Abdominal distension and pain after miscarriage, these problems actually occurred

Abortion is extremely harmful to female friends and may even cause serious phenomena such as infertility. If the pain is caused by bloating, it may be caused by incomplete abortion, intrauterine blood, uterine perforation, postoperative infection, etc.

1. Incomplete abortion: Artificial abortion operations sometimes fail. Incomplete abortion means that the chorionic and decidual tissue in the uterine cavity cannot be completely removed during surgery. After the operation, the uterus undergoes paroxysmal contractions in order to expel the remaining embryonic tissue from the uterus. At this time, the patient has paroxysmal attacks of abdominal pain, which are unbearable, and there is increased vaginal bleeding, which is bright red in color and contains large blood clots. The abdominal pain is relieved after the blood clots are discharged, and the attacks recur repeatedly. When an incomplete miscarriage occurs, a curettage is usually required to scrape out the remaining embryonic tissue in the uterine cavity, and the abdominal pain will disappear naturally. Strengthen anti-inflammatory treatment after surgery to prevent infection.

2. Intrauterine hemorrhage: It usually occurs within a few hours after surgery. The patient has unbearable abdominal pain, like a knife cutting, and a small amount of blood and water flows out of the vagina. Gynecological examination reveals that the uterus is significantly enlarged, soft, and tender. At this time, immediate curettage is needed to clear the blood in the uterine cavity, and oxytocin and antibiotics should be given. The number of people who develop intrauterine hematoma is also very small, but it is more likely to occur in women with an overly tilted uterus and a tight cervix.

3. Uterine perforation: This is a very serious complication that occurs during artificial abortion surgery. Most patients experience sudden and severe abdominal pain during perforation, but a small number of people may not feel any obvious pain. The abdominal pain caused by uterine perforation is continuous, with a small amount of vaginal bleeding. If combined with internal bleeding, it may cause peritoneal irritation signs: abdominal pain that is resistant to pressure, tenderness, and rebound pain.

4. Postoperative infection: This is one of the most common short-term complications of artificial abortion. Postoperative infection often occurs within two weeks after surgery. It can be caused directly by the surgical operation or by the patient's failure to pay attention to hygiene after surgery, such as having sexual intercourse, swimming, etc. It usually leads to acute pelvic inflammatory disease, with severe abdominal pain that is persistent and may worsen in paroxysmal forms, accompanied by fever, chills, vaginal bleeding that is bright red, has a fishy odor, or is mixed with yellow discharge. During physical examination, the patient has abdominal pain that is resistant to pressure, tenderness, and rebound tenderness. Gynecological examination shows cervical motion tenderness, uterine body tenderness, and both adnexa may have flake-like or cord-like thickening with obvious tenderness. If chronic pelvic inflammatory disease occurs, there will be dull abdominal pain, a small amount of vaginal bleeding, an odor, and yellow discharge. If a postoperative infection occurs, whether acute or chronic, adequate antibiotic treatment must be given. A combination of Chinese and Western medicine can also be used to ensure thorough treatment.