Right Lower Abdominal Pain and Frequent Urination Issues - Urology

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Pain on one side, frequent urination, and pubic symphysis tenderness?


Hello Doctor: Since last Monday, I have been experiencing a feeling of fullness in my lower right abdomen (the area where the thigh connects to the lower abdomen).
I feel a vague pain on that side whenever I drink water, and I'm not sure if it's psychological.
At the same time, I have frequent urination (the urine is clear), tenderness over the pubic bone, and tenderness in the bone area between the thigh and the labia.
In the past, I had hematuria due to holding in urine, but this time I haven't held it in.
I'm unsure if this could be cystitis, urethritis, or another condition.
Should I see a gynecologist or a urologist? Thank you!

Niming, 30~39 year old female. Ask Date: 2016/08/28

Dr. Sun Hongshun reply Urology


Hello, your symptoms may indicate a urinary tract infection or pelvic inflammatory disease.
It is recommended that you visit a gynecology clinic for further evaluation and treatment.

Reply Date: 2016/08/28

More Info


Right lower abdominal pain accompanied by frequent urination can be indicative of several underlying conditions, and it’s essential to approach this issue with a comprehensive understanding of potential causes. Given your symptoms, it’s crucial to consider both urological and gynecological factors.


Possible Causes
1. Urinary Tract Infection (UTI): UTIs are common and can cause symptoms such as frequent urination, urgency, and lower abdominal pain. The pain you feel in the right lower abdomen could be related to irritation or inflammation of the bladder or urethra. Since you mentioned experiencing clear urine, it’s possible that you might not have a typical UTI, but it’s still worth investigating.

2. Cystitis: This refers to inflammation of the bladder, often due to infection. Symptoms include pelvic discomfort, frequent urination, and sometimes pain during urination. The pressure and pain you feel in the pubic area could be related to cystitis.

3. Pelvic Inflammatory Disease (PID): In women, infections of the reproductive organs can lead to PID, which can cause lower abdominal pain and discomfort. If you have any additional symptoms such as fever, unusual discharge, or pain during intercourse, this could be a concern.

4. Ovarian Issues: Conditions such as ovarian cysts or torsion can lead to localized pain in the lower abdomen. If the pain is severe and associated with changes in your menstrual cycle, it would be prudent to consider this possibility.

5. Musculoskeletal Pain: Sometimes, pain in the lower abdomen can be referred from the muscles or ligaments in the pelvic area. If you’ve recently engaged in physical activity that could strain these muscles, this might explain the discomfort.

6. Hernia: An inguinal hernia can cause pain in the groin and lower abdomen, especially when straining or lifting. If you notice a bulge in the area, this could be a sign of a hernia.


Recommendations
Given the complexity of your symptoms, it would be advisable to consult a healthcare professional who can perform a thorough evaluation. Here are some steps you can take:
1. Consult a Urologist: Since you are experiencing urinary symptoms, starting with a urologist would be beneficial. They can conduct tests such as urinalysis, urine culture, and possibly imaging studies to assess the bladder and urinary tract.

2. Consider a Gynecologist: If the urologist rules out urinary issues, or if you have additional gynecological symptoms, consulting a gynecologist would be the next step. They can evaluate for any reproductive health issues that may be contributing to your symptoms.

3. Diagnostic Tests: Be prepared for potential diagnostic tests, including blood tests, urine tests, and imaging studies such as an ultrasound or CT scan, to help identify the underlying cause of your pain and urinary symptoms.

4. Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency of urination, any changes in urine color or odor, and any additional pain or discomfort. This information will be valuable for your healthcare provider.

5. Stay Hydrated: While you may feel discomfort when drinking water, staying hydrated is essential for urinary health. It can help flush out potential irritants from your urinary tract.


Conclusion
In summary, your symptoms of right lower abdominal pain and frequent urination could stem from various conditions, including urinary tract infections, pelvic inflammatory disease, or ovarian issues. It is crucial to seek medical advice from a urologist or gynecologist to obtain a proper diagnosis and treatment plan. Early intervention can help alleviate your symptoms and address any underlying health concerns effectively.

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