Menstrual Pain (Dysmenorrhea): Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99).

  • Uterine malformation (uterine malformation).

Blood, blood-forming organs – immune system (D50-D90).

  • Pelvipathy – lower abdominal pain in women due to very different causes, which can be somatic (physical) as well as psychological.
  • Radiation colitis – disease that can occur after radiation, especially in the context of cancer therapy.

Endocrine, nutritional and metabolic diseases (E00-E90).

  • Food allergy and food intolerances such as lactose intolerance, fructose intolerance, etc.
  • Porphyria or acute intermittent porphyria (AIP); genetic disease with autosomal dominant inheritance; patients with this disease have a 50 percent reduction in the activity of the enzyme porphobilinogen deaminase (PBG-D), which is sufficient for porphyrin synthesis. Triggers of a porphyria attack, which can last a few days but also months, are infections, drugs or alcohol. The clinical picture of these attacks presents as acute abdomen or neurological deficits, which can take a lethal course. The leading symptoms of acute porphyria are intermittent neurologic and psychiatric disturbances. Autonomic neuropathy is often prominent, causing abdominal colic (acute abdomen), nausea (nausea), vomiting, or constipation (constipation), as well as tachycardia (heartbeats > 100 beats/min) and labile hypertension (high blood pressure).

Cardiovascular system (I00-I99).

  • Pelvic vein syndrome (Pelvic congestion) – see below Pelvipathy.

Infectious and parasitic diseases (A00-B99).

Liver, gallbladder and bile ducts – pancreas (pancreas) (K70-K77; K80-K87).

Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93).

  • Acute mesenteric ischemia (AMI; intestinal infarction, mesenteric artery occlusion, mesenteric infarction, mesenteric occlusive disease, angina abdominalis).
  • Colitis indeterminata – disease that is a combination of ulcerative colitis and Crohn’s disease.
  • Diversion colitis – disease occurring after surgical immobilization of intestinal segments.
  • Diverticulitis – infection of diverticula (protrusions of mucosa through muscle gaps in the intestinal wall).
  • Ileus (intestinal obstruction)
  • Infectious colitis – inflammation of the intestine caused by bacteria, viruses or parasites such as salmonella.
  • Ischemic colitis – inflammation of the intestine due to insufficient supply of nutrients and oxygen to the intestine.
  • Gastric/intestinal ulceration (ulcers)
  • Meckel’s diverticulitis – inflammation of an outpouching in the small intestine, which is a developmental remnant.
  • Microscopic colitis or microscopic colitis (synonyms: collagenous colitis; collagen colitis, collagen colitis) – chronic, somewhat atypical inflammation of the mucosa of the colon (large intestine), the cause of which is unclear and which is clinically accompanied by violent watery diarrhea (diarrhea)/4-5 times a day, even at night; some patients suffer from abdominal pain (abdominal pain) in addition; 75-80% are women/females > 50 years of age; correct diagnosis is only possible with colonoscopy (colonoscopy) and step biopsies (taking tissue samples in the individual sections of the colon), i.e. i.e. by a histological (fine tissue) examination to put.
  • Crohn’s diseasechronic inflammatory bowel disease (CED); usually progresses in relapses and can affect the entire digestive tract; characteristic is the segmental affection of the intestinal mucosa (intestinal mucosa), that is, several intestinal sections may be affected, which are separated from each other by healthy sections.
  • Whipple’s disease (synonyms: Whipple’s disease, intestinal lipodystrophy; Engl.Whipplés disease) – rare systemic infectious disease; caused by the gram-positive rod bacterium Tropheryma whippelii (from the group of actinomycetes), which, in addition to the obligatorily affected intestinal system, can affect various other organ systems and is a chronic recurrent disease; symptoms: Fever, arthralgia (joint pain), brain dysfunction, weight loss, diarrhea (diarrhea), abdominal pain (abdominal pain), and more.
  • Irritable Bowel Syndrome (IBS)
  • Rectal ulcer (rectal ulcer)
  • Radiation colitis – disease that can occur after radiation, especially in the context of cancer therapy.

Musculoskeletal system and connective tissue (M00-M99).

  • Behçet’s disease (synonym: Adamantiades-Behçet’s disease; Behçet’s disease; Behçet’s aphthae) – multisystem disease of the rheumatic type associated with recurrent, chronic vasculitis (vascular inflammation) of the small and large arteries and mucosal inflammation; The triad (the occurrence of three symptoms) of aphthae (painful, erosive mucosal lesions) in the mouth and aphthous genital ulcers (ulcers in the genital region), as well as uveitis (inflammation of the middle eye skin, which consists of the choroid (choroid), the corpus ciliary (corpus ciliare) and the iris) is stated as typical for the disease; a defect in cellular immunity is suspected

Neoplasms – tumor diseases (C00-D48).

  • Cervical carcinoma (cervical cancer).
  • Familial adenomatous polyposis (FAP; synonym: Familial polyposis) – is an autosomal dominant inherited disorder. This leads to the occurrence of a large number (> 100 to thousands) of colorectal adenomas (polyps). The probability of malignant (malignant) degeneration is almost 100% (average from the age of 40).
  • Colon carcinoma (colon cancer)
  • Lymphoma – malignant disease originating in the lymphatic system.
  • Pancreatic carcinoma (cancer of the pancreas)

Psyche – nervous system (F00-F99; G00-G99)

  • Pelvipathy – lower abdominal pain in women due to very different causes, which may be somatic (physical) as well as psychological.
    • Pelvipathia vegetativa (synonyms: parametropathia spastica, pelvic congestion) – vegetative dystonia (disorder of conduction in the nervous system) with manifestation in the pelvis in vegetative lability (susceptibility to stress).
    • Mittelschmerz (pain at the time of ovulation / ovulation).

Pregnancy, childbirth, and puerperium (O00-O99).

  • Extrauterine pregnancy – pregnancy outside the uterus; extrauterine pregnancy is present in approximately 1% to 2% of all pregnancies: Tubalgravidity (ectopic pregnancy), Ovariangravidity (pregnancy in the ovary), Peritonealgravidity or Abdominalgravidity (pregnancy in the abdominal cavity), Cervicalgravidity (pregnancy in the cervix).

Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99).

Other diseases

  • Adhesions (adhesions) after abdominal surgery (abdominal surgery).

Further

  • Cervical stenosis (narrowing of the cervix).
  • Genital hypoplasia (uterine hypoplasia/underdevelopment of the uterus).
  • Retroverted uterus (“tilted backwards” uterus).
  • Subusanomalies (malformations of the uterus).
  • Intrauterine device (IUD, coil)