What causes abdominal pain in girls

For most girls, they usually experience abdominal pain before menstruation because the shedding of the endometrium during menstruation can cause some pain. However, abdominal pain in girls is not only caused by menstruation, but also by some gynecological diseases. Therefore, if a girl has abdominal pain, she must pay attention to it. So what are the specific causes of abdominal pain in girls?

What causes abdominal distension and pain in women

1. Gynecological inflammation

The disease that women are most likely to suffer from is gynecological inflammation. Once you suffer from gynecological inflammation, you will experience lower abdominal pain, accompanied by abnormal leucorrhea and other conditions. Gynecological inflammations that cause lower abdominal distension and pain are mostly adnexitis and pelvic inflammatory disease. These two types of gynecological inflammation mostly occur in women of childbearing age. Once you suffer from pelvic inflammatory disease, it will cause pain on one or both sides of the lower abdomen, and will also be accompanied by increased leucorrhea.

If a woman suffers from chronic pelvic inflammatory disease or adnexitis, she will experience symptoms such as dull pain in the lower abdomen, back pain, or a feeling of heaviness. For patients with acute gynecological inflammation, they will experience adverse symptoms such as abdominal pain, refusal to press, and fever.

2. Ectopic pregnancy

Ectopic pregnancy refers to the implantation of the gestational sac outside the uterus. Among ectopic pregnancies, about 95% occur in the fallopian tube. Abnormal fallopian tube development, abnormal fallopian tube function, tumor compression, and downward migration of the intrauterine contraceptive device may all cause ectopic pregnancy. Lower abdominal pain is one of the common symptoms of ectopic pregnancy. In addition, ectopic pregnancy is also accompanied by symptoms such as amenorrhea and irregular vaginal bleeding.

3. Uterine inflammation

If the uterus suffers from certain inflammations, it can also cause women to experience lower abdominal pain and other conditions, such as endometriosis. This disease generally forms lumps near the ovaries, uterus, and rectum, causing women to experience abdominal pain and aggravated abdominal pain before and during menstruation. In addition, many women with uterine inflammation often experience pain during sexual intercourse. Therefore, when women experience sexual intercourse pain and dysmenorrhea, they must seek treatment as soon as possible to avoid missing the best treatment time.

4. Ovarian Corpus Luteum Rupture

This is caused by excessive bleeding in the corpus luteum, accompanied by sudden onset of abdominal pain in the lower abdomen or one side, and in severe cases, shock may occur. Most cases of ovarian corpus luteum rupture occur between the 20th and 26th days of the menstrual cycle, and lower abdominal pain may occur at the onset, with varying degrees of severity. Before the corpus luteum of the ovary ruptures, the ovary will experience congestion and swelling. This process can be triggered when the ovary is affected by external or indirect external forces, especially when it is congested before menstruation, such as due to straining during bowel movements, trauma, sexual intercourse, or strenuous activity. It is best to go to the hospital for diagnosis and treatment immediately after the occurrence of ovarian corpus luteum rupture. Do not abuse painkillers on your own to avoid masking symptoms and affecting normal diagnosis and treatment.

5. Physiological deformity

Common ones include hymen occlusion and vaginal septum. Symptoms include abdominal pain due to menstruation and obstruction of menstrual blood discharge during adolescence. The pain is closely related to menstruation and occurs cyclically, requiring surgical correction.

6. Ovarian cyst pedicle torsion or rupture

This is because the cyst has a long pedicle, a large volume, no adhesions to the surrounding area, and is highly mobile, and twists when affected by intestinal peristalsis or changes in body position. When the pedicle of an ovarian tumor is twisted, pain suddenly occurs on one side of the lower abdomen, which is persistent colic, often accompanied by nausea and vomiting; there may be obvious tenderness and muscle tension in the abdomen; digital rectal examination may reveal swollen and tender appendages. Ovarian cysts may also rupture, and the contents of the cysts may irritate the peritoneum and cause severe pain. B-ultrasound examination can confirm the diagnosis. Emergency surgery is usually required.

7. Tumors

The abdominal pain, bloating, back pain and feeling of falling caused by tumors are generally persistent. If the tumor twists, ruptures, or bleeds, sudden abdominal pain often occurs. This is the "self-exposure" of the tumor and usually requires immediate surgical treatment.

8. Acute appendicitis

It is a common lower abdominal pain in women. It is a surgical disease, but it needs to be differentiated from gynecological diseases. About 70% to 80% of patients initially feel pain in the upper abdomen or around the navel, which then moves to the right lower abdomen a few hours later. The pain of simple appendicitis is limited to the right lower abdomen and may be continuous or paroxysmal. The abdominal pain of suppurative appendicitis worsens, often presenting as paroxysmal severe pain or bloating. Necrotizing appendicitis begins with persistent throbbing pain, and the area of ​​abdominal pain expands and the severity becomes more severe. In the early stages, there is often mild nausea and vomiting of food, often accompanied by loss of appetite and constipation. Abdominal distension may occur when inflammation is severe. The presence of migratory right lower abdominal pain is a characteristic of appendicitis. The disease generally requires surgical resection.

9. Pregnancy-related diseases

In recent years, cases of teenage pregnancy are not uncommon. Abdominal pain caused by pregnancy-related diseases can be seen in threatened abortion, ectopic pregnancy, etc. Taking ectopic pregnancy as an example, dull pain or distension in the adnexal area on the affected side may occur. When the ectopic pregnancy occurs miscarriage or ruptures, it can cause intra-abdominal bleeding. The pain symptoms vary depending on the amount and speed of bleeding. If it is a tubal pregnancy miscarriage, the abdominal pain is often limited to one side of the lower abdomen, and blood accumulates in the rectouterine pit, which can cause anal pain. When the tubal pregnancy ruptures, the amount of bleeding is large and the speed is fast. The blood quickly spreads to the entire abdominal cavity and causes pain in the whole abdomen. In addition, some pregnant girls have secret abortions, which can easily cause infections such as pelvic inflammatory disease or trauma to the pelvic organs and reproductive tract, and may even endanger their lives.

10. Psychogenic abdominal pain

For example, a girl with school phobia is afraid to go to school and take exams. If the patient is forced to go to school, she will experience anxiety and anxiety-related physical discomfort, such as pale complexion, rapid heart rate, rapid breathing, unbearable abdominal pain, vomiting, headache and dizziness. Some patients have visited the doctor for severe abdominal pain many times, but the results of various examinations were normal. Once the patient is allowed to temporarily take a leave of absence from school, the anxiety and discomfort symptoms will soon be relieved and the abdominal pain will disappear immediately. Such patients require psychological treatment.