Pain after ovulation occurs in approximately every 5 women. They can be a sign of a normal physiological process or pathology. Much depends on their duration, intensity and the presence of accompanying symptoms.
Sometimes, in order to determine what exactly is causing the discomfort, it is necessary to consult a doctor. Timely assistance from a specialist can be vital.
Pain is a normal option when it comes to postovulation syndrome. This term refers to a set of symptoms that occur after the release of an egg from the follicle into the fallopian tube. One of the signs of the syndrome is pain in the lower abdomen. Sometimes it feels like it is shifted to the side.
Other symptoms include:
- deterioration in general health;
- emotional instability;
- more pronounced sexual desire;
- change ;
- bloating;
- slight nausea.
One of the features of postovulatory syndrome is the duration of pain: it can bother you from 2 hours to 2-3 days, but not longer. If all the signs coincide with the above, then there is no cause for concern. This condition does not require special treatment and goes away on its own.
Another variant of the norm may be pain as part of premenstrual syndrome. It usually develops a few days after ovulation, but if the maturation and release of the egg is delayed, it can begin immediately after this process or coincide with it. In addition to nagging pain in the lower abdomen, insomnia, depression, discomfort in the heart area, a feeling of suffocation, and fever appear. Also, many women note the appearance of mild edema, bloating, and swelling of the mammary glands. But all these symptoms stop with the onset of menstrual bleeding.
Pain in the lower abdomen after ovulation may be a sign of pregnancy. They are often accompanied by implantation bleeding - spotting brownish discharge. In this case, after 2 weeks you need to take a pregnancy test; most likely, the result will be positive.
Causes and nature of pain
The cause of pain in postovulatory syndrome is rupture of the follicle. In this case, tissue damage occurs, a certain kind of injury. Unpleasant sensations often occur not in the entire abdomen, but on the side: on the side where the maturation and release of the egg occurred.
Pain during premenstrual syndrome occurs due to hormonal changes that affect the functioning of the autonomic system. nervous system. It can be felt not only in the stomach, but also in the head, muscles, and heart. It has been noticed that the stronger the depressive symptoms during this period, the stronger the somatic ailments.
If the stomach hurts due to pregnancy, then the cause is a change in the uterine membranes, accompanied by damage to tissues and blood vessels. This is necessary so that the fertilized egg is well fixed on the walls and can turn into an embryo.
After ovulation, pain in the abdominal area can be different: spasmodic, cramping, acute, muffled. Sometimes it lasts constantly or occurs periodically. Much depends on the woman’s pain threshold, that is, on the characteristics of the nervous system.
How to relieve pain?
When pain is normal, no special treatment is needed. Most women can tolerate the discomfort on their own without taking medication. But if the pain is severe and difficult to bear, then you can take a pain reliever (for example, Ibuprofen). For postovulatory syndrome, applying a warm heating pad to the lower abdomen helps.
To alleviate the condition, you need to spend as much time as possible in a calm home environment, avoid stress and unpleasant emotions. Exercises to relax the whole body help relieve pain. It is also important to maintain optimal water balance.
If the pain becomes unbearable and painkillers do not help, you should consult a doctor. He will hold diagnostic examination and in the absence of any diseases may prescribe hormonal drugs, suppressing the ovulation process.
In what cases is a doctor needed?
Abdominal pain after ovulation is not always normal. It is worth carefully monitoring your condition during this period. Urgent treatment is necessary if the abdominal pain is intense and does not stop after taking an anesthetic. Bleeding (not implantation), attacks of nausea, vomiting, shortness of breath, loss of appetite, and headaches may also develop. At the same time, the abdominal muscles become hard, urination and defecation are difficult.
If you notice the above symptoms, you should immediately seek help from a doctor.
The following diseases are possible:
- Rupture of the ovary, accompanied by internal bleeding and requiring emergency surgical intervention.
- Diseases of the genitourinary system: pain can signal pyelonephritis, salpingitis, adnexitis, as well as infections (gonorrhea, chlamydia, ureaplasmosis, etc.).
- - a complication that is life-threatening to a woman and requires surgical intervention.
Prevention
Prevention of pain after ovulation should first of all include preventive examinations by a gynecologist every six months. Such visits to the doctor will help to identify the disease in a timely manner and begin treatment.
