Abdominal pain in women

What causes abdominal pain in the lower abdomen or pelvis?

All women feel abdominal discomfort or pain in the lower abdomen from time to time and often before or during menstruation.

In many cases difficult to identify the cause of pain, but observe certain signs will help the patient and the physician to reach a diagnosis quite likely.

The most common causes are:

• An alteration of the urinary tract, such as problems of urinary bladder or kidney
• An intestinal disorder
• A process related to the reproductive system: uterus, fallopian tubes or ovaries.
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Type pain arising in the urinary tract

The pain may indicate urinary tract disorders such as cystitis or inflammation of the urinary bladder by an infection, inflammation of one or both kidneys (pyelonephritis), kidney stones or tumors.

Typical symptoms of these processes are a burning sensation when passing urine and the need to urinate more frequently. In addition, pain that travels from the lower back to the genitals may suggest a kidney infection, or more, often a calculation or kidney stone.

Pain causing kidney stones can be particularly intense and known to renal colic. The presence of blood in urine suggests the possibility of infection, kidney stones or bladder or even a tumor of these bodies. Both benign and malignant tumors can initially manifest in this way so a urinary tract bleeding should be examined by a doctor.

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Type of pain caused by bowel disorders

The intestine may be the source of a variety of symptoms including pain. The constipation and diarrhea can be painful for themselves, and change of bowel habit usually identifies the pain as coming from the intestine. Bowel pain is often described as cramping, ie, with colic character. This means that the abdominal pain or discomfort appears on an intermittent basis, in waves, with little discomfort painful or absent intervals alternating with others with a short sharp pain that sometimes leads the patient to the bathroom to make a deposition, usually diarrhea.

The bloating of the abdomen and the need to expel gas from the stomach, it is sometimes difficult, it can occur in many intestinal disorders such as irritable bowel syndrome .

The appearance of red blood in the stool or anus, or black stools should be reported to the doctor because they can be warning signs and need to be investigated.

Type of pain arising from reproductive disorders

The pain may originate in the uterus (womb), fallopian tubes or ovaries. Usually, the woman notices the pain in the lower abdomen, in an area between the navel and the initiation of pubic hair. Sometimes the pain is offset to one side, which is typical of a pain from the fallopian tubes or ovaries (attached matrix).

The woman may feel discomfort or pelvic pain during sex (intercourse), which is called dyspareunia . Uterine or womb pain during menstruation is called dysmenorrhea . Some disorders of the reproductive organs that cause pain include endometriosis, pelvic inflammatory disease , the ovarian cysts , fibroids or uterine fibroids and other problems associated with early pregnancy, including abortion spontaneous and ectopic pregnancy (when there is an abnormal pregnancy outside the uterine cavity).

In case of unexplained abdominal pain or unknown origin intense and sudden need to see a doctor.

What will the doctor do?

Sharp, shooting pains are always worrying but chronic pain can also have serious implications and should be cause for medical consultation. This will be interested in issues related to the rule, urine and stool. Also ask if the patient has had nausea, vomiting or fever. If appropriate you can ask questions about personal and emotional issues such as family, friends, work and sexual life of the couple.

Then proceed to the exploration, involving examination and palpate the abdomen and often internal genitals. Other clinical tests or treatments are determined based on the characteristics of pain and the results of the medical examination.