Dysmenorrhea

Dysmenorrhea is divided into two types: primary and secondary dysmenorrhea. Primary pain is often seen in adolescent girls. The cause is related to prostaglandin levels in the body, coldness, and emotional and psychological factors without organic disease. It can generally heal on its own with age or after marriage and childbirth. Common causes of secondary pain are endometriosis and adenomyosis. Symptoms include pain that gradually worsens, often cyclically, or a dull pain in the lower abdomen during non-menstrual periods that worsens before and after menstruation. In addition, it is often accompanied by infertility and menstrual irregularities, which often require drug treatment.

Ovarian corpus luteum rupture

This is caused by excessive bleeding in the luteal body, accompanied by sudden onset of abdominal pain in the lower abdomen or one side, and in severe cases, shock. Ovarian corpus luteum rupture mostly occurs on the 20th to 26th day of the menstrual cycle. Lower abdominal pain may occur during the onset, varying in severity. Before the ovarian corpus luteum ruptures, there will be a process of ovarian congestion and swelling. When the ovary is affected by external or indirect external forces, especially when it is congested in the early period of menstruation, such as due to straining during defecation, trauma, sexual intercourse, or strenuous activities. It is best to go to the hospital for diagnosis and treatment immediately after the onset of ovarian corpus luteum rupture. Do not abuse painkillers on your own to avoid masking symptoms and affecting normal diagnosis and treatment.

Ovulation abdominal pain

When adolescent girls ovulate, their follicles rupture, and the follicular fluid may have a certain stimulating effect on the peritoneum, so they sometimes have alternating left and right pains once a month. Mild abdominal pain. This is physiological and manifests as dull pain, dull pain, or swelling-like pain in one side of the lower abdomen. Some girls are also accompanied by a little vaginal bleeding, that is, ovulation bleeding, which usually disappears on its own after one or two days, and generally does not exceed seven days. This kind of abdominal pain often does not have any pathological changes, and the gynecological examination is completely normal. It is physiological abdominal pain and generally does not require treatment.

Ovarian cyst pedicle torsion or rupture

This is because the cyst has a long pedicle, a large volume, no adhesion to the surrounding area, and high mobility. It will twist when affected by intestinal peristalsis or body position changes. When the ovarian tumor pedicle is torsion, pain suddenly occurs on one side of the lower abdomen, which is persistent colic, often accompanied by nausea and vomiting; there may be obvious tenderness and muscle tension in the abdomen; digital anal examination may reveal swollen and tender appendages. Ovarian cysts can still rupture, and after the rupture, the contents will stimulate the peritoneum and cause severe pain. B-ultrasound examination can confirm the diagnosis. Emergency surgical treatment is generally required.

Pregnancy-related diseases

In recent years, cases of teenage pregnancy are not uncommon. In 2005, our hospital's Flower Care Center received 220 cases of pregnant girls. Abdominal pain caused by pregnancy-related diseases can be seen in threatened abortion, ectopic pregnancy (ectopic pregnancy), etc. Taking ectopic pregnancy as an example, there may be dull pain or distending pain in the accessory area on the affected side. When miscarriage or rupture of ectopic pregnancy occurs, intra-abdominal bleeding may occur. . The pain varies with the amount and speed of bleeding. If it is a fallopian pregnancy miscarriage, the abdominal pain is often limited to one side of the lower abdomen, and blood accumulates in the depression of the uterus and rectum, which can cause anal pain; when a fallopian pregnancy rupture occurs, the bleeding volume is large and rapid, and the blood quickly spreads to the entire abdominal cavity, causing abdominal pain. pain. In addition, some pregnant girls have private abortions, which can easily cause infections such as pelvic inflammatory disease or trauma to the pelvic organs and reproductive tract, and can even endanger their lives.

Acute appendicitis

It is a common lower abdominal pain among girls. It is a surgical disease, but it needs to be distinguished from gynecological diseases. About 70% to 80% of patients begin to feel pain in the upper abdomen or around the umbilicus, which shifts to the right lower quadrant a few hours later. Abdominal pain in simple appendicitis is limited to the right lower quadrant, and may be persistent or paroxysmal. Abdominal pain in purulent appendicitis worsens, often presenting as paroxysmal severe pain or distending pain. Necrotizing appendicitis begins with persistent throbbing pain, and the abdominal pain expands and intensifies. In the early stage, there is usually mild nausea and vomiting of food, often accompanied by loss of appetite and constipation. Abdominal bloating sometimes occurs when inflammation is severe. The occurrence of metastatic right lower abdominal pain is a characteristic of appendicitis. The disease generally requires surgical resection.

Psychogenic abdominal pain

For example, in a girl with school phobia, the patient is afraid of going to school and taking exams. If the patient is forced to go to school, she will have anxiety and anxiety-related physical discomfort, such as pale complexion, rapid heart rate, shortness of breath, unbearable abdominal pain, vomiting, headache and dizziness, etc. Some patients have repeatedly complained of severe abdominal pain, but various All test results were normal. Once the patient is allowed to take a temporary leave of absence from school, the anxiety and discomfort symptoms will soon be relieved, and the abdominal pain will disappear immediately. Such patients require psychological treatment.