In order to independently be able to determine when pain is caused by natural processes in the body, and when by pathological ones, you need to keep a diary menstrual cycle. In it you can mark the days of menstruation, ovulation, and also record the symptoms accompanying a particular period.
To prevent premenstrual syndrome, it is important to prevent emotional instability: avoid stress, exclude coffee and alcohol from the diet, limit sweets, and adhere to a daily routine. For severe depressive symptoms, you can start taking antidepressants in advance.
Pain after ovulation can be either normal or a sign of disease. In order to determine whether medical help is needed, you should carefully monitor changes in the body. Postovulatory and premenstrual syndromes do not require treatment.
Sometimes women notice that there is a certain discomfort in the lower abdomen. It’s very common for my stomach to hurt like this after conception. Such a painful symptom worries patients, especially those who passionately want to become a mother. It is not at all necessary that the appearance of such pain is associated with any pathology; sometimes it is caused by completely natural physiological factors.
If you suddenly experience unusual sensations, you should tell your gynecologist about it.
In general, the fact that the stomach hurts after conception is considered quite normal, because fertilization and further gestation is an incredibly difficult process for the body. How can a girl understand that in this situation, pain in the lower abdomen is a safe and natural sign that informs the patient that fertilization and implantation were successful, and after a certain time it is necessary to prepare for the birth of the baby.
- Gynecologists say that the appearance of pain in the abdominal area may be the first sign of pregnancy.
- When fertilization occurs, all the patient’s intraorganic structures begin to restructure, preparing to bear the baby, and in some girls, the body, on the contrary, refuses to accept the embryo and creates conditions for miscarriage. How can you understand when pain is normal and when it is a dangerous sign?
- From the first day of conception, the body prepares the ground for the coexistence of the fetus and mother.
- The uterus begins to stretch, as do the ligaments, blood flow to them increases, the structure of the uterine walls changes, becoming soft and elastic.
All these transformations cause some discomfort, which can cause pain in the lower abdomen.
Associated symptoms
The appearance of minor painful discomfort helps to understand that fertilization has occurred fully, because after conception the lower abdomen hurts. By the nature of the pain, you can understand whether the implantation processes went well, whether it is worth urgently contacting a specialist, or whether everything is proceeding normally. Pain in the abdomen can be ambiguous, for some the pain is nagging or stabbing in nature, for others it is mild and unpleasant, and some patients complain of unbearable cramp-like pain.
If the patient is generally healthy and has unprotected sexual intercourse, then with pain that occurs after ovulation, the body tells the mother that conception has occurred successfully and the embryo is implanted into the uterine endometrial layer. Typically, a sign of such pain is its occurrence approximately 5-10 days after the release of the egg. After conception, the lower abdomen feels tight and a bloody smear may appear, which once again confirms that fertilization was successful and the pregnancy continues to develop.
Proof of the safety of pain in the lower abdomen during conception can also be the soreness of the mammary glands, which become full and become hypersensitive, skin around the nipple area darken. Some girls notice that their breasts can swell in just a few days. If the causes of pain in the abdomen are associated with conception, then symptoms such as delayed menstruation and nausea and vomiting reactions to strong odors and certain foods will necessarily be added to the swelling of the breasts. The occurrence of such a symptom complex indicates that implantation was successful and the pregnancy is developing safely.
Pain in the lower abdomen after conception
You should take the issue of planning very seriously.
And yet, why does the lower abdomen hurt after conception? About a week after the sperm meets the egg, the embryo travels from the fallopian tube to the uterine body and begins the process of implantation into the endometrium. This action may be accompanied by aching pain, the patient begins to feel abdominal pain, and a slight burning or tingling sensation may occur.
Changes in the hormonal status of the mother provoke an enlargement of the uterine body, stretching of its walls and muscle fibers, which also leads to the appearance of pain. All transformations that occur in the mother's body in connection with pregnancy can cause pain in the abdomen. If the patient is hypersensitive, she may feel discomfort similar to flatulence or bloating. Doctors warn that there is no need to worry about minor nagging pain after conception; it is not a sign of an impending miscarriage. The implantation processes are just beginning, so there can be no talk of interruption.
