How to treat left lower abdominal pain after cesarean section

Pain in the lower left abdomen after cesarean section is called "postpartum abdominal pain", and many women have this problem. After postpartum abdominal pain occurs, there are often other symptoms, such as abnormal bowel movements, chills and fever, which have a significant impact on women's health. Therefore, I am very concerned about the solution. So, how to treat left lower abdominal pain after cesarean section? Let’s take a closer look below.

1. Blood deficiency type

Symptoms: Postpartum dull pain or persistent pain in the lower abdomen. The lochia is small in amount, light in color and thin in texture. Dizziness, palpitations, dry stools, and poor appetite. The tongue is pale with white coating and the pulse is thready and weak.

Treatment method: Nourish blood and replenish qi.

Prescription:

Main prescription: Changning Decoction (Fu Shan's "Fu Qingzhu's Gynecology") with modifications

Prescription: 15 grams of Angelica sinensis, 20 grams of Rehmannia root, 15 grams of donkey-hide gelatin (melted), 15 grams of Ophiopogon japonicus, 20 grams of Codonopsis pilosula, 20 grams of Chinese yam, 6 grams of Licorice root, 15 grams of Dipsacus asper, 5 grams of cinnamon (fanned and taken), and 20 grams of White Peony Root. Decoction in water.

Fu Qingzhu pointed out: "The pain caused by blood deficiency must be treated with blood-tonifying medicine; and the taste of blood-tonifying medicine is mostly lubricating, which may hinder the large intestine. However, after childbirth, the blood is deficient and the intestines are mostly dry, so lubrication is just right. Why is there any harm?" This prescription replenishes qi and blood, "once qi and blood are generated, the pain will stop naturally without the need for pain relievers."

2. Blood stasis type

Symptoms: Postpartum lower abdominal stabbing pain or distending pain that is resistant to pressure and paroxysmal attacks. The amount of lochia varies, it is dark in color and has lumps, and the pain is reduced under the lumps. Pale face, distension and pain in chest and flanks, cold limbs. The tongue is dark with white coating, and the pulse is stringy and wiry.

Treatment method: Promote blood circulation, remove blood stasis, dispel cold and relieve pain.

Prescription:

1. Main prescription Shenghua Tang (Fu Shan) plus or minus

Prescription: 15 grams of Angelica sinensis, 10 grams of Chuanxiong, 15 grams of peach kernel, 6 grams of roasted licorice, 10 grams of roasted ginger, 30 grams of Leonurus japonicus, 15 grams of Salvia miltiorrhiza, and 12 grams of Cyperus rotundus. Decoction in water.

If the swelling and pain are more obvious, add Citrus aurantium and White Peony Root to regulate blood circulation and relieve stagnation. If there is also a lack of milk, add Polygonatum sibiricum, Vaccaria segetalis, roasted pangolin, Polygonum multiflorum, and Astragalus membranaceus to replenish Qi and blood and promote milk secretion.

2. Single prescription prescription: Cyperus rotundus APC mixture: 3 grams of Cyperus rotundus (ground into powder), 1 tablet of APC, taken with boiled water.

The above is an introduction to how to treat left lower abdominal pain after cesarean section. I hope it will be helpful for women. There are many factors that cause left lower abdominal pain after cesarean section. When this happens, we must first find out the causative factors and not blindly carry out treatment. Only when the treatment is symptomatic can the best treatment effect be achieved. Patients should pay attention to this.