Signs and Symptoms of Ovarian Cancer

We could hardly find someone who hasn't endured abdominal pain one or more times in his life. Abdominal pain might be of different types, the result of a quantity of causes, which range between simple to life threatening conditions. Aside from the cause and the severity, it's troublesome for the sufferers and the caregivers, and hence forces them to get a medical consultation. Abdomen may be the the main body involving the thorax and the pelvis, that will be separated from the thorax by a diaphragm and from the real pelvis by an imaginary plane. Anteriorly the anterior abdominal wall supports it and posteriorly, the spine and back muscles. Skin, superficial fascia, deep fascia, muscles, layers of fascia (Fascia transversalis), extra peritoneal connective tissue and the outer layer of peritoneum form the anterior abdominal wall. The abdominal cavity extends upwards into the concavity of diaphragm and downwards into the pelvic cavity. Since there is overlapping by the ribs in top of the part and pelvic bones in the reduced part, the actual size of the abdominal cavity is masked. The abdomen contains digestive organs like stomach, small intestine, large intestine, liver, gall bladder, pancreas, and uro-genital organs like kidneys, ureters, bladder, fallopian tubes, ovaries and uterus. It also contains organs like spleen, adrenal glands, อาการ คน ท้อง mesenteric lymph nodes, blood vessels and lymphatic vessels etc. Ligaments formed by peritoneal tissue attach these organs and keep them in position. The peritoneum is a large serous membrane lining the abdominal cavity and offers two layers. The outer layer is named parietal peritoneum and it covers the inner surface of the abdominal wall and the inner layer is known as visceral peritoneum, which covers the organs and restricts their mobility. Both of these layers of peritoneum are connected by omentum and mesentery through that your organs get blood supply and nerve supply. The cavity formed by the two layers of peritoneum is a potential space, called peritoneal cavity, that is moistened with a serous fluid in order to avoid friction of abdominal contents. Types of abdominal pain: Depending upon the origin, there may be different types of abdominal pains. 1. Visceral pain (Splanchnic pain): This really is brought on by stimulation of visceral nerves by a noxious agent, which might be living organisms, toxins, mechanical stimuli like stretching, excessive muscular contraction or an ischaemia. Visceral pain is dull in nature and is poorly localized and felt in the midline. 2. Parietal pain: This really is also called somatic pain. Here, some noxious agents stimulate the parietal peritoneum causing a sharp and localized pain. This kind of pain is worse by movements. 3. Referred pain: Here the pain, though originating in other sites, is felt in the abdomen due to common nerve supply. Example: Conditions like pleurisy, pericarditis, torsion of testes etc. cause pain in abdominal region because of method of getting nerves having the same root value (Spinal segments). It has already been mentioned that abdominal pain is agonizing for the affected person and his members of the family regardless of its cause and severity. Intensity of pain may not necessarily indicate the seriousness of the condition because severe pain may be from mild conditions like indigestion and flatulency, where as mild pain may be contained in life threatening conditions like perforation, cancer etc. Hence proper diagnosis and management is extremely essential. Modes of presentation of abdominal pain: 1. Acute abdominal pain: Here, the pain is sudden with a rapid onset and short course, which might be because of severe or mild lesions. The definition of'acute abdomen'is utilized in conditions wherein the patient complains of acute abdominal symptoms that suggest a disease, which definitely or possibly threatens life and may or may not demand urgent surgical interference. Acute pain may be colicky or non colicky in nature. 2. Chronic abdominal pain: Here the pain is long lasting and recurrent or characterized by long suffering. The complaints persist for quite a long time with fluctuations in the intensity of symptoms. 3. Sub acute abdominal pain: Since the name indicates the duration of pain lies between acute and chronic conditions. 4. Acute exacerbation: In this state, a person having chronic symptoms includes sudden onset of symptoms that simulate an acute condition. In such cases the patient or the bystanders give the real history of chronic sufferings.