Pain in the ovary after conception
The gestation period is associated with a wide variety of painful sensations, which is what determines such a high threshold of pain sensitivity in this category of patients. Therefore, it becomes clear whether the stomach can hurt after conception. Such pains are quite natural, but there are others, the appearance of which can sometimes be an alarming symptom, for example, pain in the ovary area.
- The occurrence of painful sensations in the ovarian area indicates that some kind of malfunction has occurred in the body.
- Such sensations can also be caused by softening of the pelvic muscles, growth of the uterine body, or sprain of ligaments, which is also quite natural for pregnancy.
- If painful discomfort occurs in the first weeks of gestation, then a cystic neoplasm in the yellow gland or ovary may manifest itself in this way. A cystic tumor can form at the site of a ruptured follicle. If fertilization and implantation are successful, then against the background of hormonal changes, active growth of cystic tissue occurs. The cyst begins to stretch the capsule membrane of the ovary, which provokes painful sensations.
- Also, ovarian pain occurs against the background of the activity of the progesterone hormone, which ensures the safety and normal course of pregnancy.
You should not be afraid of these pains, because by the second trimester the yellow gland is reduced and the painful sensations stop. Painful sensations are frequent companions of pregnancy, so there is no need to worry. But they are painful and uncomfortable, and not severely acute and painful. The appearance of acute and sharp pain requires urgent contact with a specialist who will explain whether the stomach hurts after conception, find out the reasons for the patient’s sharp pain and prescribe the necessary therapeutic measures.
Other causes of pain
Useful and balanced diet nutrition is very important
In some clinical cases, painful symptoms may have a rather harmless origin, so it is necessary to take into account the nature of the pain. If the pain is nagging, then it is usually associated with changes in the body during pregnancy, but cramping pain can occur against the background of progesterone deficiency. It is this hormonal substance that controls implantation processes and ensures normal pregnancy.
If the ovarian glands secrete progesterone hormone in insufficient quantities, then the pregnancy is in real danger of failure, because with progesterone deficiency, the uterine body tries to reject an embryo that is foreign to it. At the same time, the uterus begins to contract, which causes the appearance of cramp-like pain in the lower abdomen after conception.
Cystic neoplasms
Painful symptoms can bother a girl after conception due to torsion of the cystic pedicle. This condition is accompanied by acute pain, which tends to intensify when palpating the ovarian area. If such pain suddenly stops, then it is worth urgently undergoing an examination, because such a disappearance may be caused by death nerve cells and fabrics.
If the cyst is progressive in nature, then it requires special attention from gynecologists, because it is constantly growing, can put pressure on the uterus and fetus, interfere with normal pregnancy, and can even provoke delivery much earlier than expected. If, against the background of strong growth, the cyst ruptures, then doctors perform surgical delivery of the mother by cesarean section and at the same time remove the tumor.
Placental abruption
Pain in the lower abdomen can also occur against the background of placental abruption. The structures of the placenta are many blood vessels that nourish the fetus and provide nutrition to the placenta itself. The main placental task is to protect the baby from the penetration of pathogenic substances and remove metabolic and waste products of the fetus. In addition, the placenta produces hormonal substances that provide favorable conditions for successful embryo development.
Detachment of placental tissue can be partial, total or progressive. With total detachment, the tissues are completely separated from the uterine wall, as a result of which pregnancy is interrupted and the fetus dies. This condition is considered the most dangerous.
A characteristic sign of placental abruption is severe bleeding, indicating the danger of the condition. If the tissue has peeled off slightly, then visible symptoms may be completely absent. When the detachment has a progressive or total degree, the patient, in addition to heavy bleeding, also feels pronounced painful sensations.
Progesterone deficiency
Two bright stripes - the most desirable result
A sudden decrease in progesterone production can also be accompanied by pain in the abdomen. This hormone is needed for the full course of gestation processes, and it also helps the fertilized egg to successfully implant into the uterine body. This hormonal substance is necessary to instill immune system that she should especially protect female body, but it should not interfere with implantation processes.
Insufficiency of such a hormone can be caused by cycle disorders or heavy bleeding, functional malfunctions of the corpus luteum or placental structures. Progesterone hormone deficiency can also be caused by inflammatory lesions or infectious pathologies in the reproductive system, as well as kidney failure and hormonal therapy with high-dose drugs. Progesterone is of particular importance up to 14-16 weeks, then the processes of formation of placental tissues begin, which themselves begin to perform the functions of producing progesterone.
