Abdominal distension during menstruation

When menstruation comes, many female friends will feel a heaviness in their lower abdomen, which will make them feel very uncomfortable, affect their normal life and work, and even cause symptoms of dysmenorrhea. Therefore, you should pay more attention to keeping warm and not let your body be exposed to cold during this period, otherwise the degree of dysmenorrhea will be aggravated again, and sometimes relevant drugs are needed for treatment.

The treatment of abdominal distension should be to find out the cause as much as possible and treat it accordingly.

1. Functional bloating

Mainly given drug treatment. Currently, long-term use of gastrointestinal motility drugs such as domperidone, cisapride, mosapride, etc. is advocated. People with constipation should use laxatives appropriately, but if it is caused by a systemic disease, the primary disease should be actively controlled.

(ii) Organic abdominal distension

1. Abdominal tumors: surgical treatment of benign tumors. In the early stages of malignant tumors, surgical treatment should be performed as much as possible, assisted by appropriate chemotherapy or radiotherapy. If surgery is not possible, interventional treatment can be used, assisted by chemotherapy or radiotherapy. In the late stages of malignant tumors, supportive treatment should be the main approach to improve symptoms and enhance quality of life.

2. Ascites: If it is caused by cirrhosis, the liver should be protected, portal pressure should be lowered, albumin should be transfused, ascites should be concentrated and re-infused, and anti-liver fibrosis treatment should be performed. Interventional treatment should be performed when necessary, such as TIPS treatment; if it is cancerous effusion, the treatment of primary cancer should be strengthened; if there is a large amount of ascites, the ascites should be drained to relieve symptoms; if internal organs are ruptured, emergency surgical treatment should be performed; if it is peritonitis, the cause should be found out, and anti-inflammatory or combined anti-tuberculosis treatment (tuberculous) should be taken; if it is caused by heart failure, heart failure should be actively controlled and treated as congestive heart failure.

3. Intestinal parasites: Actively treat deworming.

4. Gastrointestinal obstruction or perforation: surgical treatment.

5. Systemic diseases: If diabetes is present, diabetes should be actively controlled, supplemented by medication to regulate gastrointestinal motility.

6. Treatment of gastrointestinal gas

(1) Adjust the dietary composition and limit the intake of carbohydrates that cannot be fully digested and absorbed, such as milk, beans, high-starch foods, and fruits.

(2) Reduce air swallowing: Eat slowly, reduce or stop chewing gum or tobacco, quit smoking, and those with mental factors such as anxiety should be treated.

(3) Drug treatment: For patients with small intestinal bacterial overgrowth, oral antibiotics are used.

4. Promote defecation and improve gastrointestinal motility: increase fiber in the diet and take laxatives; gastrointestinal motility drugs such as metoclopramide, metoclopramide, cisapride, etc.