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Explanation of analyzes

Causes of pain in the right and left sides of the abdomen in women

Identify a painful place - this is the first clue on the mysterious way of diagnosing the disease. It is logical to assume that the organ located in the epicenter of the focus of pain will suffer, although this is not always the case. Let's talk about the peculiarities of abdominal pain in women, so that if necessary, it should be properly interpreted.

What are the causes of pain in the lower abdomen?

Before talking about the diseases that can cause a characteristic pain, let us dwell on the anatomical structure of the abdominal cavity. Consider the arrangement of organs in the corresponding zones.

Right lower abdomen The appendix, the terminal ileum, the caecum and part of the ascending colon, the right kidney with the ureter, the right appendage with the fallopian tube.
The left lower abdomen. Part of the descending colon, sigmoid colon, left kidney with ureter, left appendage with fallopian tube.
The area around the navel Small intestine, colon transverse intestine, vessels of the abdominal cavity, appendix in medial position.
Below the navel Bladder, uterus, rectum.

As we can see, several systems can be involved in pathology: urinary, sexual, intestinal, vascular and musculoskeletal. In women, the cause of abdominal pain is more often caused by gynecological problems.


Causes of pain in the right side of the abdomen in women

Causes of pain in the right side of the abdomen in women

pain in right side of abdomen at the bottom photo

  1. Appendicitis;
  2. Bowel dysfunction;
  3. Spikes;
  4. Right-sided renal colic;
  5. Adnexitis (inflammation of the appendage on the right);
  6. Cyst of the right ovary;
  7. Right tubal pregnancy (ectopic);
  8. Arthritis of the right hip joint.

Appendicitis is the most common cause of pain in the right side of the abdomen in women. Usually it grows gradually, by nature stupid, but constant. Possible one-time vomiting, nausea. Then the pain intensifies, the temperature rises, vomiting opens. It ends with signs of an "acute abdomen".

An important criterion for diagnosis is leukocytosis and muscle tension in the abdomen. A similar picture has a disease in which the bowel forms an additional protrusion in the form of a pocket (diverticulosis).

Intestinal obstruction. Symptomatic is characterized by rapid development. The pain is very strong, because the part of the intestine is stretched, irritating a large group of nerve receptors. Mechanical blockage, for example, a foreign body or a stony stone causes a stop of peristalsis.

Pain of this nature gives to the right inguinal region, combined with vomiting. With urgent help you can not delay!

Dysfunction of the intestine. This pain is associated with eating, accompanied by bloating, rumbling and other intestinal problems. Relief occurs after removal of gases or defecation, nocturnal pains are absent.

Spikes. This is the result of operations or inflammatory process. They are characterized not by constant pains of a pulling nature. Increase in sexual intercourse and movements. Dense spikes, can cause intestinal obstruction.

Renal colic. Right-sided colic occurs when the stone is clogged by the lower part of the right ureter. When it moves, the pain is paroxysmal. Obturation will give a sharp pain, which will not pass even when taking strong analgesics.

Pain in ectopic pregnancy. This pathology should be borne in mind in all women of reproductive age. The condition is dangerous by the rupture of the walls of the fallopian tubes and vessels, on which a fertilized egg was attached. The right ectopic pregnancy is more common.

Right adrenalitis is an inflammation of the tubes and ovaries (appendages of the uterus). In addition to pain, there will be fever, malaise, urination becomes painful. Unpleasant sensations are enhanced by sexual intercourse and exercise. Adnexitis is common in young women, sometimes combined with an ovarian cyst.

With large cysts, there is often a gap and the picture resembles appendicitis. The pain is dull, permanent. It is accompanied by purulent discharge.

Right-sided inguinal lymphadenitis - this aching pain is easy to recognize, as a painful enlarged lymph node is palpable.

Right-sided arthrosis of the hip joint is coxaarthrosis. This pathology occurs in the elderly. It is combined with limping and stiffness of the joint. At movement the pain amplifies.

  • If the right side hurts the lower abdomen in the woman and gives in the lower back - you should think about the combined pathology of the hip joint and the lumbar spine. The triggered factor of persistent pain in the joint and lower back can come out an inflamed ovary .
  • Sharp nature of pain have - bleeding, perforation with intestinal obstruction, ectopic pregnancy, renal colic and rupture of the ovarian cyst.
  • Stitching pain is typical for inflammation of the intestine (diverticulosis, ileitis).

Causes of pain in the left side of the abdomen in women

Causes of pain in the left side of the abdomen in women

hurts left side of abdomen at the bottom photo

  1. Bowel dysfunction;
  2. Adhesive disease;
  3. Colitis, proctosigmoiditis;
  4. Left-sided renal colic;
  5. Left ectopic pregnancy;
  6. Acute and chronic left-sided adnexitis;
  7. Arthritis of the left hip joint.

