There is always a dull pain in my lower abdomen

There are many types of gynecological inflammation in women, and in many cases, lower abdominal pain is also an early symptom of gynecological diseases. Each person's response to illness is different. The location of the lower abdominal pain and the different pain conditions can also reflect your condition and status. Never underestimate abdominal pain. Go to the hospital for examination in time. Don't delay it. The condition is very easy to recur and worsen.

Abdominal pain is a very common clinical symptom. It involves a wide range of issues and is complex in nature. Some causes may be very mild, while others may be serious diseases. Therefore, once you have abdominal pain, you should correctly identify the cause of the pain to avoid affecting your health. Everyone has experienced abdominal pain to some extent. When abdominal pain occurs, the most concerning question is why it occurs? Is abdominal pain serious? The location of abdominal pain is the main condition for determining the cause of the disease. Abdominal pain usually refers to pain in the front of the body, from the lower edge of the ribs to the pubic bone. Generally speaking, pain can be divided into two types: dull pain and sharp pain (hernia pain). Dull pain refers to a dull pain, which is mostly caused by pain in organs or internal organs; sharp pain refers to very obvious pain, and the patient can clearly know the location of the pain, which is usually related to obstruction of the duct, such as bile duct stones and intestinal obstruction.

1) In most cases, there is a corresponding relationship between the abdominal lesions and the location of abdominal pain. Generally, according to the location of the abdominal organs, the abdomen can be divided into four areas with the navel as the center: upper right, lower right, upper left, and lower left. According to the location of abdominal pain, it can be divided into the following types: upper left abdominal pain, upper right abdominal pain, lower left abdominal pain, lower right abdominal pain, and central abdominal pain:

1. Right upper abdominal pain requires consideration of problems with the liver, gallbladder, bile duct, pancreas, duodenum, right kidney, or right large intestine.

2. Right lower abdominal pain requires consideration of problems with the cecum, appendix, right ovary and fallopian tube, or right ureter.

3. Pain in the left upper abdomen may require consideration of problems with the stomach, spleen, pancreas, left kidney, or left large intestine.

4. Pain in the left lower abdomen may require consideration of problems with the sigmoid colon, left ovary and fallopian tube, or left ureter.

5. If you have pain around your belly button, you may need to consider whether it is a small intestine disease.

In addition, sometimes there may be widespread pain throughout the abdominal cavity. This is usually caused by inflammation of the peritoneum due to irritation for some reason, such as ulcer perforation, ectopic pregnancy rupture, and internal bleeding.

It is worth noting that some abdominal pain will shift with the influence of the lesion. For example, the pain starts in the center of the upper abdomen, gradually moves to the lower right within 24 hours and becomes more and more painful. This is an important sign of appendicitis. The pain was originally in the upper right corner and gradually extends to the bottom of the right rear shoulder blade. This may be a problem with the gallbladder or gallstones.

2) Don’t ignore clues that may help you make a diagnosis

1. The causes and effects of abdominal pain can be mild or severe. When abdominal pain occurs, in order to accurately understand the cause, patients should pay more attention to the pain condition to facilitate the doctor's diagnosis, including the location of the pain, time, nature of the pain, whether it is accompanied by other symptoms, factors affecting the change of pain, etc.

2. Whether the abdominal pain is accompanied by other symptoms is also one of the key points in determining the cause of the disease. For example, diarrhea may be caused by gastrointestinal inflammation; constipation may be caused by fecal obstruction; vomiting may be caused by intestinal obstruction or inflammation; changes in bowel habits may be caused by lesions in the large intestine; jaundice, fever and other symptoms may be caused by bile duct or liver lesions; frequent urination, difficulty urinating, nocturia, etc. may be caused by problems with the bladder or urethra. These different accompanying symptoms are helpful in distinguishing the true cause of abdominal pain.

3. Factors that affect pain changes cannot be ignored, especially gastrointestinal diseases are one of the common causes of abdominal pain, and gastrointestinal diseases are closely related to diet. Therefore, the relationship between diet and pain changes can be said to be an important basis for preliminary judgment of abdominal pain. For example: abdominal pain after eating may be gastritis or pancreatitis; pain is easy to feel on an empty stomach, but feel more comfortable after eating, which may be peptic ulcer.

3) Seek medical attention immediately for acute abdominal pain

Acute abdomen refers to severe abdominal pain that occurs within a few hours. When acute abdomen occurs, most people usually think it is due to a stomach upset or gastroenteritis. In fact, there are many possible causes of acute abdomen, including acute appendicitis, pancreatitis, cholecystitis, gastroenteritis, gastrointestinal ulcer perforation, intestinal obstruction, rupture of hollow organs, etc. Although some of them only require medical treatment, some must undergo surgical treatment. They are urgent surgical emergencies and must not be taken lightly.

When acute abdominal pain occurs, especially when accompanied by fever, nausea, vomiting, abdominal distension, night sweats, etc., seek medical attention immediately. Common clinical acute abdominal symptoms are as follows:

1. Acute gastroenteritis: It is mostly caused by food poisoning due to eating unclean food, usually accompanied by severe vomiting, diarrhea, fever and other symptoms.

2. Acute appendicitis: commonly known as appendicitis, it can occur in people of any age, but it is more common between the ages of 20 and 40. Most patients experience pain that shifts from the upper abdomen to the right lower abdomen. The pain reaches its peak in about 4-6 hours, and the pain may even be aggravated by coughing or moving the body.

3. Ulcer perforation: Sudden severe upper abdominal pain is a typical symptom. Other symptoms include abdominal distension, nausea, vomiting, fever, etc. Severe cases may even cause severe peritonitis.

4. Acute cholecystitis: The pain usually occurs after meals or in the middle of the night, and is located in the right upper abdomen or upper abdomen. Sometimes the pain spreads to the right shoulder or shoulder blade, and is accompanied by fever, vomiting, jaundice, etc.

5. Acute pancreatitis: Common symptoms include severe and persistent pain in the upper abdomen or left upper abdomen (sometimes the pain extends to the back), nausea and vomiting, and fever. The pain will be slightly relieved when the body bends forward.

6. Intestinal obstruction: Sudden severe upper abdominal pain is a typical symptom, and there are other symptoms such as abdominal distension, nausea, severe vomiting, etc. Common causes include fecal obstruction, intestinal cancer obstruction, intestinal torsion, etc. Severe cases may even lead to complications such as sepsis and perforation.

4) Women’s abdominal pain may not be simple

Menstrual pain is a common physiological phenomenon among women. When menstruation comes, there will be varying degrees of lower abdominal pain, sometimes even accompanied by symptoms such as bloating, chills, diarrhea, and back pain. When women experience this kind of physiological menstrual pain, it is recommended that they go to the obstetrics and gynecology department for examination first. If the possibility of gynecological diseases is ruled out, there is no need to worry. You can apply hot compresses or take painkillers to relieve the pain.

When women experience lower abdominal pain, excluding reasons such as cyclical menstrual pain and gastrointestinal dysfunction, they must consider whether it is a gynecological problem, such as endometriosis, ovarian cyst rupture, ovarian or ovarian cyst torsion, pelvic inflammation, uterine fibroids, ovarian tumors, ectopic pregnancy, abdominal or pelvic adhesions, etc. In order to avoid missing the golden period of treatment, women with unexplained lower abdominal pain should see a doctor as soon as possible.