Women’s abdominal pain, depending on internal medicine, surgery or gynecology?

Ms. Shi, 35 years old, a second child mother.Twenty days ago, due to the artificial abortion of accidental pregnancy, the vaginal bleeding was endless after surgery; the abdominal pain was unbearable 1 day ago, accompanied by fever and admitted to the hospital.The body temperature was 38.5 degrees, and the abdominal pain was obviously pressed. Considering the "acute pelvic inflammatory disease", antibiotic venous injection antitis treatment was given; after 5 days of treatment, the condition improved and abdominal pain was reduced.

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There are many types of diseases in women’s reproductive systems, and abdominal pain is one of the most common symptoms of gynecological diseases.When inquiring the medical history clinically, female friends described the pain of pain "pain like cracking", "pain like fire", "pain like having children", "pain like acupuncture""It is like a knife cut" … It is really a variety of types.

Next, let’s take a look at the clinical common gynecological diseases related to "abdominal pain". This may help female friends to make the right consultation decision when giving abdomen pain.

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Definition: Dysmenorrhea is one of the most common gynecological symptoms. It refers to lower abdominal pain and swelling during or during the aunt, and it will spread to the inner side of the waist and the inside of the stock.

Category: Dysmenorrhea is divided into primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea refers to the dysmenorrhea of the genital noble lesions, accounting for more than 90%of the dysmenorrhea; secondary dysmenorrhea refers to dysmenorrhea caused by pelvic cavity,It is common in organic lesions such as endometriosis, uterine adenomia disease and other organic diseases.

Causes: The occurrence of primary dysmenorrhea is mainly related to the increase in endometrium prostaglandin content when the menstrual period is coming. High prostaglandin content can cause excessive uterine smooth muscle contraction, vascular spasm, causing uterine ischemia, hypoxia and dysmenorrhea.Increasing prostaglandin can also enter the blood circulation of the body, causing cardiovascular and digestive symptoms.In addition, primary dysmenorrhea is also related to spiritual, neurological factors and individual pain thresholds.

Performance: ① The primary dysmenorrhea is more common in adolescence, and often develops within 1 to 2 years after the first tide;It can affect life and work, alleviate after 2 to 3 days, and disappear at the end of menstruation.Symptoms such as vomiting, diarrhea, dizziness, fatigue, and weakness are white and sweaty; ⑤ gynecological examination often has no abnormal discovery.

Treatment: The treatment effectiveness of prostaglandin synthase inhibitory drugs (commonly used is ibuprofen, keticopen, bislofenate, etc.) can reach 80%.Excessive uterine contraction and spasm, thus alleviating or eliminating dysmenorrhea.

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Ectopic pregnancy

Definition: Sperm and eggs are combined into fertilized eggs. Outside the uterine cavity, bed is called ectopic pregnancy. It is used to "ectopic pregnancy".

Category: The most common is fallopian tube pregnancy, and rare is ovarian pregnancy, abdominal pregnancy, cervical pregnancy, wide ligamental pregnancy, etc.; In recent years, there are significantly increased pregnancy in scars in cesarean section.

Causes: Vampire inflammation is the main cause of fallopian tube pregnancy.

Performance: Menstruation does not stop moisture, abdominal pain, and vaginal bleeding is a typical triple sign of ectopic pregnancy. For a long menstrual discontinuation time, it can also be stabbed and abdominal blocks. Once abdominal bleeding can occur if the abdominal cavity is broken, the amount of bleeding can cause syncope and shock.

Treatment: Including surgical treatment, drug treatment, and observation expectations.

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Pelvic inflammatory disease

Definition: Pelvic inflammatory diseases are referred to as PID, which refer to a group of infectious diseases of women’s reproductive tract, which mainly include endometritis, fallopianitis, fallopian tube ovarian abscesses, pelvic peritonitis.

Category: It can be divided into acute pelvic inflammatory disease and chronic pelvic inflammatory disease.

Causes: Frequent sexual activity, poor sexual hygiene, undergluorous tract infection, infected infection in the uterine cavity (such as artificial abortion), and the direct spread of adjacent organs are high -risk factors.Ms. Shi at the beginning of this article occurs after artificial abortion.

Performance: Common symptoms are lower abdominal pain and increased vaginal secretions.Abdominal pain is persistence, and the activity or after the same room increases. Those with severe condition may have fever or even high fever, cold war, headache, and loss of appetite.If the aunt, the menstrual volume can be increased and the menstrual period can be extended.If inflammation affects other systems and organs such as urinary and digestion, there will be poisoning in corresponding parts such as urgency, frequent urination, dysuria, diarrhea, and severe weight.

Treatment: It is mainly treated with antibiotics, surgical treatment if necessary.

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Ovarian cysts reverse

Definition: Ovarian cysts refer to small sacs full of liquids in the ovaries. For example, the cysts are tumor and medium size, good activity, and the center of gravity is on one side.Turning up, called ovarian cysts twisting.

Category: Ovarian cysts are usually divided into functional cysts and tumor cysts. Functional cysts usually disappear by themselves, and tumor cysts may require surgical resection.

Causes: The cysts are tumor and medium size, good movement, and the center of gravity bias on one side; the induction factor is that the female position has changed significantly.

Performance: Varic veins in the cyst are blocked. Internal congestion in tumors or increased pressure in the venous pressure causes blood vessels to cause bleeding in tumors, causing the tumor body to increase rapidly, and blood stimulate nerves and cause pain.If the arterial blood flow is blocked, tumors can cause necrosis, rupture and secondary infection.

Treatment: Belly pain can be anti -inflammatory and conservative treatment, and the cysts are naturally reset to reverse the cyst; those with severe abdominal pain need to investigate and reset to avoid the time of the ovarian reversal and necrosis.

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Definition: Endometriosis refers to the growth of endometrium tissue outside the uterine body, referred to as endometriosis.

Category: Common onset parts include ovarian, palace 骶 ligaments, others are uterus and other dirty peritoneum, vaginal rectal septum and other parts, so they are called pelvic endometriosis.

Causes: The cause has not been clarified so far, but endiosis is hormone -dependent disease, and its atrophy is closely related to female hormones.

Performance: secondary dysmenorrhea, infertility, pain of sexual intercourse, irregular menstruation, etc.

Treatment: The treatment method of this disease includes drug treatment and surgical resection.

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In short, the pain caused by gynecological diseases is one of the common symptoms of women. Pain -related pain is often associated with menstrual, vaginal bleeding, homes, reproductive, etc. This can be used as a reference for clinics for the segmentation department.

Women should pay attention to abdominal pain, seek the help of doctors for diagnosis and treatment as soon as possible, while maintaining good living habits and psychological states, and regular gynecological examinations to help prevent and reduce the occurrence of gynecological diseases.

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[1] Xie Xing, Kong Beihua, editor -in -chief of Duan Tao. Maternity Science [M]. Beijing: People’s Health Publishing House, 2018.

I am an obstetrics and gynecology nurse.

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