Bowel dysfunction or spastic bowel reduction. It is manifested by chronic aching pain in the left part of the abdomen, flatulence, constipation or diarrhea.

Often there is such a pathology, in which the sigmoid colon is stretched (dolichosigma). Usually the left side hurts in the bottom of the abdomen in women lifting weights. If the size is large, the gut can form an additional loop. Hard work, active sporting activities increase unpleasant feelings. And when it twists, there is a sharp pain associated with intestinal obstruction.

Colitis. If the weak spot on the right is an appendix, then to the left is the rectum and sigmoid colon. There are such diseases as proctitis and sigmoiditis. Inflammatory processes in them cause pain of diffuse nature, accompanied by constipation and exacerbation of hemorrhoids.

When palpating the abdomen, the pain zone is localized in the lower left corner. This zone is especially affected during pregnancy - there is compression, venous stasis is formed and the pain becomes permanent.

Left-sided renal colic . Pain in renal colic usually begins in the side, as the stone moves down into the groin. By nature, paroxysmal, relief comes from taking antispasmodics and a warm bath.

Accompanied by rapid and painful urination. The situation will clarify the analysis of urine, in which there will be fresh red blood cells.

Left-sided adnexitis. This disease is accompanied by aching pain on the left. They intensify during menstruation and sex. Prolonged inflammation forms cysts that can tear and twist, then aching pain becomes acute.

Ectopic pregnancy - should be excluded in all women of reproductive age. A pregnancy test can help, he will tell the reason for the pain. An alarm signal is bloody discharge with a positive test - they indicate an ectopic pregnancy . Although the test does not always reflect the true picture.

  • Acute left pain can arise from rupture of the ovary, renal colic, and intestinal obstruction.
  • The dull pain of the aching nature is the result of inflammation of the genital organs and intestines.

Diseases that cause pain in the abdomen

lower abdominal pain

  • Endometriosis.
  • Pathology of the intestine (proctitis, jejunitis), obstruction of the jejunum.
  • Thrombosis of mesenteric vessels.
  • Pathology of the uterus (fibroma, tumors, endometritis).
  • Two-sided adnexitis.
  • Cystitis.
  • Pathology of the sacral spine.

Physiological pains in the lower abdomen on the sides of women occur with regular menstruation and during pregnancy. This is normal and should not worry. For dysmenorrhea, vegetative symptoms are still characteristic - dizziness, fainting, sweating, mood swings.

Endometriosis. The growth of endometrial cells in other organs is formed. Can proceed painlessly. But more often in women there is pain in the lower abdomen on the sides. It intensifies after defecation and sexual intercourse. Pain in intensity ranges from minor to acute. Women indicate a feeling of pressure in the rectum, which gives back.

Typically, the pain intensifies during menstruation. The disease is accompanied by prolonged menstruation. Unreasonable spotting is a sign of disease progression.

Endometritis. Endometritis is also characterized by bilateral inguinal pain. They are permanent pulling characters. Associated symptoms - fever, vaginal discharge.

Two-sided adnexitis. When the sides of the abdomen ache in women, it is a sure sign of inflammation of both the appendages of the uterus.

Diseases of the intestines. The main cause of pulling pains below the navel is intestinal spasms, inflammatory processes. If this pain occurs along with constipation, swelling and other digestive problems, one should look for bowel pathology.

Cystitis. For acute cystitis is characterized by acute pain over the bosom, which increases with urination. Disturbing false desires. It is also necessary to pay attention to the color and transparency of urine - with cystitis it becomes clouded with a greenish tinge due to white blood cells.

Thromboembolism of mesenteric vessels - gives a sudden attack of pain around the navel. Rarely has a persistent nature without a clear localization. This pathology must always be taken into account in the elderly. If the pain is combined with intoxication, tachycardia, vomiting, then hospitalization is urgently required.

Pain in pregnancy

Their cause may be: increased uterine tone, a threat of placental abruption and miscarriage.

If it hurts at the bottom right

  • Risk of miscarriage. Painful, constant. Vaginal discharge, often bloody, joins it.
  • Detachment of the placenta. About it speaks a strong sharp pain below the navel, which is complicated by uterine bleeding.
  • Appendicitis. Pregnancy provokes this disease. Do not forget about it.

Pain in the lower abdomen on the left

Dysfunction of the intestine. The enlarged uterus squeezes the intestine. On the other hand, sex hormones inhibit its functional activity. All this leads to stagnation of stool and partial obstruction of the intestine. The woman is concerned about persistent constipation and pain in the groin area to the left.

In conclusion, we recall that any pain is a signal. The body asks for help. Do not wait and wait for it to pass. A doctor's examination is necessary, he will identify the problem and provide the necessary assistance.


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