Lower abdominal pain and vaginal bleeding

Nowadays, many older women experience lower abdominal pain and vaginal bleeding, especially some women who have reached menopause. When this happens, they will inevitably have many doubts in their minds. Some friends may think that they have their period again, and thus ignore such symptoms, which may delay the treatment of the disease. Let us take a detailed look at the causes of lower abdominal pain and vaginal bleeding.

Elderly women over 60 years old, who have already gone through menopause, may suddenly experience irregular vaginal bleeding, which Western medicine calls "postmenopausal bleeding," and is one of the important early symptoms of gynecological diseases in elderly women. Traditional Chinese medicine has long recognized that this phenomenon of "resuming menstruation in the elderly" is not menstruation, but a reflection of disease. For example, the Qing Dynasty book "Fu Qingzhu's Gynecology" said: "Women over 50 years old, or in their 60s and 70s, may suddenly have menstruation, or pass purple blood clots, or red blood. People may say that this is menstruation in old women, but it is not menstruation." This is because the liver cannot store and the spleen cannot control. ”

Western medicine believes that there are many causes of postmenopausal bleeding, but they can be divided into two categories: benign and malignant diseases. Among benign diseases, atrophic endometritis is the most common, and others include senile vaginitis, cervical polyps, endometrial carcinoma, cervical cancer, ovarian cancer, etc. The two types of diseases each account for about half. Therefore, once vaginal bleeding occurs in elderly women, no matter how much the first bleeding is, whether it is continuous bleeding or intermittent bleeding, the patient should attach great importance to it and undergo a gynecological examination in time for early diagnosis and timely treatment. Some scholars believe that the longer the vaginal bleeding lasts in elderly women, the greater the possibility of malignant tumors; and those with heavy bleeding are four times more likely to suffer from malignant diseases than those with light bleeding, which should not be taken lightly. Vagina bleeding in elderly women sometimes does not come from the reproductive system. For example, urinary tract infection may cause hematuria, constipation in the elderly may cause anal fissures or hemorrhoidal bleeding, and early intestinal tumors may also cause bleeding. Therefore, it is very important to find out the source of the blood.

If it is confirmed to be a gynecological disease, if it is a malignant tumor, surgical treatment is usually adopted; if it is a benign disease, targeted drug treatment is given. The principle of traditional Chinese medicine for treating vaginal bleeding in elderly women is: first, distinguish whether the condition is benign or malignant. For benign diseases, a comprehensive analysis should be conducted based on the amount, color, quality and odor of the bleeding, combined with the patient's other symptoms and general condition, to divide the disease into different symptoms of deficiency and excess, and give syndrome-based medication; for malignant diseases, a comprehensive treatment including surgery, radiotherapy and chemotherapy is adopted to improve the efficacy. In terms of syndrome differentiation, heavy bleeding, light color, and uneven quality, accompanied by symptoms such as fatigue, shortness of breath, laziness to speak, and an empty lower abdomen, are symptoms of Qi deficiency. If the amount of bleeding is not much, the color is bright red and the texture is thick, and at the same time there are symptoms such as sore waist and weak legs, dry throat and mouth, vaginal dryness and burning pain or vaginal itching, it is a syndrome of Yin deficiency. In addition to the above symptoms, if there is also excessive vaginal discharge that is yellow in color and has a foul odor, it indicates that there is not only yin deficiency, but also damp-heat (or dampness toxin), which is a syndrome of both deficiency and excess. If the amount of vaginal bleeding is sometimes more and sometimes less, the color is dark purple with clots, and there is lower abdominal pain that is resistant to pressure, or there is a lump in the lower abdomen, it is a blood stasis syndrome, which is a positive syndrome.

Through the above explanation, everyone must now understand the causes of lower abdominal pain and vaginal bleeding. For female friends who have reached menopause, when lower abdominal pain and vaginal bleeding occur, they must be particularly cautious and must not ignore this condition. It is best to go to the hospital for relevant examinations in time so as not to miss the best time to treat the disease.