The left lower abdomen hidden pain defecation is not smooth to consider may be chronic colitis, intestinal obstruction, pelvic inflammatory disease and other diseases, need to clarify the cause of the symptomatic treatment. General treatment, drug treatment (such as domperidone, atropine, ceftriaxone sodium, etc.), surgical treatment, etc. can be used in accordance with medical advice.
1. Chronic colitis: clinical manifestations include vague pain in the left lower abdomen, diarrhea, irregular bowel movements accompanied by abdominal distension, vomiting, and even mucus, pus and blood stools.
Can follow the doctor’s instructions to use atropine, domperidone and other drugs to relieve abdominal pain and bloating, norfloxacin and other anti-bacterial infection, mesalazine, prednisolone and other control of inflammation. At the same time, pay attention to daily rest and reasonable diet.
2. Intestinal obstruction: Typical symptoms are vague pain or pressure pain in the left lower abdomen, abdominal distension, constipation, dyspareunia, etc., accompanied by nausea, vomiting and weight loss in severe cases.
Gastrointestinal decompression can be used to relieve abdominal distension, and intravenous fluids can be used to correct water and electrolyte disorders if vomiting is severe. If the general treatment is ineffective, intestinal obstruction can be relieved through intestinal resection and intestinal anastomosis, short-circuit surgery and other ways.
3. Pelvic inflammatory disease: Clinical manifestations include persistent pain in the left lower abdomen, abnormal vaginal discharge with abdominal distension, constipation, frequent urination and so on.
Antibiotics can be prescribed to relieve persistent abdominal pain, such as ceftriaxone sodium, metronidazole, etc., while with gastrointestinal decompression to relieve abdominal distension. If the abdominal pain is severe and accompanied by high fever and drug treatment is ineffective, conservative surgical treatment can be used, if there is no fertility requirements, the whole uterus and double adnexectomy.
It is recommended that the patient consult a doctor in a timely manner, under the doctor’s examination to determine the cause of the disease and comply with the medical treatment.