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What causes pain in the left abdomen of women?

Nov 13, 2024 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Left abdominal pain refers to discomfort in the left side of the abdomen. In general, abdominal pain on the left side in women may be caused by factors such as ovulation, menstrual cramps, adnexitis, sigmoid colitis, or left ureteral stones, and management should be based on the specific cause. If left abdominal pain persists, worsens, or is accompanied by symptoms such as fever or vomiting, it is recommended to seek medical attention promptly for accurate diagnosis and targeted treatment.

Left abdominal pain in women may generally be caused by factors such as ovulation, dysmenorrhea, adnexitis, sigmoid colitis, or left ureteral stones, and management depends on the specific situation.

1. Ovulation: During ovulation, the follicle ruptures and releases the egg. The follicular fluid may irritate the peritoneum and cause left-sided abdominal pain. This pain is usually mild and temporary, requiring no special treatment. Resting or applying heat to the abdomen may help relieve the discomfort.

2. Dysmenorrhea: During menstruation, increased levels of prostaglandins in the endometrium can lead to excessive contraction of the uterine smooth muscle and vascular spasms, causing menstrual pain. If more prostaglandins are released from the left uterine cornu, left abdominal pain may occur. Women are advised to keep warm during menstruation and may drink moderate amounts of brown sugar water to help alleviate the pain.

3. Adnexitis: Adnexitis refers to inflammation of the fallopian tubes and ovaries. Inflammation can irritate surrounding tissues, causing left abdominal pain, typically described as a dull or distending pain. It may also be accompanied by symptoms such as fever and increased vaginal discharge. It is recommended to follow medical advice and take medications such as metronidazole phosphate tablets or ceftriaxone sodium for injection.

4. Sigmoid Colitis: When the sigmoid colon is inflamed, damage to the intestinal mucosa and disordered intestinal motility can cause left abdominal pain, often accompanied by symptoms such as diarrhea and mucopurulent bloody stools. It is recommended to follow medical advice and take medications such as mesalazine enteric-coated tablets or azathioprine tablets.

5. Left Ureteral Stone: When the concentration of substances such as calcium, oxalate, and uric acid in urine is too high, stones can easily form. If a stone becomes lodged in the left ureter, it can cause left abdominal pain. It is recommended to follow medical advice and take medications such as atropine sulfate tablets or potassium diclofenac tablets.

If left abdominal pain in women persists, worsens, or is accompanied by symptoms such as fever or vomiting, prompt medical attention and detailed examination are advised to accurately identify the cause and provide targeted treatment.

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