A sharp abdomen in the practice of emergency care is called a number of symptoms that accompany various problems and pathologies of the abdominal cavity.
In this article we will consider the features of an acute abdomen in gynecology, we will tell about its main symptoms and methods of treatment. First of all, it should be understood that acute pain in the abdomen can be caused by a variety of different diseases and the main task is not only to relieve the attack, but also to find out the cause of pain as soon as possible to prescribe adequate treatment.
Diseases that simulate an acute abdomen:
- gastroenteritis;
- acute gastritis;
- acute mezadenitis;
- intestinal colic (including allergic);
- alcoholic hepatitis in acute form;
- diverticulitis;
- mesenteric ischemia;
- pneumonia;
- myocardial infarction;
- renal colic;
- acute right ventricular failure;
- rheumatism;
- diabetes;
- thyrotoxicosis;
- shingles;
- withdrawal syndrome (after using drugs).
Acute abdomen in gynecology: symptoms
An acute abdomen in gynecology is a complex of symptoms caused by various pathologies of the abdominal cavity organs (small pelvis) with various clinical manifestations. The most important symptom of an acute abdomen is a sharp pain in the abdomen (constant or paroxysmal, of a different nature - cutting, stitching, etc.), which can be localized in any area of the abdomen. In addition, there may be nausea and vomiting, hiccoughs, bleeding, dizziness, weakness, increased blood pressure and heart palpitations, pressure on the anus and problems with stool.
According to medical statistics, most often the cause of an acute abdomen in gynecology is an ectopic pregnancy (about 48% of all cases). The second most frequent cause is inflammation of the ovaries in women in acute form and apoplexy of the ovaries . Also the cause of an acute abdomen in gynecology can be: acute forms of gynecological diseases, accompanied by the formation of purulent discharge and peritonitis, circulatory disorders in uterine tissues, traumatic injuries of uterine tissues of various origin.
Most often in gynecological practice, an acute abdomen is observed after abortions, operations on the uterus and appendages, previously transferred to an ectopic pregnancy, and against the background of neglected infectious diseases, the intake of hormonal drugs (including oral contraceptives) and female infertility.
Acute abdomen in gynecology: treatment
First aid for an acute abdomen is to carry out anti-shock therapeutic procedures for vital signs, and treatment, depending on the causes that caused the development of the syndrome. A single treatment regimen for an acute abdomen does not exist, as the possible causes of its development are very diverse and many of them require the use of specific therapeutic measures. Very often the only way to save the health and life of a patient with an acute abdomen is hospitalization and emergency
When signs of an acute abdomen should immediately consult a doctor, attempts to self-treatment can have the most unfortunate consequences. After all, the term "acute abdomen" is not in itself a diagnosis, in the presence of this syndrome, the physician needs to mobilize all his professional skills and abilities in order to determine the causes of this phenomenon as soon as possible and immediately begin to implement therapeutic measures.
Untimely diagnosis and delay in the appointment of the right treatment can cause not only the development of various kinds of complications, but even the death of the patient.