In the face of the little stomach pain that the girl said, you will only reply "drink more hot water"?
You know, girls' stomach pain is not all because of the "big aunt", figure out the reason in order to treat the symptoms. Let's take a look at the N common causes that can cause pain in girls today.
(Source: soogif.com)
Primary dysmenorrhea
Symptom features:
Dysmenorrhea without a clear cause may be associated with endometrial detachment, uterine dysplasia, or cervical orifice stenosis.
The onset of primary dysmenorrhea is generally in adolescent women, mostly within 1-2 years of menarche. The earlier the age of menarche, the higher the incidence of dysmenorrhea [1].
Response:
In most cases, primary dysmenorrhea resolves spontaneously with the age of women or after childbirth, and there is currently no specific drug, mainly symptomatic treatment.
If it is mild pain, you can take painkillers under the guidance of a doctor to relieve discomfort.
Secondary dysmenorrhea
Possible diseases:
Adenomyosis / endometriosis cyst. A disease that forms when the endometrium drills into the muscles or ovaries of the uterus.
The target is generally a woman of childbearing age, menstruation is generally not painful during puberty, and symptoms appear years after menarche, and the symptoms gradually worsen.
Treatment of secondary dysmenorrhea emphasizes individualization, as there are currently no cures for adenomyosis, and surgery is predominantly surgical. Treatment should also be based on symptoms, age, and fertility requirements [2]:
●If the symptoms of dysmenorrhea are relatively mild, pain can be controlled with common painkiller drugs such as ibuprofen;
●Young patients with adenomyosis with fertility requirements or near menopause can relieve symptoms with drugs;
●In patients with adenomyosis who are young or have fertility requirements, excretion of adenomyomas may be performed;
●If the symptoms are severe, there is no fertility requirement, or the drug treatment is ineffective, a total hysterectomy can be performed, and whether the ovaries are preserved depends on the age of the patient and whether the ovaries are diseased.
Ovulation pain
1. Onset time: Ovulation occurs, and if menstruation is regular, it often occurs about 14 days before the next menstrual period.
2. Cause of the attack: when ovulating, the egg should "break the wall" from the surface of the ovary, if the wall breaking force is relatively large, it will be manifested as a feeling of pulling and slight swelling in the lower abdomen.
(Source: make a gif.com)
Ovulation pain generally does not affect normal physiological functions and does not affect health.
Symptoms may be different for each person and generally do not require special treatment.
If the pain is too intense, or accompanied by dizziness and panic, it is best to go to the hospital to check for abnormalities in the pelvic cavity.
The rupture of the corpus luteum triggers pain
1. Onset time: The most vulnerable period for the luteal body to rupture is the luteal phase, that is, around 2 weeks before menstruation.
2. Cause of seizures: The corpus luteum is associated with ovulation in women. After the follicle releases the egg, the follicle wall collapses, forming a corpus luteum.
Normally, there is a small amount of bleeding in the yellow body, and if the amount of bleeding increases, it leads to an increase in internal pressure and rupture.
Excessive external forces may also cause the corpus luteum to rupture. Among them, intercourse is the most common trigger for luteal rupture.
After the rupture of the corpus luteum, intra-abdominal bleeding accumulates in the pelvic cavity, and in patients with less bleeding, it may present with mild lower abdominal pain.
People with a lot of bleeding may have symptoms such as irritability, nausea, vomiting, sweating, etc., and those with large bleeding volume or rapid bleeding may even have hemorrhagic shock and require emergency surgery as soon as possible.
If persistent lower abdominal pain occurs in the days leading up to your next menstrual period, especially after strenuous activity, ask a family member or friend to help get them to the hospital.
Late menstruation and pain
Possible causes:
Ectopic pregnancy, threatened miscarriage
1. Cause of seizure: Delayed menstruation of more than 7 days in the normal menstrual cycle is considered to be delayed menstruation.
