During adolescence, focus on meat intake to improve sexual development

Stomach and back pain two days after menstruation may be related to pelvic congestion, endometriosis, pelvic inflammatory disease, urinary tract infection or lumbar spine problems. It is recommended to seek medical treatment promptly to determine the cause, avoid strenuous exercise and keep the area clean.

1. Pelvic congestion

Incomplete pelvic vasoconstriction after menstruation may lead to continued congestion, manifested as lower abdominal distension and waist soreness. Symptoms can be relieved through hot compresses. Use a hot water bottle to control the temperature at 40-45°C and apply hot compresses for 15-20 minutes every day. Avoid sitting or standing for long periods of time, and perform appropriate pelvic rocking exercises to help blood circulation.

2. Endometriosis

Ectopic endometrium will also bleed during the menstrual cycle and irritate surrounding tissues, often manifesting as persistent pain after the end of menstruation. It may be accompanied by symptoms such as painful sexual intercourse and painful defecation. The diagnosis needs to be confirmed by ultrasound or laparoscopy, and drugs such as ibuprofen sustained-release capsules, dienogest tablets, or leuprolide acetate microspheres for injection can be used as directed by the doctor to control the development of the lesions.

3. Pelvic inflammatory disease

Pelvic inflammation caused by bacterial infection is easy to relapse after menstruation when immunity is reduced. Typical symptoms are lower abdominal tenderness with radiating pain in the lumbosacral region, and abnormal secretions may occur. Gynecological examination and secretion culture are required. Commonly used drugs include levofloxacin hydrochloride tablets, ceftriaxone sodium for injection and metronidazole sodium chloride injection. Sexual intercourse is prohibited during treatment.

4. Urinary system infection

Cystitis or pyelonephritis may be caused by menstrual hygiene problems. The pain is located in the middle of the lower abdomen or at the costovertebral angle, accompanied by symptoms of frequent urination and urgency. It is recommended to conduct routine urine examination, and fosfomycin trometamol powder, tamsulosin hydrochloride sustained-release capsules and Relinqing granules can be used for treatment. The daily water intake should be maintained at more than 2000 ml.

5. Lumbar spine lesions

The symptoms of lumbar disc herniation or lumbar muscle strain are aggravated when hormones change during menstruation. The pain is mainly in the waist and radiates to the buttocks. It needs to be identified through CT or MRI. In the acute stage, loxoprofen sodium patch combined with methylcobalamin tablets can be used for a short period of time to nourish the nerves. In the recovery stage, it is recommended to perform core muscle training to improve stability.

Pay attention to menstrual hygiene, change sanitary napkins frequently, and choose breathable cotton underwear. Avoid raw, cold and spicy food, and drink appropriate amounts of ginger and jujube tea to warm the menstrual flow and dispel cold. If the pain lasts for more than 3 days or is accompanied by fever or abnormal bleeding, you need to seek medical attention immediately. It is forbidden to take painkillers by yourself to cover up the symptoms. Gynecological ultrasound and cervical cancer screening are recommended every 1-2 years.