For female friends, menstruation is a physiological phenomenon that everyone cannot avoid. However, if you experience lower abdominal distension and pain, you should pay attention. It is possible that you have a certain disease. The most common ones are dysmenorrhea, abdominal pain caused by ovarian corpus luteum rupture, and abdominal pain may occur during ovulation. However, if the abdominal pain is very severe, it is still necessary to consider inflammation. 1. Acute appendicitis It is a common lower abdominal pain in young girls. It is a surgical disease, but it needs to be differentiated from gynecological diseases. About 70%-80% of patients initially feel pain in the upper abdomen or around the navel, which then moves to the right lower abdomen a few hours later. The pain of simple appendicitis is limited to the right lower abdomen and may be continuous or paroxysmal. The abdominal pain of suppurative appendicitis worsens, often presenting as paroxysmal severe pain or bloating. Necrotizing appendicitis begins with persistent throbbing pain, and the area of abdominal pain expands and the severity becomes more severe. Early right lower abdominal pain is a characteristic of appendicitis. The disease generally requires surgical resection. 2. Ovarian Corpus Luteum Rupture This is caused by excessive bleeding in the corpus luteum, accompanied by sudden onset of abdominal pain in the lower abdomen or one side, and in severe cases, shock may occur. Most cases of ovarian corpus luteum rupture occur between the 20th and 26th days of the menstrual cycle, and lower abdominal pain may occur with varying degrees of severity. Before the corpus luteum of the ovary ruptures, there will be ovarian congestion. It is best to go to the hospital for diagnosis and treatment immediately. Do not abuse painkillers on your own to avoid masking the symptoms and affecting normal diagnosis and treatment. 3. Dysmenorrhea Dysmenorrhea is divided into primary and secondary dysmenorrhea. Primary pain is often seen in adolescent girls. It is related to the level of prostaglandins in the body, cold, emotional and psychological factors, but there is no organic disease. It can generally heal itself with age or after marriage and childbirth. A common cause of secondary pain is dull pain in the uterus and lower abdomen that worsens before and after menstruation. In addition, it is often accompanied by infertility and menstrual disorders, which often require drug treatment. 4. Ovulation abdominal pain When adolescent girls ovulate, the follicle ruptures and the follicular fluid may have a certain stimulating effect on the peritoneum, so they sometimes disappear in a row every month, alternating between left and right. Generally, the period does not exceed seven days. This type of abdominal pain usually does not cause any pathological changes, and the gynecological examination is completely normal. It is physiological abdominal pain and generally does not require treatment. In addition, some pregnant girls have secret abortions, which can easily cause infections such as pelvic inflammatory disease or trauma to the pelvic organs and reproductive tract, and may even endanger their lives. |
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