The stomach or belly hurts at monthly
The abdomen with monthly pains is a manifestation of unpleasant discomfort in the projection of the abdominal cavity and pelvic structures, which manifests itself in varying degrees, but its appearance always has a connection with the onset of the secretory phase of menstruation.
Almost 50% of female representatives note that periodically they have a stomach ache during menstruation with extreme intensity in the first 24 hours from the appearance of menstrual uterine discharge. Some of the patients of the reproductive period have a lower abdomen with monthly pains so much that they completely lose their ability to work and are forced to resort to medication correction. Separately, mention should be made of the category of girls who have the first menstruation. It hurts the abdomen for this reason in almost 90% of cases. The situation when the young girl of the reproductive period moderately hurts the abdomen during menstruation should not be considered pathological and is considered by specialists of the gynecological profile as a variant of the norm, therefore this category of persons is not subject to medical correction.
Often in women of the reproductive period, not only does the stomach feel painful and painful with menstruation, but other abnormal gynecological symptoms are observed in the form of a disruption in the cycle of the menstrual cycle, as well as manifestations not localized in the structures of the genitourinary system (multiple vomiting, progressive weakness, disruption of the intestine). The above clinical symptom complex is an indirect sign of a hormonal disorder, which often occurs when the first months are formed. The stomach or belly hurts in the given situation some days and often demands medicamentous correction.
Why does my stomach ache with menstruation?
Before making the final decision on the choice and appropriateness of this or that method of therapeutic correction of abdominal pain during menstruation, it is necessary to verify the reliable cause of the development of this condition, since often the elimination of the root cause of pain syndrome allows to stop pain without using medicines.
The etiopathogenesis of pain in the abdomen with menstruation is practically the same for different forms of the given condition, and the pathomorphological substrate in the majority is the broken trophic myometrium, which develops as a result of a transient spasm of the blood collectors located in the uterine wall. As a direct provocateur for the development of regional arterial spasm, the process of increased uterine contraction, which results from an increase in the concentration of prostaglandins in the bloodstream, appears. With a normal concentration of prostaglandins there is a continuous uterine contraction of low intensity, so a woman has a lower abdominal pain with menstruation. The etiopathogenetic links in the development of abdominal pain syndrome always have a clear correlation with an increase in the intensity of myometrium contractions.
A special category of patients who have abdominal pain in the abdomen are teenagers and this form of pathology is called gynecology as the primary algomenorrhea . In the priority of most cases, complaints of the type "pulls and hurts the abdomen with menstruation" are presented by girls with an asthenic version of the constitution, suffering from instability of the psycho-emotional background. In some patients, independent resolution of pain is observed at monthly intervals after delivery, which is due to physiological stretching of the cervix, which acts as a kind of obstacle to the allocation of menstrual blood during the secretory phase of menstruation.
Etiopathogenesis of abdominal pain during menstruation with the primary variant of algodismenosis is observed in the adolescent period, which is explained by a wide spectrum of etiological predisposing factors. Thus, the fundamental pathogenetic link in the development of menstrual pain in adolescents is a disorder in the regulation of the sympathetic nervous system, which is accompanied by the development of an imbalance in the hormonal status in the form of an increase in the concentration of dopamine and norepinephrine. In addition to the pains in the abdomen during menstruation, girls are often concerned about frequent constipation, sinus tachycardia , cold extremities due to impaired peripheral circulation, sleep disorder, and even short-term pyretic reaction of the subfebrile type. When the imbalance in the regulation of the parasympathetic nervous system is reversed, there is an increase in the concentration of serotonin, which also causes the appearance of pain during menstruation together with loosening of the stool, a decrease in body temperature and a brief allergic reaction.
At intrauterine infection of the girl with tuberculosis, a specific inflammatory lesion of the structures of the genitourinary system is realized, which is manifested by congenital developmental defects, abnormalities in the formation and embryonic filling of the mammary glands, chronicization of the flow of the salpingo-oophoritis , disruption in the cycle of the menstrual cycle and, of course, with pain during the onset of menstruation. Distinguishing clinical markers of abdominal pain with monthly tuberculosis etiology is the seasonality of their appearance in the autumn-spring period.
With various dismetabolic disorders, especially concerning the violation of the content in the body of magnesium, there may be the appearance of pain during menstruation in combination with constipation and myopia.
If we consider diseases of the gynecological profile, accompanied by the appearance of pain during menstruation, first of all we should mention various types of dysplastic developmental anomalies associated with an excess in the body of connective tissue. In addition to pain during menstruation, girls develop a disproportion of the trunk, scoliotic deformity of the spine, and also flat feet.
