Pain on the right side of the lower abdomen after abortion

If you experience pain on the right side of your lower abdomen after an abortion, you should pay attention to it. If you experience pain in your lower abdomen just after an abortion, don't be too anxious at this time. You should pay attention to conditioning and keeping warm. If this pain continues after the abortion, you should go to the hospital for examination in time. This may be related to incomplete abortion. In addition, infection may also cause such symptoms.

Pain on the right side of the lower abdomen after abortion

1. Postoperative infection:

This is the most common cause of lower abdominal pain after painless abortion surgery. Infection after painless abortion surgery often occurs within two weeks after the operation. It can be caused directly by the surgical operation or by the patient's lack of attention to hygiene after the operation, such as having sexual intercourse, swimming, etc. It usually leads to acute pelvic inflammatory disease, with severe abdominal pain that is persistent and may worsen in paroxysmal forms, accompanied by fever, chills, vaginal bleeding that is bright red, has a fishy odor, or is mixed with yellow discharge. During physical examination, the patient has abdominal pain that is resistant to pressure, tenderness, and rebound tenderness; gynecological examination shows cervical motion tenderness, uterine body tenderness, and both adnexa may have flake-like or cord-like thickening with obvious tenderness.

2. Uterine perforation:

This is a very serious complication that occurs during painless abortion surgery. Most patients experience sudden and severe abdominal pain during perforation, but a small number of people may not feel any obvious pain. The abdominal pain caused by uterine perforation is continuous, with a small amount of vaginal bleeding. If combined with internal bleeding, it may cause peritoneal irritation signs: abdominal pain that is resistant to pressure, tenderness, and rebound pain. If the perforation is small and there is no damage to the bladder, rectum and other internal organs, and there is no internal bleeding, conservative treatment can be used: the patient should rest in bed; oxytocin 10 units should be injected intramuscularly or added to glucose solution for intravenous drip, 2 to 3 times a day; adequate antibiotics should be given at the same time to prevent infection if there is lower abdominal pain after painless abortion; and changes in body temperature, blood pressure, respiration and pulse should be closely observed. If there is still residual tissue in the uterine cavity, uterine curettage can be performed after the condition has improved. If the uterine perforation is large or is accompanied by damage to internal organs, or if there are signs of internal bleeding, surgical treatment is required.

3. Incomplete abortion:

Painless abortion surgery sometimes fails. Incomplete abortion means that the villi and decidual tissue in the uterine cavity cannot be completely removed during the painless abortion operation. After the operation, the uterus undergoes paroxysmal contractions in order to expel the remaining embryonic tissue from the uterus. At this time, the patient has paroxysmal attacks of abdominal pain, which are unbearable, and there is increased vaginal bleeding, which is bright red in color and contains large blood clots. The abdominal pain is relieved after the blood clots are discharged, and the attacks recur repeatedly. When an incomplete miscarriage occurs, a curettage is usually required to scrape out the remaining embryonic tissue in the uterine cavity, and the abdominal pain will disappear naturally. If you have lower abdominal pain after painless abortion, you should strengthen anti-inflammatory treatment to prevent infection.