Ectopic pregnancy
The appearance of severe pain in the lower abdomen during pregnancy can also be caused by ectopic implantation of the fertilized egg. Ectopic pregnancy is always associated with severe pain and heavy bleeding. This pathology poses a serious threat to the patient’s life and implies the inevitable death of the fetus. To avoid a dangerous condition, surgical removal of the fertilized egg is necessary.
Usually, an ectopic is formed against the background of tubal obstruction, due to which the fertilized egg cannot reach the uterine body; it is retained inside the tube, where it is fixed. Functional disorders of the endometrial layer can also cause an ectopic pregnancy; if this layer is too thin, the embryo will not be able to fully attach to it, so it will look for a more suitable place.
- Ectopic conception can occur during in vitro fertilization, so reproductive specialists often insist on removing the tubes before the artificial insemination procedure.
- Quite often, the embryo is implanted outside the uterus in the presence of an intrauterine device or as a result of gynecological surgical interventions.
- The danger is that an ectopic pregnancy does not have specific symptoms, and pain usually appears already when, due to the growth of the fetus, the tube in which the egg was implanted begins to stretch. Therefore, it is important to register as early as possible and, when registering, be sure to undergo ultrasound diagnostics.
Spontaneous abortion, which occurs with severe bleeding and pain, also has symptoms similar to ectopic pregnancy. But with a miscarriage, fetal rejection occurs spontaneously. In this case, it is important to seek specialized medical care, because such conditions are always accompanied by heavy and difficult to control bleeding.
Infections
Against the background of infectious pathologies of the genitourinary system, characteristic pain sensations may also occur in the abdomen after conception. With genitourinary infections, spread is almost inevitable pathological process on kidney tissue, which is dangerous for the fetus and the patient. Therefore, throughout pregnancy, pregnant women are periodically prescribed laboratory tests of urine.
Most often, painful symptoms in the abdomen after conception occur due to urinary inflammation or pyelonephritis. In this case, the pain radiates to the groin area, and urination causes severe pain and severe burning. If genitourinary infections start and are ignored for a long time, then in the future it will be possible to cope with them only with the help of the strongest antibiotics, which are strictly contraindicated during pregnancy.
What to do
Treatment of pain that occurs after conception will help cope with uncomfortable symptoms, spastic or muscle pain in the ovaries. If the pain is physiological, then you need to be less nervous and tense; when the changes in the body are over, the pain will also stop. If the origin of the pain is pathological and associated with any disease or serious disorder, then therapy is prescribed in accordance with the specific situation.
The difficulties of treating pathological pain are due to the fact that not all medications are approved and safe to take during pregnancy. Therefore, it is better to prevent the likelihood of pathological factors in advance rather than treat them later. To do this, you need to approach the issue of pregnancy planning responsibly and competently. After conception, the mother should not behave like a sick person, she should lead an active lifestyle, go to school more often fresh air or walk.
Childbirth is a very complex process, during and after which significant changes occur in the body. Unfortunately, many women in the early postpartum period are deprived of the opportunity to devote sufficient quantity time for their health, since all their attention is focused on the newborn baby. Therefore, they practically do not pay attention to pain in the lower abdomen after childbirth, considering them to be a normal phenomenon. Usually this is true, but in some cases such pain can become symptoms of a dangerous disease.
Natural Causes of Abdominal Pain
During childbirth, tissue ruptures and ligament sprains often occur. In some cases, doctors have to stitch the woman in labor, which causes discomfort for a long time.
The main reason why a woman experiences pain in her lower abdomen after childbirth is contraction of the uterus. Spastic phenomena intensify when the baby is breastfed, since the oxytocin produced during this process causes intense contraction of the uterine muscles.
Therefore, the more often a woman breastfeeds her baby, the faster the uterus will recover. In the first time after the birth of the baby, uterine contractions during feeding are so strong that they resemble labor contractions. But their intensity decreases sharply in the interval between latching the newborn to the breast. Such cramping pains continue on average for 1.5–2 weeks after childbirth. During the period when the uterus contracts, thereby causing pain, do not forget that the internal organs located next to it also affect this process. For example, crowded bladder
By putting pressure on the uterus, it can increase pain in the lower abdomen, which is why doctors recommend going to the toilet at the first urge.
