What could be causing lower abdominal pain and slight bleeding?
Nov 15, 2025
Source: Cainiu Health
Dr. Li Jingxiang
Introduction
Abdominal bloating and pain accompanied by bleeding may be caused by hormonal fluctuations during ovulation, menstrual-related reactions, cervicitis, endometritis, uterine fibroids, or other conditions. Symptoms can be relieved through lifestyle adjustments, medications, or surgical treatments depending on the specific situation. It is important to pay attention to bodily signals in daily life, maintain regular作息 (sleep patterns), follow a healthy diet, and practice good personal hygiene. If symptoms occur frequently or worsen,
Lower abdominal bloating and pain accompanied by bleeding may be caused by hormonal fluctuations during ovulation, menstrual-related reactions, cervicitis, endometritis, uterine fibroids, or other reasons. Symptoms can be relieved through lifestyle adjustments, medications, or surgical treatment depending on the specific condition. Detailed explanations are as follows:
1. Hormonal fluctuations during ovulation
During ovulation, a temporary drop in estrogen levels may cause partial shedding of the endometrium and spotting, while follicle rupture can irritate the peritoneum and lead to bloating and pain. Rest adequately, avoid strenuous activities, maintain good external genital hygiene; no special treatment is usually required.
2. Menstrual-related reactions
Before and after menstruation, pelvic congestion and uterine contractions for expelling menstrual blood may cause bloating, pain, and light bleeding in some individuals. Applying a warm compress to the abdomen, drinking warm red date tea, avoiding spicy and cold foods, and maintaining regular sleep patterns can help alleviate symptoms.
3. Cervicitis
Infection of the cervix by pathogens causes inflammation, leading to congestion and fragility of cervical mucosa, which may result in bleeding after contact and bloating due to inflammatory spread. Medications such as azithromycin dispersible tablets, cefuroxime axetil tablets, or levofloxacin hydrochloride capsules may be used under medical guidance. Avoid tub bathing during treatment.
4. Endometritis
Bacterial infection ascending to the endometrium causes congestion, edema, and inflammatory exudate, stimulating uterine contractions and resulting in bloating, pain, and bleeding. Treatment may include metronidazole tablets, clindamycin capsules, or cefaclor sustained-release tablets under medical supervision, along with a light and balanced diet.
5. Uterine fibroids
Fibroids may compress surrounding tissues or interfere with normal uterine contractions, leading to vessel rupture, bleeding, and discomfort. Medications such as mifepristone tablets, tranexamic acid tablets, or Guizhi Fuling capsules may be prescribed under medical guidance. In severe cases, myomectomy may be necessary, followed by regular postoperative check-ups.
It is important to pay attention to bodily signals in daily life, maintain regular作息 (sleep patterns), eat a healthy diet, and practice good personal hygiene. If symptoms occur frequently or worsen, seek timely medical evaluation for accurate diagnosis. Do not self-medicate, as this may delay proper treatment.
