All women experience abdominal discomfort or pain in the
lower abdominal pain from time to time and often before or during menstruation. In many cases it is difficult to identify the cause of pain,
but verify certain signs will help the patient and the doctor to make a
diagnosis very likely.The most common causes are:
An alteration of the urinary system, and problems of the
urinary bladder or kidney
An intestinal disorder
A process related to the reproductive system: uterus,
fallopian tubes or ovaries.
Type of pain arising in the urinary
The pain may indicate urinary tract disorders such as
cystitis or inflammation of the urinary bladder by 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 area to the genitals may suggest a kidney
infection, or more, often a stone or renal calculus.
The pain caused kidney stones can be particularly intense
and known from renal colic. The presence of blood in the urine suggests the
possibility of infection, kidney stones or bladder or even a tumor of these bodies.
Both benign and malignant tumors can manifest initially in this way so a
urinary tract bleeding should be examined by a doctor.
Type of pain arising from bowel disorders
The intestine may be the source of a variety of symptoms
including pain. Constipation and diarrhea can be painful for themselves, and
change of bowel habit usually identifies the pain as coming from the intestine.
The bowel pain is often described as cramping, ie with colic character. This
means that the lower abdominal pain discomfort or pain appears intermittent, in waves,
with short intervals or absent painful discomfort and alternating with a short
sharp pain which sometimes takes the patient to the bathroom to do a
deposition, usually diarrhea.
The bloating of the abdomen and the need to expel gas from
the stomach, it is sometimes difficult, 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 as they may be signs of alarm and need
to be investigated.
Type of pain arising by 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 pubic hair start. Sometimes the pain is displaced
towards one side, which is typical of a pain from the fallopian tubes or
ovaries (attached to the array).
The woman may feel discomfort or pain in the pelvis during
sex (intercourse), which is called dyspareunia. Pain uterine or womb during
menstruation is called dysmenorrhea. Some disorders of the reproductive organs
that cause pain include endometriosis, pelvic inflammatory disease, ovarian
cysts, fibroids or uterine fibroids and other problems related to the early
stages of pregnancy, such as spontaneous abortion and ectopic pregnancy (when
there is an abnormal pregnancy outside the uterine cavity).
In case of unexplained abdominal pain or unexplained, sudden severe seek medical need.
How Will the doctor?
The sharp and sudden pains are always worrying but chronic
pain can also have serious implications and should be cause for medical
consultation. It will be interested in issues related to regulation, 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 the couple's sex life.
Then proceed to the exploration, involving examination and
palpate the abdomen and often, the internal genitalia. Other clinical tests or
treatments are determined based on the characteristics of the pain and the
results of the medical examination.
