pain can be divided into acute and chronic. The main causes of acute abdominal distension and abdominal pain are acute pelvic inflammatory disease, abortion, gynecological tumor rupture and ectopic pregnancy. The main causes of chronic abdominal pain are chronic pelvic inflammatory disease, dysmenorrhea, endometriosis and pain after birth control. Most patients have abdominal pain, low back pain, sexual pain and other symptoms, and the course of disease is long, which has become a nightmare that has plagued life and work for a long time.

Abdominal distension and pain in women may be caused by the following negative factors.

1, gynecological inflammation

Vaginitis and adnexitis are the causes of abdominal distension and pain. The specific symptoms are dull pain, fever and abnormal leucorrhea in the lower abdomen. If acute adnexitis is delayed, it will develop into chronic adnexitis, which is characterized by mild and severe lower abdominal pain.

2, dysmenorrhea

Up to 88% of young women have dysmenorrhea, and every time they come to menstruation, they show severe abdominal pain, which may be accompanied by nausea and vomiting. There are many reasons, such as development, endocrine, mental factors, diet and so on. Among them, mental factors are the most common factors. Many menarche girls are often too nervous and even have fear when they have menstrual cramps. Under this bad stimulation, the uterus contracts and spasms, and menstrual blood is not discharged smoothly, which makes dysmenorrhea worse.

3. Ectopic pregnancy

At 40 ~ 50 days of pregnancy, the patient suddenly felt a severe pain in the lower abdomen, which spread from one side to the whole abdomen. May be accompanied by dizziness, pallor, decreased blood pressure, and even coma.

4. Acute pelvic inflammatory disease

The main manifestation is abdominal pain. If there is abscess, there may be lower abdominal mass and local compression stimulation symptoms, such as bladder irritation and rectal irritation symptoms, which persist.

5. 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.

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, trauma, sexual intercourse, strenuous activity and so on. 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.

7,

acute appendicitis

It is a common lower abdominal pain in women. 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.

8. Psychogenic abdominal pain

Anxiety can cause anxious physical discomfort, such as pallor, rapid heart rate, shortness of breath, unbearable abdominal pain, vomiting, headache, dizziness and so on. Some patients went to see a doctor because of abdominal pain for many times, but the results of various tests were normal. Once the patient relaxes, anxiety and discomfort will be relieved soon, and abdominal pain will disappear immediately. Such patients need psychological treatment.