Why does a woman experience lower abdominal pain when bending over?

Sep 12, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
In general, abdominal pain in women when bending over may be related to factors such as dysmenorrhea, lumbar muscle strain, cervicitis, pelvic inflammatory disease, or endometriosis. Patients are advised to follow medical guidance for symptomatic treatment. Additionally, conditions such as appendicitis or adnexitis may also be possible causes. If a patient experiences discomfort, it is recommended to seek timely medical evaluation at a hospital to avoid delays in diagnosis and treatment.

Generally, lower abdominal pain in females when bending over may be related to factors such as dysmenorrhea, lumbar muscle strain, cervicitis, pelvic inflammatory disease, or endometriosis. It is recommended that patients receive symptomatic treatment under medical guidance. Specific analyses are as follows:

1. Dysmenorrhea

During menstruation, shedding of the endometrial lining can trigger uterine contractions, leading to lower abdominal pain. Patients are advised to drink warm water, rest appropriately in bed, and alleviate pain symptoms. Additionally, applying a hot water bottle to the abdomen can improve blood circulation and help relieve discomfort.

2. Lumbar Muscle Strain

Prolonged bending, excessive physical exertion, or inappropriate physical activity can lead to fatigue and injury of the lower back muscles, causing lower abdominal pain when bending over. Patients can relieve symptoms through rest, local massage, and heat application to promote blood circulation.

3. Cervicitis

Surgical procedures such as childbirth, abortion, or curettage may cause trauma that allows bacterial invasion, leading to cervical infection and inflammation. In severe cases, the inflammation may irritate nerves in the lower back, resulting in lower abdominal pain upon bending. Patients should follow medical advice and take medications such as cefaclor dispersible tablets or ornidazole capsules for treatment.

4. Pelvic Inflammatory Disease (PID)

PID refers to inflammation of the female reproductive organs, connective tissues around the uterus, and pelvic peritoneum, often associated with bacterial infection or frequent sexual activity. Common symptoms include lower abdominal pain and abnormal vaginal discharge. Patients are advised to undergo anti-infective treatment under a doctor's supervision using medications such as metronidazole tablets or amoxicillin capsules.

5. Endometriosis

Endometriosis is a common gynecological condition in which active endometrial cells implant outside the uterine cavity. It may be associated with retrograde menstruation or immune system factors, and commonly presents with menstrual irregularities and abdominal pain. Patients may take medications such as ibuprofen tablets or indomethacin tablets under medical guidance to relieve pain.

In addition, conditions such as appendicitis or adnexitis may also contribute. If patients experience any discomfort, they should seek timely medical evaluation at a hospital to avoid delays in diagnosis and treatment.

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