In a situation where the girl has an unfavorable neuropsychiatric background, there is a violation in the form of a distortion of perception of the pain syndrome, in this connection, even the minimal discomfort in the lower abdomen during menstruation is perceived as a pronounced pain syndrome. Despite a comprehensive gynecological examination of the patient, it is often impossible to detect any organic pathology. With the existing anomalies in the development of gynecological structures, the appearance of pain during menstruation is explained by the difficult outflow of menstrual flow.
In the case of pain during menstruation in women after delivery, gynecologists use the term "secondary algomenorrhea", which often requires the use of medical correction. Among the etiological provocators of pain during menstruation should be considered the formation of a dense adhesive process in the cavity of the small pelvis, the appearance of voluminous formations in the uterine cavity, endometrioid lesion of the myometrium and appendages. Distinctive clinical signs of this pain syndrome is its preservation even after the end of menstruation.
After applying any surgical benefits on the uterus, rough cicatricial deformations are often formed that disrupt the process of normal contraction of the uterus during menstruation and can indirectly provoke the development of pain and unpleasant discomfort in the abdomen.
Strongly sore stomach with menstruation
The most common variant of complaints of patients seeking initial consultation with a specialist of gynecological and obstetric profile is the occurrence of pain on approach, and also during the whole period of menstruation. Thus, in 80% of cases, girls of reproductive age develop a moderate pain abdominal pain syndrome in the lower abdomen, radiating into the perineum, although some of them regard this condition not as a pain, but as an unpleasant sensation.
A typical variant of algomenorrhea, manifested by severe abdominal pain when menstruating occurs, is recorded in 10% of the total number of women on this occasion. Often, this pathological condition is described by patients in the form of intense periodic cramping pain directly above the bosom, extending into the perineum. Intense pain at the peak of its severity can be accompanied by the appearance of a single vomiting and short-term relaxation of the stool, which in no way is related to the act of eating. Very often, severe abdominal pain with menstruation especially in the first day of the secretory phase is accompanied by the appearance of severe headache of predominantly contracting nature, as well as dizziness and sometimes short-term impairment of consciousness. Patognomonichnym for pain during menstruation by irradiation directions is the lumbar region, perineum and perianal zone area, self-stopping for two days.
Typical clinical markers of abdominal pain syndrome with menstruation are the development of concomitant psychoemotional disorders, manifested by increased irritability, sleep disorders in the direction of drowsiness, and absolute insomnia, various kinds of mood disorders with a propensity for depressive thoughts. The appearance of the above psychosomatic symptoms directly depends on the hormonal disorders in a woman, since the cycle of menstruation is a hormone-dependent process. Given the complete absence of possible organic changes in the structures of the brain, these neuropsychiatric disorders do not require the use of any kind of therapeutic correction.
Specialists of the gynecological and obstetric profile in the daily practice apply the clinical classification of abdominal pain syndrome with menstruation, based on the analysis of the characteristics of the pain syndrome and the available secondary clinical manifestations. With a mild intensity of abdominal pain with menstruation, there is not a typical pain syndrome, but rather discomfort in the lower abdomen, which is not accompanied by a disability of a woman. Even the appearance of mild degree of pain during menstruation requires a comprehensive gynecological examination of a woman in order to exclude the presence of an organic pathology of the pelvic cavity.
During the average severity of abdominal pain with a monthly difference is an increase in the intensity of the pain syndrome and the appearance of concomitant psychoemotional disorders, which, although short-lived, may, however, cause disability.
The appearance of a very strong abdominal pain syndrome with menstruation in almost 100% of cases is associated with the presence of a gross pathology of the pelvic organs, which is congenital or infectious-inflammatory. Throughout the period of menstrual flow, the state of health of a woman suffering from severe abdominal pain is so deteriorating that she completely loses her ability to work and requires medical correction of the pain syndrome as well as severe psychoemotional disorders. Intensive painful abdominal syndrome with menstruation can be carried as a compensated course, in which its intensity throughout the menstrual period does not change, and decompensated, in which there is a progressive increase in the intensity and nature of the pain.
For very severe pain in the abdomen, with monthly symptoms, the addition of other clinical manifestations related to the vegetative-vascular syndrome ( dizziness , unmotivated nausea, severe contracting headache , numbness of upper and lower extremities, short-term impairment of consciousness), psychoemotional symptom complex in the form of increased irritability, perversion taste and olfactory preferences, lack of appetite and even development of depression ; endocrine-exchange syndrome. Not in all situations, there is a clear correlation of the intensity of pain in the abdomen with monthly and the abundance of uterine bleeding .
