What is the reason for the bloating and pain in the lower abdomen

What causes lower abdominal pain? This symptom occurs especially in female friends, especially during menstruation. Although the symptoms are relieved after menstruation, many women still feel uncomfortable. Especially at other times, some women also experience lower abdominal distension and pain. Why is this? Today our experts are here to answer this question for you.

1. Causes of acute lower abdominal pain: (1) Dysmenorrhea: such as primary dysmenorrhea and endometriosis. (2) Pelvic organ inflammation: such as acute pelvic inflammatory disease. (3) Pelvic tumor torsion: such as ovarian cyst torsion. (4) Pelvic tumor rupture: such as ovarian cyst rupture and ovarian chocolate cyst rupture. (5) Menstrual obstruction: such as adhesion of the cervical canal or uterine cavity, uterine blood accumulation due to vaginal malformation, etc. (6) Intra-abdominal bleeding: such as ruptured fallopian tube pregnancy, miscarriage, and ovarian corpus luteum rupture. (7) Injury: such as uterine perforation and uterine rupture. (8) Others: such as appendicitis, ureteral stones, etc. 2. Causes of chronic lower abdominal pain: (1) Chronic pelvic inflammatory disease, pelvic venous congestion, etc. (2) Severe chronic cervicitis. (3) Retroverted uterus, uterine prolapse, uterine fibroids, etc.

Causes

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 genital inflammation: 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 certain repressed emotions into physical symptoms in order to alleviate psychological disorders, and the external manifestation is psychological pelvic pain.