Why is my lower abdomen always hurting?

There will always be pain in the lower abdomen. It depends on what stage it occurs. It usually happens to women. When women have lower abdominal pain, the first thing to consider is that it is caused by intrauterine blood accumulation and miscarriage. This also includes uterine perforation and diseases in the uterine cavity, and accessory organ diseases. These are all causes of lower abdominal pain.

Hematometra

It usually occurs within a few hours after surgery. The patient has unbearable abdominal pain, like a knife cutting, and a small amount of blood and water 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. The number of people who develop intrauterine hematoma is also very small, but it is more likely to occur in women with an overly tilted uterus and a tight cervix.

Abortion procedures sometimes fail. Incomplete abortion means that the chorionic and decidual tissue in the uterine cavity cannot be completely removed during surgery. After the operation, the uterus undergoes paroxysmal contractions in order to expel the remaining embryonic tissue from the uterus. At this time, the patient has paroxysmal attacks of abdominal pain, which are unbearable, and there is increased vaginal bleeding, which is bright red in color and contains large blood clots. The abdominal pain is relieved after the blood clots are discharged, and the attacks recur 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. Strengthen anti-inflammatory treatment after surgery to prevent infection.

This is a very serious complication that occurs during abortion surgery. Most patients experience sudden and severe abdominal pain during perforation, 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 combined with internal bleeding, it may cause peritoneal irritation signs: abdominal pain that refuses to be pressed, tenderness, and rebound pain exist at the same time. If the perforation is small and there is no damage to the bladder, rectum or other internal organs, and there is no internal bleeding, conservative treatment can be used: the patient should rest in bed and given oxytocin 10 units intramuscularly or with glucose in the solution.

Infuse into the middle vein 2 to 3 times a day; at the same time, give sufficient antibiotics to prevent infection; closely observe changes in body temperature, blood pressure, respiration and pulse.

If there is still residual tissue in the uterine cavity, uterine curettage can be performed after the condition has improved. 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.