A little pain on the left and right sides of the lower abdomen

A little pain on the left and right sides of the lower abdomen

It is a common symptom for women to feel a little dull pain on the left and right sides of their lower abdomen. There are many factors that may cause this phenomenon. To treat this symptom, we must first find the cause and then treat it symptomatically after a confirmed diagnosis. Women should pay attention to rest and avoid overwork in normal times. During menstruation, women should pay attention to keeping their abdomen warm and avoid eating cold food. Why is there a dull pain on the left and right sides of my lower abdomen? Let’s take a look at it next, shall we?

1. Pain caused by menstruation

Lower abdominal pain and general discomfort that women experience during menstruation are mostly physiological phenomena. If the pain is severe, it is dysmenorrhea. Most cases of dysmenorrhea during adolescence are primary dysmenorrhea, which can heal itself; however, dysmenorrhea that occurs after menstruation is mostly caused by certain diseases, so you should seek medical attention early and do not use painkillers to solve the problem. This is a very common cause of lower abdominal pain.

2. Pain caused by inflammation

It is more common in adnexitis and pelvic inflammatory disease, and often occurs in women of childbearing age. The pain is on one or both sides, accompanied by increased vaginal discharge. Chronic cases often present with dull pain, back pain or a feeling of heaviness; acute cases often present with abdominal pain that is resistant to pressure and is accompanied by fever.

3. Lower abdominal pain caused by certain gynecological diseases

For example, endometriosis often forms lumps near the ovaries, uterus, and rectum, which can aggravate abdominal pain before and during menstruation. Pain during sexual intercourse is also one of its characteristics. For example, pelvic bleeding or blood stasis can lead to pelvic pain, which often manifests itself in the base of one thigh.

4. Lower abdominal pain caused by ovulation

During the ovulation period, there is a feeling of distension and pain in the lower abdomen, which is caused by the rupture of the follicle. Generally speaking, this pain does not affect health and has no adverse consequences. However, in a very small number of people, due to large rupture of the ovarian follicle during ovulation, damage to small blood vessels causes ovarian rupture and intra-abdominal bleeding, resulting in gynecological emergencies and requiring treatment in the hospital.

5. Lower abdominal pain caused by physiological deformity

Common ones include hymen occlusion and vaginal septum. Symptoms include abdominal pain due to menstruation and obstruction of menstrual blood discharge during adolescence. The pain is closely related to menstruation and occurs cyclically, requiring surgical correction.

6. Lower abdominal pain caused by pregnancy

For women who are overdue for menstruation or known to be pregnant, sudden contraction-like pain in the lower abdomen or vaginal bleeding is often a sign of miscarriage. Lower abdominal pain caused by ectopic pregnancy is usually severe. Due to intra-abdominal bleeding, the patient will feel anal prolapse, frequent urge to defecate, pale face, dizziness and weakness, and may even go into shock, and immediate surgery is required.

7. Lower abdominal pain caused by acute appendicitis

The pain starts in the upper abdomen and gradually moves to the right lower abdomen, accompanied by nausea, vomiting, loss of appetite, fever, and fear of pressing the right lower abdomen. This disease should be treated in hospital emergency room as soon as possible.

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Reviewer of this article: Zhou Xiaobo, Doctor of ...