The pain that occurs at the bottom of the abdomen in women causes is capable of having different. It can be a symptom of certain diseases, or an independent phenomenon.
Therefore, when examining a woman for a painful syndrome in the abdomen, the doctor takes into account many of the accompanying symptoms, the patient's complaints and her anamnesis.
Sometimes the cause of pain is difficult to establish. This requires special surveys and analyzes. Consider the most common causes of pain in the lower abdomen in women, which has a different nature.
The nature of pain
When diagnosing the cause that caused pain in the abdomen in a woman, the pain itself is often conditionally divided into three types.
- Stupid rhythmic pains, which are a consequence of increased pressure in the internal organs.
- Aching blunt pain, which most often indicates the presence of any inflammation or infection.
- Acute, sudden and intense pains, which in most cases signal the presence of any pathology requiring urgent hospitalization.
Also the pain in the lower abdomen in women, the causes of their occurrence fall into two main groups: organic and functional.
Organic causes of :
- Health status of a woman related to pregnancy( symptoms of ectopic pregnancy, threat of miscarriage, premature placental abruption, pain after medical abortion).
- Diseases of the female sexual sphere( adnexitis, endometritis, endometriosis, ovarian apoplexy, ovarian cyst, torsion of the ovarian cyst leg, uterine fibroids).
- Use of an intrauterine device.
- Acute surgical pathology, pathology of the urinary system, gallbladder( appendicitis, cystitis, cholecystitis, pyelonephritis).
Functional: algodismenorea - menstrual irregularity, dysfunctional uterine bleeding;bending of the uterus, hematometer, which is characterized by stagnation of menstrual blood.
Causes of lower abdominal pain in women
The ailments that create discomfort in the lower abdomen of women are numerous. Most of them are gynecological( adhesions in uterine appendages, inflammatory diseases of the uterus, ovaries, cysts, endometriosis and others).
But also the pains arise due to disorders in the genitourinary system( cystitis, pyelonephritis, kidney stones), intestines( constipation, hernia, colitis, dysbacteriosis) and in the presence of progressive surgical pathology( appendicitis inflammation, intestinal obstruction, hernia infringement, tumors of various etiologies).
The most common causes of abdominal pain in the abdomen:
- ovarian apoplexy;
- acute or chronic salpingo-oophoritis( inflammation of the fallopian tube and ovary);
- spontaneous interruption of uterine pregnancy;
- cystitis( sometimes in combination with urethritis);
- passage of a stone along the ureter into the bladder;
- acute or chronic appendicitis;
- ectopic( tubal or abdominal pregnancy);
- twisting of the vascular pedicle of the ovarian cyst.
Any of these conditions is accompanied not only by pain, but also by other symptoms. It is the combination of several symptoms that makes it possible to establish the cause of the pain in the lower abdomen, to take feasible independent steps to eliminate this discomfort, and in the absence of effect - to consult a doctor.
Pain in the lower abdomen on the right side of women
The first thing that comes to mind when it comes to abdominal pain on the right side is an inflammation of the appendix. But there are many other diseases, for which such manifestations are characteristic.
In women, discomfort to the right may also occur with:
- cystitis;
- urolithiasis;
- cholecystitis;
- pyelonephritis;
- is an inflammation of the liver;
- right-sided defeat of the ovary, appendages, uterus;
- right-sided defeat of the fallopian tube;
- inflammation of the ureter;
- Inflammation of the intestine;
- ulcerative right-sided colitis.
Very many diseases can manifest themselves in this way, so it is important to note the nature, intensity of pain, and their frequency, so that the doctor is easier to diagnose and decide on the upcoming treatment.
Pain in the lower abdomen on the left in women
The pains in the lower abdomen on the left in women can be the result of gynecological ailments, as well as diseases of other organs located in this area or in other parts of the body. In the latter case, they speak of irradiating pains.
Possible causes of pain in the lower left part of the abdomen in women:
- torsion of the leg cysts of the left ovary.
- apoplexy of the left ovary( hemorrhage).
