Ovarian tumors may cause pain in the right lower abdomen, which is mainly related to compression, torsion, rupture, etc. of the tumor, and may be accompanied by other symptoms such as menstrual disorders, abdominal distension or weight changes. If the nature and location of the pain persists or worsens, you need to see a doctor in time for examination and diagnosis. 1) Causes of right lower abdominal pain caused by ovarian tumors The main mechanisms by which ovarian tumors can cause right lower quadrant pain include the following: -Tumor compression: As the tumor grows, it may compress surrounding organs or nerves, leading to chronic pain, which is often dull or aching. -Tumor torsion: If the tumor is large or cystic, the ovarian pedicle may torsion due to body position or activity, resulting in acute and severe right lower abdominal pain, which may be accompanied by nausea and vomiting. This is a serious emergency. -Tumor rupture or bleeding: Some ovarian tumors may rupture or have abnormal blood supply to the blood vessels, causing tissue rupture, which manifests as sudden severe pain in the right lower abdomen, accompanied by intra-abdominal bleeding and even shock. 2) Associated symptoms -Menstrual disorders: If it is a hormone-secreting ovarian tumor, it may cause menstrual abnormalities, such as heavy or irregular menstruation. -Abdominal distension or weight changes: An enlarged tumor may cause a bloating sensation in the abdomen or even unexplained weight gain or loss. -Gastrointestinal symptoms: As the tumor compresses the abdominal cavity, it may also induce abdominal distension, constipation, loss of appetite, etc. -Systemic symptoms: Some malignant ovarian tumors may be accompanied by symptoms such as general fatigue, low fever, and weight loss. 3) How to diagnose and treat -Imaging examinations: Chronic pain can be treated with abdominal ultrasound, CT or MRI to assess the size and nature of the tumor and identify the source of the disease. -Blood marker testing: Check tumor markers such as CA125 and HE4 to help determine whether the tumor may be malignant. - Treatment methods: a. Drug treatment: For small benign tumors, follow-up or the use of inhibitory hormone drugs to control tumor growth may be considered. b. Surgical treatment: If the tumor is large or has malignant tendencies, surgical resection is usually recommended, including tumor removal or oophorectomy. c. Chemotherapy or other auxiliary treatments: Malignant tumors may require postoperative chemotherapy, targeted therapy, etc. If right lower abdominal pain is accompanied by the above symptoms, you should seek medical attention in time for detailed examination, including imaging and blood tests, and give targeted treatment after the cause is determined. Especially when the pain persists or suddenly worsens, the risk of possible acute complications, such as tumor torsion or rupture, should not be ignored. |
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