If delivery is carried out by cesarean section, then after it a scar remains on the uterus. Like any postoperative suture, it reminds itself for a long time: it tugs and causes aching pain. Typically, a cesarean section scar heals within a month to a month and a half after the operation. To prevent it from breaking apart and becoming inflamed, the young mother should carefully observe personal hygiene and follow the recommendations of doctors.
Salpingitis and salpingoophoritis in nursing mothers
Nagging pain in the abdomen after childbirth can be a consequence of uterine curettage. In the maternity hospital, all women must undergo an ultrasound examination 2–3 days after birth. It allows you to determine whether there are any pieces of the placenta, fertilized egg, or dead epithelium left in the uterine cavity.
If the examination shows the presence of any clots in the uterus, the doctor prescribes a drip to the woman with drugs that increase contractions of the uterus and help “cleanse” it. When it turns out that these measures are not enough, a decision is made to perform aspiration. This procedure is quite unpleasant and painful, it is performed under local or general anesthesia (depending on the type of curettage), and for a long time it reminds you of abdominal pain.
An injury to the pubic bone during childbirth can cause abdominal pain. This pain goes away on its own after a certain period of time.
Usually, when a woman has a stomach ache after childbirth, this is a completely natural and harmless process. But it should be understood that all pain should become less noticeable and short-lived over time.
Ideally, a month after giving birth, a woman in labor should not experience abdominal pain. Why does it happen that even after 1.5–2 months a woman is still bothered by unpleasant sensations? Perhaps the cause of the pain lies in the development of a hidden disease or in the exacerbation of a chronic problem. In any case, this symptom requires examination and appropriate medical correction.
- Often the cause of abdominal pain is caused by dysfunction gastrointestinal tract. Stress, lack of sleep, and changes in diet, especially during breastfeeding, cause intestinal problems. First of all, a young mother should adjust her diet, excluding from it foods that are difficult to digest, as well as everything that can cause bloating and indigestion. If there is no relief within a month, you will need to consult your doctor again.
- A very dangerous symptom is an increase in body temperature and increased pain in the lower abdomen in combination with the appearance of bloody discharge, especially if this occurs a month after childbirth. Around this time, endometritis may develop in the uterine cavity, caused by a bacterial or fungal infection introduced during a cesarean section or cleaning.
- Gradually increasing abdominal pain may indicate inflammatory processes in the tubes and cervix. Pieces of the placenta and amniotic membrane remaining in the uterus can trigger the process of decay, which will require mandatory hospital treatment under the supervision of a doctor.
- Sharp pain radiating to the spine can be caused by injuries or pinched vertebrae. In this case, it is necessary to diagnose the spine to identify the cause of the pain. After which the doctor will prescribe a course of procedures and, if necessary, medication.
Causes of hormonal imbalance after childbirth and methods of treating pathology
A woman should definitely seek help from a doctor if she has the following symptoms:
- the duration of pain is more than 1.5–2 weeks;
- increase in pain intensity;
- increased body temperature;
- poor health, weakness.
As practice shows, all women experience pain in the lower abdomen after childbirth.
This is a natural process caused by physiological changes in the mother's body.
However, every mother should be attentive to her health and ensure that, against the background of minor pain, the development of hidden diseases does not begin. After all, a problem identified in time is much easier to cure than an advanced disease.
“Life” and “belly” were denoted by one word among the ancient Slavs. And this had its own logic: everything that is most important for life is really stored in the stomach... Not counting, perhaps, the brains: they would not have withstood the load that usually falls on the digestive system.
The Slavs (as well as other peoples living in our climate) love to eat. They always loved it and, by and large, they were right: they had to work hard and a lot, and additional calories and protective layers of fat were also required to heat their own body. Therefore, abundant nutrition was perhaps the main condition for survival.
But if in ancient times this healthy appetite was somehow restrained by the zone of risky agriculture, taxes, dues and raids of nomads, then in modern world The load on the stomach has increased significantly. A healthy appetite remains, but there are no restraining factors (well, except conscience).
So there is nothing strange if every day in some place in the abdomen something gurgles, bursts and hurts from overload. And it’s not a fact that it’s the digestive organ that hurts. Someone out there is giving signals, trying to remind you that, Without sparing your belly, you are literally risking your life. Marina Yakusheva, a network therapist, helped us decipher these messages medical clinics"Family".
