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Acute lower abdominal pain in women - causes and methods of treatment

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Pain syndrome in the lower abdomen is one of the most common pathologies in women. Physiological pain can occur during the rupture of the dominant follicle during the ovulation period, several days before or during the menstruation( the result of a decrease in the uterine walls).Such pain usually has a moderate intensity, does not interfere with the usual activities and does not require special treatment. If painful very strong sensations occur suddenly and have an acute course, the causes are more often pathological in nature.

Acute lower abdominal pain in women: causes and treatment

Acute lower abdominal pain in women: causes and treatment

It is impossible to engage in self-management of abdominal pain, since various diseases of the genital area, diseases of the urinary and digestive system, and tumors of various genesis can cause such symptoms. Correctly identify the source of pain and factors that cause pain, you can only after a survey that is impossible to conduct at home.

Content of material

  • 1 Pain lasts more than 48 hours
    • 1.1 How to treat?
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  • 2 Pain appears after intimate proximity
    • 2.1 What is the treatment prescribed?
    • 2.2 Video - Where does the pain in the lower abdomen of women?
  • 3 Pain syndrome in combination with fever
  • 4 Pain after vomiting
  • 5 If a woman loses consciousness on a background of acute pain in the lower abdomen
    • 5.1 Video - Why does it hurt in the lower abdomen in women?

Pain lasts more than 48 hours

If the soreness does not go away after 1-2 days after the first unpleasant sensations appear, the cause may be in hidden inflammatory processes that have escalated under the influence of unfavorable factors. Most often, lethargic inflammation is diagnosed in the renal system, uterine appendages and organs of the urogenital tract. The cause of inflammation can be pathogenic microorganisms that penetrate the mucous membranes of the urogenital system with poor hygienic care or close contact with the carrier of the disease, or non-infectious factors, such as long-term use of potent medicines.

Abdominal pain

Abdominal pain

The most common diseases in women are inflammation of the renal pelvis and parenchyma( pyelonephritis) and the defeat of jade glomeruli, called glomeruli( glomerulonephritis ).No less common inflammation in the ovaries and fallopian tubes .They often have an infectious nature and are accompanied by a sharp pain in the lower abdomen, which does not go away without specialized treatment.

Symptoms of pyelonephritis

Symptoms of pyelonephritis

All these diseases have a common symptomatology. The signs of these pathologies include the following clinical symptoms:

  • acute pain in the lower abdomen, which has a clear localization from the pathological process;
  • increase in temperature to 38 ° and above( including baseline);
  • signs of general intoxication( headache, nausea, dizziness, chills);
  • pain syndrome in the lower back, sacrococcygeal region and hip area( rarely).

In case of severe inflammation, a woman may have a single vomiting, kidney colic. The pressure usually rises slightly, but in some women the opposite picture can be observed - a decrease in the usual indices by 10-15 units.

Development of glomerulonephritis

Development of glomerulonephritis

How to treat?

Acute inflammatory processes in the organs of the genitourinary system most often require hospitalization in a hospital. In some cases, treatment can take place at home, but only if the doctor allows this possibility. For treatment, anti-inflammatory drugs are used from the group of non-steroid drugs( Ibupen , Ibuprofen ), antibiotics of the penicillin series( Amoxicillin , Flemoxin ).In the first day, the patient is prescribed a strict bed rest and plenty of drink to prevent dehydration and cardiovascular disorders.

The drug Amoxicillin

Preparation Amoxicillin

Important! In severe cases, nephrectomy can be prescribed - removal of the affected kidney. The operation may be required at high risks of sepsis - a systemic infection of the blood - and severe organ dysfunction.

Pain appears after intimate affinity

Acute pain after sexual contact may indicate genital infections or cystic ovarian formation .Also similar symptomatology is characteristic for of erosive damages of the cervix and benign tumors , which are formed from muscle layers of the myometrium - the uterine myoma. Acute pain in these diseases can be replaced by pulling sensations of high intensity. Sometimes the pain can be sharp and stitching, but such a painful syndrome usually does not last long - no more than 5-10 minutes.

Cystic ovarian formations

Cystic ovarian formations

The main symptoms of these pathologies are:

  • bleeding between menstruation, which can occur in isolation, increase after physical exertion and sexual contact( including blood clotting);
  • painful menstruation( dysmenorrhea), which can be prolonged and plentiful;
  • deterioration of health, weakness;
  • emotional instability.

A slight increase in temperature is possible, up to 37.0 ° -37.3 °.With large cysts, seals can appear in the lower abdomen, which are usually painless and immobile. If the cystic cavity is filled with pus, a woman may experience vomiting, dizziness, fainting. The body temperature during inflammation of the cyst increases to 38.5 ° -39 °.

Types of uterine fibroids

Types of uterine fibroids

What is the treatment prescribed?

Ovarian cysts are treated only surgically. To remove the formation of a woman assigned laparoscopy - excision of the cyst through the holes in the abdomen with a laparoscope. The operation does not refer to the types of complicated surgical intervention, nevertheless, it is important to follow all the doctor's recommendations for preparation and rehabilitation during the rehabilitation period.

Treatment with myomas is also performed promptly, but in most cases, doctors choose expectant management and do not prescribe an operation until absolute indications appear. Erosion is usually cauterized by electric current( electrocoagulation) or is frozen by liquid nitrogen( cryodestruction).

Video - Where does the pain in the lower abdomen of women?

