122
FAMILY ILLNESS
Abdominal pain( women)
First refer to abdominal pain, p. 120 Several disorders specific to women can cause discomfort or pain in the lower abdomen. Many of these conditions are related to the reproductive tract( ovaries, uterus, or fallopian tubes) or to pregnancy. Abdominal pain that occurs during pregnancy should always be taken seriously.
START
Do you have pain when you urinate?
Yes
No
ACTION
SEE YOUR DOCTOR WITHIN 24 HOURS You may have cystitis.
• Take an analgesic such as acetaminophen.
• Drink 1 pint( 500 ml) of fluid every hour for 4 hours.
• Drinking cranberry juice may help relieve the burning sensation.
Are you pregnant?
! Abdominal pain during pregnancy
Intermittent, mild abdominal pains are common throughout pregnancy due to stretching of the muscles and ligaments of the abdomen. Abdominal pain that occurs in early pregnancy can be due to complications, such as miscarriage or an ectopic pregnancy. In later pregnancy, pain is most commonly caused by the onset of labor. Rarely, partial separation of the placenta from the wall of the uterus may occur.
• If you develop severe pain, call your doctor at once.
Have you had sexual intercourse in the past 3 months?
ACTION
CALL YOUR DOCTOR NOW You could be having a late miscarriage or placental abruption( separation of the placenta from the wall of the uterus).
• Rest in bed until you receive medical advice.
More than 14 weeks pregnant
Less than 14 weeks pregnant
Do not think so
ACTION
CALL YOUR DOCTOR NOW Pain at this stage may indicate a threatened miscarriage or an ectopic pregnancy.
• Rest in bed until you receive medical advice.
Yes
No
Did your last menstrual period occur at the time you expected?
On time
Missed or late