Abdominal pain four days after abortion

As people's minds gradually open up, some women will do this in some inappropriate situations. In the event of an unexpected pregnancy after multiple sexual intercourses, most women may choose surgical or medical abortion. If you lose your child, it will not only have some very bad effects on your uterine mucosa and other physical conditions. Well, let me understand what is going on when you experience lower abdominal pain four days after an abortion.

Bleeding after abortion usually lasts 3-5 days, and vaginal bleeding gradually stops, not exceeding 10 days. In addition, lower abdominal pain will occur in the early stage after an abortion. Generally, there will be mild lower abdominal pain due to uterine contraction. The abdominal pain generally does not last too long. With the repair of the uterus and the cessation of vaginal bleeding, the lower abdomen will not be so painful and will slowly get better and return to its original state. If you have prolonged lower abdominal pain or severe pain, the following may occur:

(1) Intrauterine hemorrhage: This usually occurs within a few hours after surgery. The patient suffers from unbearable abdominal pain, as if cut by a knife, and a small amount of blood and fluid flows out of the vagina. Gynecological examination reveals that the uterus is significantly enlarged, soft, and tender. At this time, immediate curettage is needed to clear the blood in the uterine cavity, and oxytocin and antibiotics should be given.

(2) Postoperative infection: Postoperative infection often occurs within two weeks after surgery. It can be caused directly by surgical operations or by the patient's lack of attention to hygiene after surgery, such as sexual intercourse, swimming, etc. It usually causes 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. If a postoperative infection occurs, whether acute or chronic, adequate antibiotic treatment must be given. A combination of Chinese and Western medicine can also be used to ensure thorough treatment.

(3) Incomplete abortion: At this time, the patient has paroxysmal abdominal pain, which is unbearable during the attack, and there is increased vaginal bleeding, which is bright red and contains large blood clots. The abdominal pain is relieved after the blood clots are discharged, and this happens 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.

(4) Uterine perforation: When perforation occurs, most patients experience sudden and severe abdominal pain, but a small number of people may not feel any obvious pain. The abdominal pain caused by uterine perforation is persistent, with a small amount of vaginal bleeding. If accompanied by internal bleeding, it may cause peritoneal irritation signs. If the perforation is small and there is no damage to internal organs such as the bladder and rectum, and there is no internal bleeding, conservative treatment can be used. 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.

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