Recurrent Lower Abdominal Pain: Causes and Solutions

Recurrent pain in the lower abdomen?

Hello, I apologize for the interruption.
I've been experiencing recurrent abdominal pain for the past two months.
The first episode occurred during my menstrual period last month, and after that, I had pain every two to three days, lasting about four to five hours each time.
I thought it might be related to my uterus (it felt somewhat similar to menstrual cramps).
I had an ultrasound done, and the results were normal.
The doctor prescribed some gastrointestinal medication, and I didn't experience any pain afterward.
However, after my menstrual period this month, I had another episode following lunch (during a stressful situation), and since then, I've been having pain approximately every two days (located about three to four fingerbreadths below the navel, with sharp and dull pain).
Although the duration and intensity of the pain are not as severe, I am quite confused about why this is happening.
I usually have a bowel movement every two to three days, but recently it seems to be more frequent, occurring once or twice a day (with a feeling of incomplete evacuation).
I also typically experience mild bloating.
During the first episode, I was constipated (due to insufficient water intake, resulting in hard stools).
I would appreciate your insights on this matter.
Thank you!

phoebe, 40~49 year old female. Ask Date: 2016/12/09

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, based on your symptoms, it is still recommended that you visit a gastroenterology clinic for an examination to confirm your condition.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2016/12/09

More Info

Recurrent lower abdominal pain can be a perplexing issue, especially when it seems to correlate with menstrual cycles and stress. Based on your description, there are several potential causes and considerations that could explain your symptoms.

Firstly, it’s important to note that lower abdominal pain can arise from various sources, including gynecological, gastrointestinal, and even psychological factors. Since you mentioned that the pain first occurred during your menstrual period, it’s possible that it could be related to dysmenorrhea (painful menstruation) or other menstrual-related issues. However, given that an ultrasound showed no abnormalities, we can explore other avenues.

One common gastrointestinal issue that can lead to recurrent abdominal pain is irritable bowel syndrome (IBS). IBS is characterized by abdominal pain associated with changes in bowel habits, which can include constipation, diarrhea, or a mix of both. Your experience of increased bowel frequency and the sensation of incomplete evacuation could align with IBS, particularly if stress exacerbates your symptoms. Stress is known to significantly impact gut function, potentially leading to spasms and discomfort.

Another possibility is that your symptoms could be related to gastrointestinal dysmotility or functional gastrointestinal disorders. These conditions can cause symptoms like bloating, abdominal pain, and changes in bowel habits without any identifiable structural abnormalities. Given your history of constipation and recent changes in bowel frequency, it may be worthwhile to consider dietary factors, such as fiber intake, hydration, and food intolerances, which can all influence gut health.

Additionally, the timing of your symptoms following meals, especially during periods of stress, suggests that they could be related to functional dyspepsia or postprandial distress syndrome. This condition can cause discomfort after eating, often accompanied by bloating and changes in bowel habits.

Psychological factors, including anxiety and stress, can also play a significant role in gastrointestinal symptoms. The gut-brain axis is a well-established concept in medicine, indicating that emotional states can influence gut function. If you are experiencing heightened stress or anxiety, it could manifest as abdominal pain or changes in bowel habits.

To address your symptoms, consider the following steps:
1. Dietary Modifications: Keep a food diary to identify any potential triggers. Increasing fiber intake gradually, staying well-hydrated, and avoiding known irritants (like caffeine, alcohol, and spicy foods) may help.

2. Stress Management: Incorporating stress-reduction techniques such as mindfulness, yoga, or cognitive-behavioral therapy can be beneficial. These approaches can help manage both anxiety and its physical manifestations.

3. Regular Follow-Up: Since your symptoms have persisted, it is essential to maintain communication with your healthcare provider. If your current treatment plan is not effective, further evaluation may be necessary. This could include additional tests, such as a colonoscopy or specialized gastrointestinal studies, to rule out other conditions.

4. Medication Review: If you are taking any medications, discuss them with your doctor to ensure they are not contributing to your symptoms. Sometimes, adjusting medications can lead to significant improvements.

5. Consider a Specialist: If your symptoms continue to be bothersome, consider consulting a gastroenterologist who specializes in functional gastrointestinal disorders. They can provide targeted therapies and strategies to manage your symptoms effectively.

In conclusion, recurrent lower abdominal pain can stem from a variety of causes, and understanding the interplay between physical and psychological factors is crucial. By taking a comprehensive approach that includes dietary changes, stress management, and regular medical follow-up, you can work towards finding relief and improving your overall quality of life.

Similar Q&A

Chronic Left Lower Abdominal Pain: Seeking Effective Treatment Solutions

If a person has experienced chronic diarrhea or unformed stools, along with periodic left lower abdominal pain occurring approximately every three months, lasting about 1 to 3 weeks, and the pain is unrelieved by anti-inflammatory injections, pain relievers, anti-inflammatory med...

Dr. Ke Fangxu reply Surgery
Hello: In response to your question, generally speaking, there are three common categories of left lower abdominal pain. The most common issue is abdominal pain caused by constipation, followed by gynecological problems, and then other colorectal diseases. Based on the patient&#x...

Severe Lower Abdominal Pain: Possible Causes and Insights

Hello Dr. Lin, I have noticed that in recent years I have been experiencing severe pain in my lower abdomen (specifically about 5 centimeters below my navel). A few years ago, it occurred occasionally, perhaps once every few months, but over the past two and a half years, it has ...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Possible causes of lower abdominal pain include: 1. Gynecological issues (such as pelvic inflammatory disease, endometriosis, menstrual cramps, ovulation pain) 2. Gastrointestinal problems: poor gastrointestinal function, constipation, enteritis, diverticulitis, etc. 3. Urinary t...

Understanding Lower Abdominal Pain: Causes and Solutions

Recently, I have been experiencing intermittent lower abdominal pain that sometimes subsides with rest. I previously had a gynecological ultrasound, which showed no issues. However, the pain occasionally occurs on the left side of the pelvis, slightly towards the center, and at o...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, possible causes of lower abdominal pain include urinary tract issues, gastrointestinal problems, and gynecological issues such as pelvic inflammatory disease and ovulation pain. It is advisable to maintain regular bowel and urinary habits. If the pain persists, it is recom...

Chronic Lower Abdominal Pain: Seeking Solutions After Four Years

Since undergoing a dilation and curettage (D&C) procedure four years ago, I have experienced persistent pain on both sides of my lower abdomen for four years. The doctor mentioned that I have a retroverted uterus, recurrent inflammation, and blocked fallopian tubes. Whenever ...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, I apologize for not being able to provide a diagnosis based on your description. If you continue to experience discomfort, I recommend consulting a gynecologist to consider whether a laparoscopy is necessary. Wishing you good health.