Pain syndrome in combination with an increased temperature

If, against a background of painful sensations, a woman's fever rises, the causes may be infectious diseases of the urogenital system. The most common infectious and inflammatory disease in women is cystitis .The disease is accompanied by sufficiently bright and severe symptoms, which allows you to quickly differentiate it with other disorders and assign the necessary diagnostic studies.

Frequent pain in the lower abdomen in women

Frequent abdominal pains in women

The signs of inflammation in the bladder include:

  • frequent urge to empty the bladder, in which there is a slight discharge of urine( or none at all);
  • sharp pain when urinating, often accompanied by burning and stitching;
  • pain in the lower abdomen, the intensity of which changes undulating during the day;
  • clouding of urine( formation of a mucous sediment is possible);
  • temperature rise above 38 °.
Causes of cystitis

Causes of cystitis

Important! In severe cases, a bloody suspension, blood veins and traces of a purulent discharge can be found in the urine. There may also be acute pain during defecation. With such symptoms, a woman needs urgent hospitalization. Treatment of complicated cystitis may require the use of surgical methods.

Classical treatment regimen for infectious cystitis in women

Drug group Drugs Image
Antibacterial drugs of a wide spectrum Ampicillin-based drugs( Amoxiclav, Amosin, Augmentin) or macrolides( Clarithromycin).The type of antibiotic is selected taking into account the results of bacterial planting
Augmentin

Augmentin

Antimicrobial and antiseptic preparations Monural, Nitroxoline, Palin, Furagin, Furamag, Furadonin, Streptocid
Nitroxoline

Nitroxoline

Herbal preparations withantiseptic, anti-inflammatory and antimicrobial action "Cyston", "Monurel", "Kanefron", "Phytolysin", "Urolesan"
Cyston

Cystone

Spasmolytics Drotaverin, No-sppa
Drotaverine

Drotaverin

Nonsteroids anti-inflammatory drugs «Faspik", "Ibuklin»
Faspik

Faspik

to restore normal microflora after ingestion of antibiotics and antimicrobial agents recommended course administration of drugs containing lactobacilli and bifidobacteria( « Atsipol », « Normobakt »).

The drug Normobakt

Medication Normobakt

Pain after vomiting

Vomiting and nausea are the first symptoms of diseases of the gastrointestinal tract. With such symptoms, intestinal infections, food poisoning, inflammatory processes in the large and small intestines can begin. Vomiting is usually abundant and multiple, accompanied by constant nausea, lack of appetite. The stool in pathologies of the intestine can be liquid, copious and watery - this pattern is typical for infectious lesions of the mucous membranes. Some inflammatory processes, for example, duodenitis or colitis, on the contrary, can cause painful constipation and difficulties with defecation.

Among the most common diseases of the digestive tract, in which acute pain occurs primarily after a single or repeated vomiting, are:

  • colitis;
  • enterocolitis;
  • duodenitis;
  • food poisoning;
  • intestinal influenza( rotavirus infection);
  • other intestinal infections of an infectious genesis.
Symptoms of colitis

Symptoms of colitis

Treatment of any diseases of the intestines, in which inflammation of the mucous layer occurs, begins with the appointment of a special diet. It is necessary to reduce the traumatic burden on the damaged mucous membrane, reduce pain and stop the acute stage of inflammation. In the first day the woman is shown complete starvation, sometimes this period can be extended to 2-3 days( strictly in a hospital).Beginning from the second to the third day, the diet can include jelly, liquid porridge on water, mashed soups, vegetable puree. Fresh fruits and vegetables, dairy products, sweets, carbonated drinks from the menu are excluded until the end of therapy.

For , the following preparations are commonly used for the treatment of intestinal infections of :

  • antibacterial agents based on nifuroxazide( " Enterofuril ", " Stopaddier ");
  • sorption preparations( " Neosmectin ", " Smecta ", " Polysorb ");
  • saline solutions for the restoration of water and mineral balance( " Regidron ");
  • antiemetic drugs( " Motilium ", " Cerucal ").
The drug Enterofuril

Preparation Enterofuril

Important! The use of digestive enzymes for the normalization of digestion, recovery of stool and relief from abdominal pain is indicated only after a laboratory examination of the patient. With rotavirus infection, funds of this group are not assigned. To stop painful spasms, you can use antispasmodics( " No-spindle ", " Drotaverin ").

If a woman loses consciousness on the background of acute pain in the lower abdomen

This situation can be observed with latent forms of bleeding ( usually gastric or intestinal).Symptomatic pathology is quite pronounced. Signs of hypovolemia( decrease in the volume of circulating blood) caused by gastric bleeding include: a sharp pain of high intensity, which can have central localization or shift to the lateral parts;

  • increased heart rate;
  • tachycardia;
  • lowering blood pressure;
  • swift blanching of the skin and mucous membranes( in some areas there may be areas of cyanosis);
  • cold sweat sticky consistency;
  • vomiting and nausea;
  • loss of consciousness.
  • Symptoms of internal bleeding

    Symptoms of internal bleeding

    Important! These symptoms are the basis for calling an ambulance or emergency team. When untimely assistance with internal bleeding, the likelihood of a lethal outcome is more than 50%.

    The appearance of abdominal pain is not always the physiological norm caused by the functioning of the reproductive system. If the pain has an acute course, does not go away after taking analgesics and antispasmodics, it is necessary to see a doctor, as it is impossible to find out the cause of poor health at home.

    Video - Why does it hurt in the abdomen of women?

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