How does abdominal stiffness ache return a responsibility?

summary

After investigation, zimotang learned that abdominal discomfort is one of the common chief complaints in gynecological clinic, and it is also a chief complaint of "mutual buck passing" among Gastroenterology, general surgery and gynecology. Of course, patients will not use "dull pain" when they complain, but use "abdominal pain" or "discomfort" to see a doctor. So we must do a good job in the related work of this disease, so how does abdominal stiffness pain return?.

How does abdominal stiffness ache return a responsibility?

First, there are various causes of chronic lower abdominal pain, such as chronic abdominal pain caused by intra-abdominal adhesions. However, it is difficult to diagnose this problem before operation. Most of the pain caused by adhesions is found and diagnosed by chance during other operations. Laparoscopy and surgery for low abdominal pain are rare.

Second: there are many reasons for low abdominal pain, the most common one is adhesion after surgery. No matter what operation has been done in abdomen or pelvis, adhesion can be formed. The vast majority of adhesions are the adhesions between omentum, abdominal wall and intestine, and omentum has great flexibility, so it is not harmful to the body. Only a small number of patients with severe pain due to intestinal obstruction or hernia will find the problem and operate.

Third: if there is only mild or tolerable pain in the lower abdomen, no doctor will recommend surgery for it. Because the operation itself will cause adhesions, and no one knows how to adhesions and whether it will form a worse adhesions in the next adhesions. Therefore, in principle, it is not advocated to operate for the sake of finding out the cause.

matters needing attention

In addition, endometriosis is an important cause of chronic lower abdominal pain. The pain of endometriosis, in addition to adhesion, can also occur in patients with peritoneal endometriosis, but the pain mechanism of such patients is not clear. It may be related to the stimulation of inflammatory factors in the pelvic cavity of such patients.