When abdominal pains with a woman's period are due to the presence of endometrioid involvement of the pelvic organs, in addition to algomenorrhea, the development of an active symptom complex of an infectious-inflammatory genesis in the form of a subfebrile pyretic reaction, an elevated level of ESR, a mucopurulent discharge from the uterus that do not have a clear connection to the cycle of menstruation . The implementation of a manual gynecological examination of the patient, who has pain in the abdomen with monthly concurrent with the endometriosis of the uterus, causes severe discomfort and pain.
The principal clinical marker of endometriosis , which distinguishes it from other provocators of development of severe abdominal pain with menstruation, is the propensity to develop spontaneous uterine bleeding that is not associated with the cycle of menstruation. Given these facts, every woman who seeks a gynecologist or obstetrician with complaints of severe abdominal pain with menstruation should be examined for the presence of endometriosis markers, since this pathological condition can become a provocateur for the development of obstruction of the fallopian tubes and infertility .
The stomach or belly hurts at monthly - what to do or make
Most women often mistakenly use a variety of medications for correction of abdominal pain in menstruation, although only in 20-30% of cases, medical correction is really needed. However, there is often a reverse situation in which the patient, despite a pronounced and systematic abdominal pain syndrome in menstruation, does not seek qualified counseling for a gynecological specialist and thereby provokes an aggravation of the course of the underlying pathology.
It is often very difficult for a gynecologist to determine the volume of diagnostic and therapeutic measures in the management of a patient suffering from abdominal pain with menstruation, so this category of women should systematically maintain a therapeutic diary of observations in which to display all changes in the body when menstruation occurs. During the period of a profuse secretory phase of the menstrual cycle, gynecologists recommend that women suffering from abdominal pain should have complete restriction of physical activity, as well as observance of the correction of eating behavior. There is a wide range of nonspecific therapeutic measures that allow to stop or reduce the intensity of abdominal pain during menstruation, among which: regular exercise, the beneficial effect of which affects the strengthening of the muscular skeleton of the abdominal cavity, and the correction of eating behavior that implies a complete refusal of alcoholic drinks, restrictions of any stressful influence on the woman's organism, application of general relaxation techniques in the form of massage and acupuncture ry, carrying out physiotherapy procedures by the type of electrophoresis with Novocain.
The pathogenesis of intensive pain in the abdomen during the appearance of menstrual flow in some situations requires the use of medicinal types of medical correction, the volume of which is determined exclusively by the gynecologist after a comprehensive examination of the patient. The basic link in the medical treatment of abdominal pain with menstruation is etiopathogenetic therapy, implying the use of a different category of drugs whose pharmacological effect is directed at direct relief of the underlying cause of this pathological condition.
So, in a situation where abdominal pains during menstruation are noted in a girl suffering from the primary form of algomenorrhea, the amount of therapy is determined by several doctors in the gynecologist, endocrinologist, genetics, psychoneurologist, and rehabilitation specialist. To determine this or that method of treatment, it is necessary to take into account not only the age of the patient, but also the intensity of the pain syndrome, the possibility of using etiopathogenetic drugs and the presence of any severe somatic pathology.
The most serious situation with regard to treatment correction is primary algomenorrhea, since in this situation it is extremely difficult to eliminate the root cause of abdominal pain with menstruation. In order to normalize the psychoemotional state of the patient, who suffers during the period of maximum pain, neurologists recommend the use of various types of sedative such as Adaptol in a daily dose of 1 g, Sedasen 1 capsule twice a day. In the period of intense pain in the abdomen and pelvis with monthly specialists of the gynecological profile, the use of drugs of the category of spasmolytic drugs in the form of No-shpa in a daily dose of 120 mg, Spazmolgona at 500 mg per day, as well as non-steroidal anti-inflammatory drugs such as Nyz in a maximum daily dosage 200 mg, Indomethacin in a single dose of 25 mg. The preferred use of these drugs is to use them a few days before the appearance of menstrual flow and duration of the entire period of pain.
The pharmacological effect of the preparations of the group of non-steroidal anti-inflammatory drugs is based on the pronounced analgesic effect, which develops as a result of a sharp decrease in the concentration of prostaglandins. Another plus for the use of drugs of this pharmacological group for relief of abdominal pain with menstruation is the rapid onset of analgesic effect.
With regard to the relief of severe abdominal pain with menstruation, which is most often observed in patients with the primary form of algomenorrhea, it is preferable to use the category of natural gestagens, whose action is aimed at relaxing the uterine musculature, which has an analgesic effect indirectly (Progesterone 5 mg per day intramuscularly course 6 injections).
? The stomach or belly hurts at monthly - what doctor will help or assist ? In the presence of this condition, you should immediately seek advice from such doctors as a gynecologist, therapist.