Pain in the pit of the stomach, at the very top in the center (1)
What do you feel: stabbing, cutting acute pain, sometimes radiating to the chest area. She is accompanied by a feeling of fullness in the abdomen and flatulence.
Most likely it is gastritis. Unless, of course, you rule out the possibility that someone punched you in the gut. The most common cause of the disease is Helicobacter pylori microorganisms. They torment the gastric mucosa worse than hot peppers or alcohol (by the way, they are also gastritis provocateurs).
Stress hormones stimulate excess secretion of hydrochloric acid in the stomach - and here is another factor for the development of inflammation.
That’s why there is a belief among people that “ulcers come from nerves.” With severe and prolonged pain, one can indeed suspect not just gastritis, but a stomach or duodenal ulcer. By the way,
- There are two types of gastritis: Hyperacid
- occurs with increased acidity, everything is clear with it: the acid irritates the walls of the stomach, and inflammation results. It still happens. The fact is that a low level of acidity, firstly, contributes to the prosperity of Helicobacter pylori bacteria, and secondly, does not ensure normal digestion of food, allowing it to rot.
Is it true, the same pain and accompanying symptoms can be caused by myocardial infarction, which is often disguised as “something with the belly.” If the pain also radiates to left hand, call an ambulance immediately!
Another option is appendicitis. It often begins with a vague pain in the pit of the stomach, and only then the pain signal moves to the right side and becomes very distinct. This is why it is usually not recommended to take painkillers for abdominal discomfort: this will complicate the diagnosis. Maybe an ambulance after all?
What to do?
Well, if there was no emergency hospitalization, still make an appointment with a gastroenterologist or therapist as soon as possible. And do not refuse gastroscopy: only this procedure will allow you to make a clear diagnosis and prescribe treatment.
Read also How to stop overeating: change eating habits
Right hypochondrium hurts (2)
What do you feel: sharp, acute pain that occurs suddenly, accompanied by a feeling of heaviness, nausea, vomiting, and bloating. Gives to the right shoulder. Lasts for an hour.
Most likely, you have biliary (liver) colic. The reason for this is stones that lead to stagnation of bile. Can provoke an attack severe stress, a festive feast (spicy, fatty, alcoholic), a long car ride on a bumpy road and a bent over position (when washing floors, sex or stretching exercises).
But, again, maybe it’s a myocardial infarction, especially if you have cardiovascular pathologies.
What to do?
Call a doctor, do not refuse hospitalization (doctors will most likely insist on it). You need to be examined by a surgeon, gastroenterologist, or urologist. Be sure to tell your doctor if you are taking birth control pills– they can cause a relapse.
Eliminate fatty, salty foods and baked goods from your diet. Don't eat for 12 hours after an attack. Try to control your weight - if you have extra pounds, start getting rid of them.
Read also Liver: why it is important to know how it works
What do you feel: noticeable discomfort or dull pain, loss of appetite.
Most likely, this is biliary dyskinesia. That is, a violation of their motor skills. Because of this, problems arise with the flow of bile into the duodenum, as a result of which the entire digestion process is disrupted (primarily the digestion of fats).
Less likely, but also maybe acute hepatitis A or B, exacerbation of chronic hepatitis C, or even cirrhosis of the liver. It is especially worth thinking about this if one of the symptoms is light-colored stools.
What to do?
Immediately contact a hepatologist and gastroenterologist. Even if the most terrible suspicions are not confirmed, you are still strictly forbidden to overeat (even on major holidays), the diet should be fractional: five to six times a day, in small portions, without fatty, smoked and spicy foods. And, of course, without alcohol.
Right side hurts at waist level (3)
What do you feel: severe cutting pain radiating to the lower abdomen and genital area. It has a wave-like flow, then fades, then intensifies.
Most likely, you have renal colic. The reason for this may be urolithiasis, kinking of the ureter, inflammation. Be careful when trying to lose weight. Excessive thinness is one of the provocateurs of kidney prolapse in nulliparous women. There is a lack of retroperitoneal fat, which helps the organs stay in place.
