Right lower Abdominal Pain In Young Lady -2

An Ovary About Release an Egg.

Abdominal pain that to right lower abdomenal and again in young ladies poses much difficulty as well as ease.It commonly confuses with appendicitis.Last time we had a post on ruptured ectopic pregnancy a differential diagnosis of appendicitis and how it could be distinguished .Another common cause of such type of pain is pain in the mid-menstrual cycle i.e. pain around 14 days before beginning of menstruation.It is called Mittelschmerz.
 This occurs due to rupture of follicular cyst during ovulation   associated with some amount of bleeding to the pelvic cavity.So, if it occurs in the right side confuses with appendicitis.Main distinguishing point is it's typical mid-cycle timing ,a negative pregnancy test and absence of typical rigidity in the right lower abdomen.
  Again it can be confirmed from a sonogram .It does not require much treatment except some analgesics and reassurance.Some times it repeats in some ladies.    

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Right lower Abdominal Pain In Young Lady

Tubal Pregnancy

The cause of abdominal  pain is many a times very difficult and some times very easy to diagnose.If a lady of reproductive age comes for right lower abdominal pain it makes more difficult  to arrive at a definitive diagnosis.There are number of diseases which present as right lower abdominal pain and in ladies more conditions add up.But a married lady of reproductive age presenting with missed period ,right  lower abdominal pain,severe pallor and shock the most probable diagnosis will come to mind is ruptured ectopic pregnancy in right side.
Ectopic pregnancy is implantation of product of conception in a place other than the normal i.e. uterus.There are several ectopic sites .The most important and common site is tube.Even ectopic pregnancy is seen in women on temporary contraceptive measures like intrauterine devices.This happens because after the fertilization in a part of tube the product does not descend to the normal site i.e. uterus and gets implanted in a part of tube.As the product grows in size, the narrow tube can not accommodate it and bursts towards the end of 8th week to the   beginning  of 12th week.When this happens it is a medical emergency.There is profound blood loss in abdomen and all other symptoms as described earlier appears.
It confuses among other with most common appendicitis and distinguished by profound pallor.An ultrasonogram clinches the diagnosis.Intervention at a correct time saves the life of patient.