Pelvic and lower abdominal masses need differentiation as regard their origin (ovary, cervix, uterus) or from other organs (bowel, retroperitoneal tissues). This may occur at any age and are of different consistency (solid, cystic). However, some tumors are common in a particular age group. These masses need to be diagnosed by clinical evaluation. Different investigations should be done as too often they have confusing presentation.
Full Bladder: It is an axiom that prior to gynecologic examination, bladder must be kept empty. Not only full bladder may be confused with some abdominopelvic pathology but empty bladder ensures better evaluation of pelvic findings on bimanual examination.
COMMON CAUSES OF LOWER ABDOMINAL LUMP: -
TODDLERS (< 5 YEARS): OVARIAN TUMOR
5 years of age to puberty: -
CHILDBEARING PERIOD: -
FEATURES OF A FULL BLADDER: -
Pregnancy: Pregnancy with a uterine size of 16–18 weeks is most confusing. The confusion is accentuated with a history of oligomenorrhea, conception occurring during lactational amenorrhea or illegal pregnancy.
In fact, amenorrhea during childbearing period with a lump in the lower abdomen should be provisionally diagnosed as pregnancy unless proved otherwise.
OVARIAN TUMOR: -
ENCYSTED PERITONITIS: -
INTERNAL EXAMINATION REVEALS: -
HOMOEOPATHIC MANAGEMENT OF ABDOMINOPELVIC LUMPS: -
Homoeopathic medicine's strength lies in its evident effectiveness as it takes a holistic approach towards the sick individual through promotion of inner balance at mental, emotional, spiritual and physical levels. When ABDOMINOPELVIC Lumps are concerned there are many effective medicines available in homoeopathy, but the selection depends upon the individuality of the patients, considering mental and physical symptoms.
Apis Mel: - There is Soreness and stinging pain with Ovaritis. The ovaries are numb or congested with suppressed menses. Menses painful with scanty discharge of slimy blood with or Ovarian pain with numbness down the thighs.
Colocynthis:- Used when there is round, small Cystic tumors in Ovaries or broad ligament. There is boring pain in ovary. The patient must bend double with great restlessness. The menses are painful.
Aurum mur natronatum:- A specific remedy. Ovaries indurated. Enlarged uterus,uterus fills up whole pelvis.
Kali bromatum:- There is ovarian Neuralgia with great nervous uneasiness from ungratified sexual desire. Aversion to sex.
Lachesis: - For left sided complaints. There is pain in the ovary which is better from a discharge from the uterus. The pain of left ovary extends to the right ones. There is Uterine and ovarian pain,all relieve by the flow.
Lycopodium: - Effective for right side complaints. There is cutting pain from right ovary to left. Menses of clots. The woman complaints of flatulence and weak digestion. There is special craving for hot food and drinks and sweets