Similar symptoms include inflammation of the ovaries (adnexitis), osteochondrosis (especially if the pain radiates to the lower back) and appendicitis.
What to do?
If you have already encountered a similar situation, then take a painkiller or a drug that relieves spasms. Be sure to schedule a visit to the urologist the next day.
Is the pain new? Gritting your teeth, without taking medications, wait for the ambulance to arrive. To make an accurate diagnosis, make an appointment with a gynecologist, neurologist and surgeon.
Read also Kidney stones: how do you know if you have them?
Left hypochondrium hurts (4)
What do you feel: aching pain that increases in intensity over time. Sometimes it seems to encircle the body. She is accompanied by nausea, dyspepsia, and bloating. It gets especially bad after eating fatty foods or strong alcohol.
Most likely, this is pancreatitis - acute or chronic. The pancreas suffers. The outflow of juices containing digestive enzymes is disrupted. They begin to affect not the food, but the organ itself, leading to its destruction.
In the worst case, this is bleeding from a stomach and/or duodenal ulcer.
What to do?
Start sticking to a diet. Eat small meals five to six times a day. Alcohol is strictly prohibited, no butter and rich broths. If the symptoms increase quickly, getting worse every minute, call an ambulance, you need emergency help from a surgeon.
The very middle of the abdomen hurts (5)
What do you feel: flatulence, bloating, churning in the stomach, short-term aching pain.
Most likely, you overate. The stomach, liver, intestines and pancreas simply could not cope with the loaded volume - and now gases move through the intestines, causing discomfort.
Other options: dysbiosis (wait if you were sick and took antibiotics) or lactase deficiency (pay attention to whether the symptoms described are related to the consumption of dairy products).
What to do?
Go to the nearest pharmacy and buy drugs that eliminate flatulence and enzymes that help digestion.
Sharp and dull, throbbing and cutting, bursting and aching – abdominal pain comes in many different forms.
The cause can be various diseases - from appendicitis to heart attack.
The main thing is to recognize the symptoms in time and consult a doctor immediately.
Reason 1. Appendicitis
The attack most often begins suddenly: first there is constant pain around the navel, which then descends to the right iliac region. In rare cases, it radiates to the lower back. May get worse with movement and coughing. At the beginning of the attack, vomiting is possible, which does not bring relief. Usually there is stool retention and the abdomen becomes hard. Body temperature rises to 37.5–38°C, pulse quickens to 90–100 beats per minute. The tongue is slightly coated. When the appendix is located behind the cecum, the abdomen remains soft, pain and muscle tension are noted in the right lumbar region.
What to do?
Call an ambulance immediately. To alleviate the condition, you can put an ice pack on your right side. Never apply a warm heating pad to your stomach. Before the doctor arrives, do not take painkillers and laxatives, it is advisable not to drink or eat.
Reason 2. Irritable bowel symptom
This condition, in which the functioning of the intestines is disrupted, but the intestine itself remains healthy, is characterized by periodic strong cramping (twisting) or cutting pain in the abdomen - usually only in the morning, combined with a strong urge to defecate. After bowel movement, the pain goes away and does not return during the day.
What to do?
Contact a gastroenterologist who will prescribe the necessary tests. The diagnosis of irritable bowel syndrome is established only after excluding all other possible diseases digestive tract.
Reason 3. Diverticulitis
Pain in the left lower abdomen, fever, nausea, vomiting, chills, cramps and constipation are all characteristic signs of diverticulitis. With this disease, peculiar “protrusions” are formed in the walls of the colon, called diverticula, which are formed as a result of the divergence of the fibers of the muscular frame of the intestinal wall. This occurs, as a rule, against the background of chronic constipation, with an increase in intraintestinal pressure. Also, with age, the muscular framework of the intestine loses its tone and individual fibers may diverge. Diverticula may not bother you throughout your life, but in some cases they may become inflamed.
What to do?
Consult a gastroenterologist. The doctor can prescribe the necessary medicines, liquid diet and bed rest for several days. In some cases, treatment for diverticulitis requires a hospital stay. If complications occur, surgery may be necessary.
Reason 4. Gallbladder diseases
Dull pain in the right hypochondrium or in the right side, intensifying after eating, is a characteristic sign of cholecystitis (inflammation of the walls of the gallbladder). At acute course illness, pain is sharp, throbbing. Often the unpleasant sensations are accompanied by nausea, vomiting or a bitter taste in the mouth. Unbearable severe pain in the right hypochondrium (liver colic) may occur in the presence of stones in gallbladder or bile ducts.
