Pallor, sweating, cold clammy skin, increased heart rate, rapid respiration, low blood pressure along with pain indicates a serious intra abdominal disease. Severe dehydration with dry mucous membranes, sunken hollow eyes and rapid shallow respiration suggests perforation of an abdominal organ. Patient lying perfectly still points to the diagnosis of a perforated viscus or gangrene of the intestine. Many women suffer from painful menstrual cramps mild to severe cramping in the lower abdomen, back or thighs, headache, diarrhoea, nausea, dizziness and fainting. Consult a doctor if cramps fail to respond to home treatment, and if symptoms do not subside when menstrual bleeding stops.
Ectopic pregnancy needs to be considered when there has been a missed period.
Lower abdomen midline pain in women may be due to a number of causes like inflammation of the tubes and ovaries, or ectopic pregnancy. Pain may radiate to the right or left lower quadrant. A missed menstrual period or an abnormally short scanty period precedes the abdominal pain. Pain may be referred to the shoulder. The pain worsens with time and patient may develop low blood pressure and increased heart rate.