2. Causes of attack: menstruation is delayed, or there is only a little bleeding, the small stomach is faintly painful, if the early pregnancy test strip test is positive, then you need to be very careful, you need to rule out ectopic pregnancy or threatened miscarriage.
Schematic diagram of ectopic pregnancy
▼
(Source: webpath.med)
If you have recently had an infertile sexual life, and your menstruation is delayed by more than 10 days, if you have lower abdominal pain and a small amount of vaginal bleeding, especially if you are uncomfortable with dizziness and panic, you should seek medical attention as soon as possible.
We just mentioned that girls' stomach pain is not all because of the menstrual cycle, but also some stomach pain that has nothing to do with the big aunt.
There are mainly the following reasons:
Pelvic inflammation
●Vague pain in the lower abdomen, increased vaginal discharge, and lumbar acidity.
●Persistent abdominal pain, especially worsened after active or sexual intercourse, fever, chills, and headache in severe cases.
●When accompanied by urinary tract infection, urinary frequency, urgency, and dysuria may also occur.
Symptoms of abdominal pain can be relieved through standardized treatment such as antibacterial drug therapy and physical therapy.
However, if treatment is delayed, or menstrual hygiene and sexual hygiene are not paid attention to, pelvic inflammatory disease may be repeated and not cured for a long time.
Ovarian cyst peduncle torsion
Due to the sedgeal length of the ovarian cyst, the sac is mixed, and the center of gravity is biased to one side, there is a possibility of pedunculosis if there is strenuous exercise or sudden change of position [3].
The appearance of pedicle torsion will cause lower abdominal pain, accompanied by nausea, vomiting and other symptoms.
In some cases, the torsional peduncles may be reset naturally, and the abdominal pain can be relieved after reduction.
But if you don't get better for a long time, you must seize the time to go to the hospital.
Because the cyst peduncle twisting time is long, it is easy to cause vascular obstruction, which causes ovarian ischemia necrosis, which may reduce fertility.
The ovarian cyst ruptures
There is a history of ovarian cysts, and once the ovarian cyst ruptures, it is manifested by sudden pain in the lower abdomen and a feeling of distention.
Review of ultrasound B will show that the original cyst disappears or shrinks, and the pelvic effusion increases.
Common ovarian cysts that rupture easily include endometriosis cysts and luteal cysts.
If the ovarian cyst ruptures, it is necessary to seize the time to go to the hospital for corresponding examination.
If the amount of bleeding is not large, vital signs are stable, and abdominal pain is not severe, conservative treatment can be given.
If the bleeding is heavy and the abdominal pain is severe, laparoscopic surgery can be used.
Gastrointestinal appendix problems
In addition to gynecological-related problems, stomach pain may also be related to digestive disorders such as gastric ulcers, gastroenteritis, and chronic appendicitis.
It may also be caused by eating irritating foods, cold drinks, drinking alcohol, etc.
Finally, Zhimei reminded everyone that no matter what the cause is, if the pain persists, you should go to the hospital as soon as possible for examination and treatment for the cause.
Reviewer
Lu Xuan | Deputy Chief Physician of the Department of Obstetrics and Gynecology, Oriental Hospital Affiliated to Tongji University
bibliography
Ji Bo,Ren Xiaoxuan,Zhao Yafang,Guo Mengwei,Song Xiaolin,Xu Lili,Zhang Lufen,Zhu Jiang. A literature review on the pathogenesis and prevention of primary dysmenorrhea[J].Chinese Journal of Modern Medicine,2008(13):1856-1858+1862.
Gao Min,Wang Liyan,Zhang Dongdi. Treatment of primary and secondary dysmenorrhea[J].Foreign Medicine. Nursing Fascicle, 2005(01): 24-25.
Zhang Xiaoyan,Chen Qingyun,Bian Meilu. Clinical analysis of ovarian cyst peduncle torsion[J].Journal of China-Japan Friendship Hospital,2006(01):17-19.
Content production