Lower Abdominal Pain: When to See a Specialist - Urology

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When it comes to lower abdominal pain, particularly in the right groin and lower abdomen, there are several potential causes that could be at play. Your experience of intermittent pain in this area, especially after a normal urinalysis, suggests that the issue may not be related to the urinary tract, but rather to other structures in the abdomen or pelvis.

One of the possibilities your doctor mentioned is a hernia, which can occur when an internal organ or tissue bulges through a weak spot in the abdominal muscles. Inguinal hernias, for example, are common in the groin area and can cause discomfort or pain, especially when lifting heavy objects or straining. If you notice any visible bulging or protrusion in the groin area, this could further support the diagnosis of a hernia.

Other potential causes of pain in the right lower abdomen and groin include:
1. Appendicitis: Inflammation of the appendix can cause pain that starts around the belly button and then moves to the right lower abdomen. This condition often requires surgical intervention.

2. Ovarian Issues: In females, conditions such as ovarian cysts or torsion can lead to pain in the lower abdomen. If you are female, it may be worth consulting a gynecologist to rule out any gynecological issues.

3. Muscle Strain: If you have been physically active or have recently engaged in activities that require heavy lifting, a muscle strain could be the culprit. This type of pain often improves with rest.

4. Gastrointestinal Issues: Conditions such as appendicitis, diverticulitis, or inflammatory bowel disease can also present with lower abdominal pain. If you have any accompanying symptoms such as fever, nausea, or changes in bowel habits, these should be evaluated.

5. Nerve Entrapment: Sometimes, nerves in the abdominal area can become compressed or irritated, leading to pain that may be intermittent.

Given that your pain persists and has not improved, it would be advisable to follow up with a specialist. Since the pain is located in the lower abdomen and groin area, you might consider seeing a gastroenterologist first, as they can evaluate for gastrointestinal causes. If they rule out gastrointestinal issues, they may refer you to a surgeon for further evaluation of a possible hernia or other surgical conditions.

In summary, while your initial evaluation was normal, the persistence of your symptoms warrants further investigation. It is essential to communicate all your symptoms clearly to your healthcare provider, including the nature of the pain, any activities that exacerbate it, and any other accompanying symptoms. This information will help guide the diagnostic process and ensure you receive the appropriate care. If you continue to experience pain or if it worsens, do not hesitate to seek medical attention promptly.