What is the reason for the lower abdominal pain two months after delivery?

Is everything fine after giving birth? Actually, this is not the case, because after giving birth, the mother will first face a lot of problems, such as feeding the baby, physical recovery, etc., and sometimes she will also face some illnesses. For example, some women often feel a dull pain in their lower abdomen two months after giving birth. What causes this?

Causes

Traditional Chinese medicine believes that postpartum abdominal pain is mostly caused by poor circulation of Qi and blood, which is usually divided into two types: blood stasis in the cell organs and deficiency of both Qi and blood. Postpartum abdominal pain, if the pain is caused by excessive blood loss, it is blood deficiency pain; if it is caused by insufficient lochia loss and blood stasis, it is excess pain; if the pain is caused by food, the patient will suffer from aversion to food and bloating; if the pain is caused by wind and cold entering the uterus, the patient will suffer from cold pain.

1. Blood stasis and blockage of cell organs

Most of the time it is due to poor circulation of qi and blood after childbirth, and stagnation of blood. It may be due to postpartum blood loss, emptiness of all meridians, lack of blood and weak qi, resulting in poor blood flow and stagnation; it may also be due to postpartum weakness, which allows cold evil to enter the body, causing blood to coagulate due to cold, and blood stasis inside the body, which causes pain due to blood obstruction.

2. Deficiency of Qi and Blood

It may be due to blood deficiency, or excessive blood loss during delivery, Chong and Ren meridians are empty, the uterine vessels are malnourished, or Qi and blood are weak, blood circulation is weak, blood flow is not smooth, and there is pain. It may also be due to careless daily life after delivery, cold evil takes advantage of the opportunity to enter, or eating raw and cold food, blood is cold and coagulated, or postpartum emotions are not smooth, liver Qi is stagnates, Qi stagnation and blood stasis, or postpartum lochia is not excreted smoothly.

Clinical manifestations

Paroxysmal severe pain in the lower abdomen, or dull pain in the lower abdomen, occurs from the postpartum period to the puerperium, which does not go away for several days and is not accompanied by chills or fever. It is often accompanied by a small amount of lochia that is dark purple in color with lumps and is not discharged smoothly; or a small amount of lochia that is light red in color.

1. Weak Qi and blood

Symptoms include postpartum lower abdominal pain, preference for warmth and pressure, small amount of light-colored lochia, dizziness, palpitations, insomnia, constipation, pale red tongue, thin coating, and weak pulse.

2. Blood stasis

Symptoms include postpartum lower abdominal pain, resistance to pressure, obvious coldness in the abdomen, which is relieved by heat, small amount of lochia, dark purple color, and blood clots, distension and pain in the chest and flanks, cold limbs, pale face, dark purple tongue, thin white fur, and deep and tight pulse.

examine

Perform abdominal MRI examination, abdominal plain film examination, etc. as appropriate.

diagnosis

The diagnosis can be made based on the mother's physical weakness, excessive blood loss during and after delivery, or emotional frustration, or a history of catching a cold when exposed to the wind, as well as paroxysmal severe pain in the lower abdomen from the beginning of delivery to the postpartum period, or dull pain in the lower abdomen that does not go away for many days, without chills or fever, and is often accompanied by a small amount of lochia that is dark purple with lumps and difficult to discharge; or a small amount of lochia that is light red.