What to do?
Contact a gastroenterologist who will refer you for an ultrasound of your organs. abdominal cavity. In case of exacerbation of cholecystitis, painkillers and antispasmodics, antibiotics, fasting diets. During the period of subsidence of the disease, they are prescribed choleretic agents natural and synthetic origin. Treatment cholelithiasis on early stages consists of dissolving stones using drugs and crushing. In the presence of large stones, as well as the development of complications, they resort to surgical removal of the gallbladder - cholecystectomy.
Reason 5. Peptic ulcer of the stomach and duodenum
Acute (sometimes dagger-like) pain in the epigastric region (between the sternum and navel) may indicate the presence of an ulcer - a defect in the mucous membrane of the stomach or intestines. With a peptic ulcer, the pain is often severe, burning, but sometimes it can be aching, similar to a feeling of hunger, or be completely absent. The pain, as a rule, is of a “hungry” nature and appears at night, on an empty stomach, or 2-3 hours after eating, but sometimes it can get worse after eating. Other common symptoms of ulcers are heartburn and sour belching.
What to do?
Make an appointment with a gastroenterologist who will refer you for a gastroscopy. General and biochemical blood tests are required, as well as a test for antibodies to bacteria Helicobacter pylori which causes ulcers. You will also need an ultrasound of the abdominal organs. The doctor will prescribe treatment and diet: avoid alcohol, coffee, too hot or cold foods, spicy, fried, salty, rough foods (mushrooms, rough meat).
Reason 6. Diseases of the pancreas
Dull or aching pain in the middle abdomen (in the navel area) or in the left hypochondrium is characteristic of chronic pancreatitis (inflammation of the pancreas tissue). Unpleasant sensations usually intensify after eating fatty or spicy foods. At acute pancreatitis the pain is very severe, in the upper abdomen, often accompanied by vomiting, bloating, and constipation. Most often, acute pancreatitis occurs after overeating and alcohol abuse.
What to do?
Consult with a gastroenterologist who will order an ultrasound of the pancreas, as well as a blood test for pancreatic enzymes and glucose. The doctor will prescribe enzyme and anti-inflammatory drugs, and most importantly, dietary fractional meals. Acute pancreatitis requires emergency hospitalization.
Reason 7. Thromboembolism of mesenteric (mesenteric) vessels
Spasm or blockage of the mesenteric vessels supplying blood to the intestinal tissue by a thrombus leads to changes in the secretory and motor activity of the gastrointestinal tract and is accompanied by severe, sharp, intractable abdominal pain. At first, the unpleasant sensations may be intermittent, cramping in nature, then they become more uniform, constant, although just as intense. Other symptoms include nausea, vomiting, constipation or diarrhea, often bloody stools, and shock may develop. Progression of the disease can lead to intestinal infarction and peritonitis.
What to do?
Call emergency services, as patients with thrombosis of the mesenteric vessels often require emergency surgery. As treatment, enzymes, astringents, agents that improve blood microcirculation, antispasmodics, including nitroglycerin for pain, are prescribed.
Reason 8. Gynecological diseases
In women, pain in the lower abdomen in the center or on one side of the abdominal cavity can occur with the development of inflammatory processes in the uterus, ovaries, fallopian tubes, and appendages. Usually they have a pulling character and are accompanied by discharge from the genital tract. Sharp pain, dizziness, fainting - all these symptoms are characteristic of an ectopic pregnancy, rupture of an ovarian cyst.
What to do?
Contact a gynecologist. If you suspect ectopic pregnancy Call an ambulance immediately.
Reason 9. Heart failure
Pain in the upper abdomen (under the pit of the stomach), bloating, nausea, sometimes vomiting, weakness, tachycardia, decreased blood pressure- all these symptoms may indicate myocardial infarction (the so-called abdominal form). Possible hiccups, a feeling of stuffiness, and pallor.
What to do?
Call an ambulance and do a control ECG. Especially if you are over 45–50 years old, have just experienced physical or emotional stress, or Lately complained of discomfort in the heart and pain radiating to the left arm and lower jaw.