Abdominal cramps during bowel movements are common in women

Some female friends will find abdominal cramps when defecating. This kind of cramps usually occur repeatedly, and each attack makes female friends feel very painful. In fact, most of this clinical manifestation is caused by appendicitis or acute gastritis. So people should pay attention to it whenever it occurs and don't ignore it easily.

Intestinal spasm is evidenced by recurrent episodes with an absence of abnormal abdominal signs between episodes. A history of past episodes can aid in diagnosis. What is important is to exclude organic diseases first. It is especially easy to be confused with most surgical acute abdomens and should be carefully differentiated. Common diseases such as biliary ascariasis, ascariasis intestinal obstruction, appendicitis, intussusception, and less common intestinal torsion, intestinal perforation, pancreatitis, incarcerated hernia, congenital intestinal malrotation, biliary spasm, cholecystitis, kidney stones, abdominal pain caused by small common bile duct cysts, and abdominal pain caused by distal ileal diverticulum should all be carefully identified and necessary examinations performed. Some medical diseases can also cause severe abdominal pain, such as the onset of lobar pneumonia or rapid enlargement of the liver due to acute heart failure.

If the child is uncooperative and the examination is unsatisfactory, sedatives may be used appropriately. After the child falls asleep, carefully examine his abdomen and auscultate his heart and lungs. The abdominal pain of allergic purpura is actually allergic intestinal spasm. If a rash occurs at the same time, it can be distinguished from simple intestinal spasm. However, it should be noted that purpuric intestinal spasm can sometimes lead to secondary intussusception, which should not be ignored. Also note that some infants may suddenly develop intussusception after repeated episodes of intestinal spasms for several days. Abdominal tetanus is occasionally seen, with clinical manifestations of spasmodic abdominal pain, but it is abdominal muscle spasm rather than intestinal spasm. Its treatment and prognosis are completely different from those of intestinal spasm and require more attention.

Abdominal epilepsy is characterized by sudden onset of abdominal colic, mostly around the umbilicus and sometimes in other parts of the body, lasting from minutes to hours, with rare recurrences. Abdominal examination is normal, but the EEG shows epileptic changes. Other causes should be considered when repeated abdominal examinations show no fixed tenderness or mass, repeated stool examinations show no worm eggs or occult blood, chest heart and lung auscultation show no abnormalities, necessary electrocardiogram and electroencephalogram examinations show no abnormalities, and X-ray chest and abdominal examinations show no abnormalities. For example, if an infant cries incessantly, it may be due to hunger, discomfort caused by a diaper stained with urine and feces, discomfort in other parts of the body, or non-painful reasons such as wanting to be held. Sometimes abdominal pain is caused by mental factors, such as mental trauma and fear. [2]