- neoplasm on the left appendage of the uterus.
- inflammatory diseases of the uterus and appendages.
- ectopic pregnancy.
- is a lesion of the sigmoid colon.
- pathology of the urinary tract.
The characteristic spasmodic pains in the lower abdomen on the left appear also for purely physiological reasons - during menstruation and when ovulation, when the ovum ruptures the follicle. They pass by themselves in a few days. However, if the menstrual period is very painful, and clots are present in the secretions, this can signal an inflammatory process in the appendages.
Pain after intercourse
Lower abdominal pain after intercourse can be a consequence of frustration. Pain aching and accompanied by moral dissatisfaction.
Also, pain syndrome after sex can occur as a result of various diseases: small pelvic adhesions, chronic adnexitis and endometritis, cervicitis, vaginal damage due to coarse intercourse, endometriosis and genital tumors.
Ectopic pregnancy
If a normal zygote is introduced into the endometrium of the uterus, then with the ectopic - in the ovary, uterine tube, abdominal cavity. This condition is characterized by severe paroxysmal pain. If there is a rupture of the fallopian tube, the woman feels a sharp, sharp pain on the lower abdomen.
In the case when the left tube has suffered, then, accordingly, the pain syndrome will be localized in this area. Since an intra-abdominal bleeding occurs during an ectopic pregnancy, the woman should be immediately hospitalized.
Torsion of the leg of the ovarian cyst
A strong pulling pain in the lower abdomen on the left may appear when the left ovarian cyst is twisted by more than 90 °.The cyst is located on the leg, through which the blood vessels pass.
If it is twisted, the blood supply is disrupted, the cyst is enlarged and can be fused with neighboring organs. This condition is accompanied by strong painful sensations after physical exertion or sex, nausea, vomiting, high fever. Surgical intervention is required.
Inflammation of the female genital area
These diseases lead to the appearance of pulling pains in the lower abdomen. Such diseases are ovarian inflammation( oophoritis), fallopian tubes( salpingitis) and uterine appendages.
Perhaps a combined inflammation of these organs - salpingoophoritis. These are mainly chronic diseases, in which the intensity of pain is not expressed, but characterized by a prolonged course with periods of reduction( remission) and intensification( relapse) of pain.
Depending on the localization of the pathological process, there is a drawing pain in the lower abdomen on the right( right-sided process) or pulling pains on the left can also develop in the lower abdomen( left-side process).
Appendicitis
Symptoms of appendicitis in adults begin with a subfebrile fever, pains that are felt first in the epigastrium, then shift to the right iliac region, signs of intoxication and weakness.
Possible loss of appetite, upset of stool, vomiting. In the absence of emergency surgical treatment, appendicitis can pass into spilled peritonitis and result in a fatal outcome.
Cystitis
Symptoms of cystitis are rather heterogeneous, their manifestation depends on the type of pathogen and reactive abilities of the body. One can single out such basic manifestations:
- pain in the lower abdomen in the projection of the bladder;
- burning and pain when urinating;
- feeling of incomplete emptying after urination;
- false urge to urinate;
- murky color of urine with an unpleasant odor;
- greenish shade of urine( with the formation of pus);
- increase in body temperature to 38ºC with significant inflammation,
- ingestion of toxins of bacteria in the blood causes intoxication.
Ovarian apoplexy
The most common symptoms of ovarian apoplexy are caused by a pain syndrome that develops due to ovarian damage, irritation of peritoneal receptors and symptoms of cavitary bleeding.
A widespread and, often, the first manifestation of apoplexy is the sudden appearance of intense abdominal pain. Possible irradiation of pain in the rectum, groin, lower back, sacrum.
Inflammation of the large intestine
In this case, soreness is often accompanied by disorders of stool and bloating. Inflammatory processes in the lower parts of the intestine are manifested by stitching pain in the lower abdomen on the left. The first thing to do in this case is to go on a diet that excludes fresh fruits and vegetables, spices, milk, spicy and black bread from the diet.