Why do I have lower abdominal pain and the feeling of always wanting to defecate?

Many women may have experienced the feeling of lower abdominal pain and the urge to defecate. If this happens between menstrual periods, it should be considered as a manifestation of dysmenorrhea. If it is accompanied by abnormal leucorrhea, odor, etc., it should be considered as a symptom of pelvic inflammatory disease. And this situation should also be considered as a symptom of proctitis. If this situation occurs, we must understand its cause and then take effective measures to treat it. The following will introduce what is going on when you have lower abdominal pain and a constant urge to defecate.

In this case, if abdominal pain occurs during menstruation, it may be dysmenorrhea. If the pain is often accompanied by increased vaginal discharge and odor, it may be pelvic inflammatory disease, which often occurs in women who are menstruating during their sexually active period. Poor sexual hygiene, sexual intercourse during menstruation, and use of unclean sanitary pads can allow pathogens to invade and cause inflammation, which manifests as abdominal pain, increased secretions, and mostly persistent abdominal pain that worsens after activity or sexual intercourse. Suggestions: It is recommended to avoid overwork, and you can choose active treatment with sensitive antibiotics, or traditional Chinese medicine treatment that clears away heat, detoxifies, and transforms blood and removes blood stasis. You can also apply hot compress and physical therapy.

A sinking feeling in the lower abdomen and a feeling of having a bowel movement may be symptoms of rectal inflammation. It is recommended to go to the Department of Gastroenterology for examination to confirm the diagnosis and provide symptomatic supportive treatment. Eat more fresh fruits and vegetables and drink plenty of water.

Causes of rectal inflammation

1. Foreign body damage

The most common cause is foreign body injury in the rectum. Undigested bone fragments, wood chips or other foreign objects with sharp corners can directly damage the rectal mucosa and cause proctitis. In addition, hard feces during severe constipation can cause proctitis or even ulcers.

2. Poisoning and infection

Proctitis is often complicated by heavy metal poisoning (mercury, arsenic, etc.) or infectious diseases characterized by gastrointestinal damage.

3. Local inflammatory stimulation

Long-term local inflammatory stimulation such as chronic bacterial infection (chronic dysentery), amoebic dysentery, chronic nonspecific ulcerative colitis, etc.

4. Caused by sexually transmitted diseases

Unclean sexual intercourse can cause genital warts or papillary fibroma in the anus, and long-term friction and stimulation can cause proctitis.

5. Abnormal immune function

Abnormal regulation of human immune function can cause chronic nonspecific ulcerative colitis, Crohn's disease, etc.

6. Hemorrhoids, anal fistula, anal fissure, suppurative hidradenitis, folliculitis, etc. can cause long-term irritation to the anal skin and may also affect the lower rectum and cause inflammation.

7. Schistosoma japonicum infection

The rectal mucosa is irritated by the deposited worm eggs for a long time, causing necrosis and shedding, leading to inflammation.

8. Other infections

Such as syphilis (sexually transmitted disease), viral (herpes simplex or cytomegalovirus) and chlamydia infection; antibiotic-related proctitis, etc.

9. Radioactive exposure

Rectal inflammation may occur due to localized radiation therapy (prostate cancer, cervical cancer).

treat

1. Treatment of the cause

Since the causes of proctitis are complex, the treatment principle should be to take appropriate treatment measures based on the causes and diseases that cause proctitis.

2. Symptomatic treatment

(1) Enema should be used to relieve the pressure of feces for proctitis caused by impacted feces.

(2) External ointment: Patients with anorectal pain can be given hemorrhoid ointment (suppository).