Lower Abdominal Pain: Possible Causes and Concerns

Strange sensations in the lower abdomen?

Recently, I have been experiencing pain in the area around the pubic or ischial region.
I would like to know the possible causes.
Could it be related to the intestines or an issue with the uterus? From a female perspective, the pain is located in the left lower quadrant of the triangular area of the lower abdomen, and if you go a bit further left, it reaches the thigh.
I have been feeling an involuntary pain in this area.
I had sexual intercourse on March 19 with a condom and external ejaculation, my period started on March 28, and I took a pregnancy test on April 4 which showed only one line.

xuan, 10~19 year old female. Ask Date: 2017/04/08

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Recently, I've been experiencing pain in the area of the pubic or ischial bones.
I would like to know the possible causes.
Could it be related to the intestines or a problem with the uterus? Specifically, I'm referring to the left lower area of the triangular region in the lower abdomen when viewed from the front in women, where the bone is located (and just a bit to the left of this area is the thigh).
I have been feeling an involuntary pain in this area.
(On March 19, I had sexual intercourse with a condom and external ejaculation; my period started on March 28, and I took a pregnancy test on April 4, which showed only one line.)
Answer: Typically, pain in the pubic or ischial region is considered to be related to the bones and the fascia attached to them.
If the pain is located in the left lower area of the triangular region in the lower abdomen when viewed from the front in women, it is still likely related to the bones and the fascia.
However, if the pain is located in the upper part of this triangular area, it could potentially indicate issues with the intestines or the uterus.

Reply Date: 2017/04/08

More Info

Lower abdominal pain can be a complex issue, especially in women, as it can arise from various anatomical structures in the pelvic region. The symptoms you describe, particularly the pain in the area near the pubic bone or ischium, can indeed be related to several potential causes, including gastrointestinal, gynecological, and musculoskeletal issues.

1. Gastrointestinal Causes: The intestines are located in the lower abdomen, and conditions such as irritable bowel syndrome (IBS), constipation, or even diverticulitis can lead to pain in this area. If the pain is associated with changes in bowel habits, such as diarrhea or constipation, it may suggest a gastrointestinal origin.
2. Gynecological Causes: In women, lower abdominal pain can often be attributed to gynecological issues. Conditions such as ovarian cysts, endometriosis, or pelvic inflammatory disease (PID) can cause localized pain. Given your mention of menstrual cycles and sexual activity, it’s important to consider that ovulation pain (mittelschmerz) or other menstrual-related issues could also be contributing factors. If there is any concern about pregnancy, even with the negative pregnancy test, it may be prudent to follow up with a healthcare provider for further evaluation.

3. Musculoskeletal Causes: Pain in the lower abdomen can also stem from musculoskeletal issues, such as muscle strains or ligamentous pain. Activities that involve heavy lifting or sudden movements can lead to strains in the abdominal or pelvic muscles, resulting in discomfort.

4. Nerve-Related Pain: Sometimes, nerve entrapment or irritation can cause pain in the lower abdomen. Conditions such as meralgia paresthetica, which involves compression of the lateral femoral cutaneous nerve, can lead to pain that radiates from the lower abdomen to the thigh.

5. Psychological Factors: Anxiety and stress can also manifest as physical symptoms, including abdominal pain. If you have a history of anxiety, it may be worth considering whether your emotional state could be contributing to your physical symptoms.

Given the complexity of the symptoms and the potential for various underlying causes, it is crucial to seek medical advice. A thorough evaluation by a healthcare professional, including a physical examination and possibly imaging studies (like an ultrasound or CT scan), may be necessary to determine the exact cause of your pain.
In summary, while there are several potential causes for your lower abdominal pain, it is essential to consult with a healthcare provider who can perform a comprehensive assessment. They may recommend further tests or referrals to specialists, such as a gastroenterologist or gynecologist, to ensure that any serious conditions are ruled out and to provide appropriate treatment options. Remember, timely intervention can often lead to better outcomes, so don’t hesitate to seek help.

Similar Q&A

Understanding Lower Abdominal Discomfort: Possible Gastrointestinal Issues

Hello, I have been feeling a sense of heaviness in my lower abdomen below the navel for the past few days, and occasionally I have the urge to have a bowel movement. There are no other unusual symptoms in my body. What could be the issue?

Dr. Lin Minghui reply Gastroenterology and Hepatology
Possible causes of lower abdominal discomfort: 1. Gastrointestinal issues, such as functional enteritis or fecal impaction. 2. Urinary tract problems, such as cystitis, where difficulty in urination can also lead to lower abdominal pain. If symptoms persist, follow up with a clin...

Understanding Lower Abdominal Pain: Causes and Concerns

Hello doctor, for the past two to three weeks, I have been experiencing occasional cramping and slight sharp pain in my lower abdomen. Sometimes, my stool feels like it has mucus on it, and at times it appears irregular in shape. When I bend over, I feel pressure in my lower abdo...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Based on the symptoms, it may be enteritis. It is recommended to avoid oily foods, dairy products, and irritating foods, and to follow a bland diet. If there is no improvement, a visit to a gastroenterologist is necessary. Wishing you good health. Sincerely, Dr. Chi-Feng C...

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 When to Seek Help

I started feeling abdominal pain this afternoon, experiencing intermittent cramping, but I don't feel the urge to use the restroom. I couldn't eat dinner, and I only had a bowel movement this morning, which was normal in shape and color.

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Symptoms such as bloating and inflammation of the intestines can cause your condition. It is recommended to consult a gastroenterologist.