Abdominal Pain When Pressing: Is It Normal or a Cause for Concern? - Gastroenterology and Hepatology

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Pressing on the lower abdomen causes pain?


I have been experiencing gastrointestinal discomfort recently.
This morning, I had a bowel movement that took a long time and required a lot of effort, although the stool appeared normal.
However, I have a question: I feel pain in my lower abdomen when I press on it.
During this time, I have been taking probiotics to help regulate my digestion.
Is it normal to feel pain when pressing on the abdomen, or could there be another issue?

Debbie, 20~29 year old female. Ask Date: 2017/08/12

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello: In cases of lower abdominal pain in women, in addition to gastrointestinal issues, it is important to consider potential problems related to the urinary tract or gynecological conditions.
Wishing you peace and good health! Dr.
Ming-Hui Lin, Attending Physician, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/08/12

More Info


Abdominal pain when pressing on the abdomen can be a concerning symptom, and it is essential to understand the potential causes and implications of this discomfort. Based on your description, it seems that you are experiencing localized tenderness in the lower abdomen, which may be related to several factors, including muscular issues, gastrointestinal disturbances, or even underlying organ-related problems.

Firstly, it is important to differentiate between superficial pain, which is often related to the muscles or skin, and deeper pain that may indicate issues with internal organs. Given that you mentioned the pain occurs only when you press on specific areas, it could suggest a muscular strain or irritation. This is particularly plausible if you have recently engaged in physical activities that may have strained your abdominal muscles, such as exercising or heavy lifting.

However, localized abdominal pain can also be indicative of gastrointestinal issues. For instance, constipation can lead to discomfort and pain in the lower abdomen, especially if you have been straining during bowel movements. The fact that you mentioned having difficulty during your last bowel movement might suggest that your intestines are not functioning optimally, which could lead to discomfort when pressure is applied to the area.

In addition to muscular and gastrointestinal causes, it is crucial to consider the possibility of underlying conditions related to the organs in the abdominal cavity. For example, conditions such as appendicitis, diverticulitis, or even gynecological issues in females (like ovarian cysts or endometriosis) can present with localized abdominal pain. While these conditions often come with additional symptoms, such as fever, nausea, or changes in bowel habits, it is essential to monitor for any new or worsening symptoms.

Since you have been taking probiotics to adjust your gastrointestinal health, it is worth noting that while probiotics can help restore gut flora and improve digestion, they may not address all underlying issues. If your symptoms persist or worsen, it would be advisable to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an ultrasound or CT scan, to rule out any serious conditions.

In summary, while localized abdominal pain when pressing on the abdomen can be due to benign causes such as muscle strain or constipation, it is essential to remain vigilant for any additional symptoms that may indicate a more serious underlying issue. If the pain persists, or if you experience any new symptoms, seeking medical advice is crucial to ensure appropriate diagnosis and treatment. Regular follow-ups with your healthcare provider, especially considering your gastrointestinal health, can help in managing and alleviating your symptoms effectively.

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