Severe Lower Abdominal Pain: Possible Causes and Solutions

Severe pain in the lower abdomen?

Hello Doctor: I have been feeling very uncomfortable in my abdomen for the past three days.
The first day was okay, but by the second day, I started experiencing some cramping pain.
On the third day, I woke up in pain.
The pain doesn't feel like the urge to have a bowel movement, but I rushed to the bathroom and had a very large bowel movement.
During this process, I experienced severe pain and was sweating and shaking.
After lunch, my abdomen started hurting again, and I rushed to the bathroom to have another large bowel movement, similar to the symptoms in the morning, which was watery diarrhea.
Sometimes, when I press on my stomach, it also feels uncomfortable.
I'm not sure if this is related to having sexual intercourse with my boyfriend last month, as my period has not yet arrived and is also delayed.
Please help me understand, Doctor.
Thank you.

Niming, 10~19 year old female. Ask Date: 2016/10/15

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, it seems that you may be experiencing rapid intestinal peristalsis or enteritis.
For menstrual issues, it is advisable to consult a gynecologist.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2016/10/15

More Info

Severe lower abdominal pain can be a distressing symptom, and it is essential to understand the potential causes and appropriate responses to such discomfort. Based on your description, there are several possibilities to consider, and I will outline them along with some recommendations for further action.

Possible Causes of Severe Lower Abdominal Pain
1. Gastrointestinal Issues: Given that you experienced significant pain followed by diarrhea, it is possible that you are dealing with a gastrointestinal issue such as:
- Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by viral or bacterial infections. Symptoms typically include abdominal pain, diarrhea, vomiting, and sometimes fever.

- Irritable Bowel Syndrome (IBS): This functional gastrointestinal disorder can cause abdominal pain, bloating, and changes in bowel habits, including diarrhea or constipation.

- Food Intolerance or Allergies: Certain foods may trigger gastrointestinal symptoms, leading to pain and diarrhea. Keeping a food diary may help identify any correlations.

2. Gynecological Concerns: Since you mentioned that your menstrual cycle is delayed, it is important to consider potential gynecological issues:
- Ovarian Cysts: These fluid-filled sacs on the ovaries can cause pain, especially if they rupture.

- Ectopic Pregnancy: If there is a possibility of pregnancy, an ectopic pregnancy (where the fertilized egg implants outside the uterus) can cause severe abdominal pain and is a medical emergency.

- Pelvic Inflammatory Disease (PID): This infection of the reproductive organs can cause lower abdominal pain and may be associated with sexual activity.

3. Urinary Tract Issues: Conditions such as a urinary tract infection (UTI) or kidney stones can also lead to lower abdominal pain and changes in bowel habits.

Recommendations for Action
1. Seek Medical Attention: Given the severity and persistence of your symptoms, it is crucial to consult a healthcare professional as soon as possible. They may perform a physical examination and order tests such as blood work, urine analysis, or imaging studies (like an ultrasound) to determine the underlying cause.

2. Monitor Symptoms: Keep track of your symptoms, including the timing, intensity, and any associated factors (such as food intake or menstrual cycle changes). This information can be valuable for your healthcare provider.

3. Stay Hydrated: If you are experiencing diarrhea, it is essential to stay hydrated. Drink plenty of fluids, and consider oral rehydration solutions if necessary.

4. Avoid Self-Medication: While over-the-counter medications may relieve some symptoms, it is best to avoid self-treatment until a healthcare provider can assess your condition. Some medications may mask symptoms or worsen underlying issues.

5. Consider Sexual Health: If there is a possibility of pregnancy or sexually transmitted infections (STIs), be open with your healthcare provider about your sexual history. They may recommend specific tests to rule out these conditions.

Conclusion
Severe lower abdominal pain can arise from various causes, ranging from gastrointestinal issues to gynecological concerns. It is essential to seek medical attention promptly to identify the underlying cause and receive appropriate treatment. Keeping a detailed record of your symptoms and being open about your health history will aid your healthcare provider in making an accurate diagnosis. Remember, timely intervention can prevent complications and lead to better health outcomes.

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