Stomach ache a week before period

It is normal to have a dull stomach ache a week before your period, and to have mild abdominal pain and bloating due to hormonal changes in the body before your period. However, if severe abdominal pain occurs, you need to go to the hospital for examination to rule out the presence of endometrial dysmenorrhea caused by ectopic uterus. It is recommended that you go to the hospital for color Doppler ultrasound and blood tests to determine the cause of dysmenorrhea, use medication rationally, and pay attention to the warmth of menstruation during menstruation.

1. Sudden severe pain is common in gastric perforation, intestinal perforation, biliary ascariasis, urinary tract stones, etc.

2. Abdominal pain accompanied by fever is mostly caused by dysentery, cholecystitis, cholelithiasis, acute appendicitis, acute pancreatitis, etc.

3. Patients with abdominal pain, pale complexion, cold sweat, low blood pressure and other symptoms usually have critical diseases such as organ perforation, internal bleeding, ectopic pregnancy rupture, etc.

4. Sudden abdominal pain and obvious vomiting and diarrhea are seen in diseases such as cholera, cholera-like disease, and acute enteritis.

5. Abdominal pain accompanied by hematuria is mostly caused by urinary system diseases, such as acute cystitis, urinary stones, kidney cancer, etc.

6. For those with abdominal pain and bloody stools, diseases such as colon cancer, intestinal tuberculosis, and Crohn's disease should be considered.

7. Dysmenorrhea and abdominal pain caused by ectopic pregnancy are closely related to menstruation.

8. Intestinal obstruction may cause abdominal pain, and intestinal patterns or peristaltic waves may be seen in the abdomen, or a mass may be felt.

9. If the abdominal wall feels like a board when pressed, it may be caused by diseases such as peritonitis and gastric perforation.

10. When abdominal pain is accompanied by night sweats, hot flashes and other symptoms, diseases such as mesenteric and peritoneal tuberculosis may be seen.

11. Women who experience obvious lower abdominal pain during menstruation have dysmenorrhea.

1. For patients with acute abdominal pain, strong analgesics should not be given before a clear diagnosis is made, let alone narcotic analgesics such as morphine or pethidine (Demerol), so as not to mask the condition or delay the diagnosis. Only when the diagnosis is initially established can analgesics or antispasmodics be used to relieve the patient's pain.

2. If it is confirmed that the abdominal pain is caused by gastrointestinal perforation, the patient should fast, replenish energy and electrolytes, and use broad-spectrum antibiotics in a timely manner to lay a good foundation for timely surgical treatment.

3. If the acute abdominal pain is caused by liver or spleen rupture (such as rupture of liver cancer nodules or liver and spleen rupture caused by abdominal trauma, etc.), a large amount of bloody fluid can often be drawn out of the abdominal cavity, and the patient is often accompanied by hemorrhagic shock. At this time, in addition to the use of analgesics, anti-shock treatments such as active blood volume supplementation should also be used to create good conditions for surgical treatment.

4. If the abdominal pain is caused by acute intestinal obstruction, intestinal ischemia or intestinal necrosis or acute pancreatitis, the patient should fast and undergo gastrointestinal decompression with a nasogastric tube, and then take appropriate treatment measures.

6. Women of childbearing age who experience acute abdominal pain, especially severe pain in the middle and lower abdomen, should be asked about their history of amenorrhea and undergo a pelvic B-type ultrasound examination in a timely manner to determine whether they have ectopic pregnancy, ovarian cyst pedicle torsion, and other diseases.

7. For patients with acute abdominal pain, even if a clear diagnosis cannot be made after multiple examinations, if their vital signs are stable, they can still be closely observed for changes in their condition while actively carrying out supportive treatment. If symptoms worsen during the observation process, or if the patient is suspected of having visceral bleeding, intestinal necrosis, hollow organ perforation, or diffuse peritonitis, laparotomy should be performed promptly to save the patient's life.