Lower Abdominal Pain: When to Seek Medical Attention - Internal Medicine

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Lower abdominal pain?


Hello doctor, I recently had sexual intercourse with my husband, and the next day I experienced severe abdominal pain.
I couldn't exert myself at all, and walking would suddenly cause pain.
I've also noticed an increase in the frequency of urination and have been experiencing fever.
The following day, I had pain in the upper abdomen as well, and my stomach feels bloated.
Which specialist should I see? Is this very serious?

Xiao Jie, 20~29 year old female. Ask Date: 2018/04/05

Dr. Hong Yuanbin reply Internal Medicine


Hello, based on your description, it seems that there is a higher likelihood of a urinary tract infection; however, gynecological issues cannot be ruled out, such as a ruptured corpus luteum.
It is advisable to consult with an infectious disease specialist, nephrologist, or urologist.
Increasing water intake and urination may help improve the situation.
Thank you for your inquiry.

Reply Date: 2018/04/05

More Info


Lower abdominal pain can arise from a variety of causes, and when accompanied by symptoms such as fever, increased urination, and abdominal distension, it is essential to seek medical attention promptly. Given your symptoms, it is advisable to consult a healthcare professional, preferably a primary care physician or a specialist in internal medicine or gastroenterology. They can conduct a thorough evaluation to determine the underlying cause of your discomfort.

Several potential conditions could explain your symptoms. For instance, the pain following sexual intercourse could indicate a few possibilities, including pelvic inflammatory disease (PID), which is an infection of the reproductive organs, or even a urinary tract infection (UTI). Both conditions can lead to lower abdominal pain, fever, and changes in urination patterns. PID is often associated with sexually transmitted infections (STIs) and can cause significant complications if left untreated.

Additionally, conditions such as ovarian cysts, ectopic pregnancy, or appendicitis could also present with similar symptoms. Ectopic pregnancy, in particular, is a medical emergency that occurs when a fertilized egg implants outside the uterus, often in a fallopian tube. This condition can lead to severe pain and requires immediate medical intervention.

The presence of fever and abdominal distension further complicates the situation. Fever may indicate an infection, while abdominal distension could suggest gastrointestinal issues, such as bowel obstruction or severe constipation. Both scenarios warrant immediate medical evaluation.

When you visit a healthcare provider, they will likely perform a physical examination and may order diagnostic tests, such as blood tests, urinalysis, or imaging studies like an ultrasound or CT scan. These tests can help identify any infections, structural abnormalities, or other underlying conditions that may be causing your symptoms.

In summary, your symptoms of lower abdominal pain, fever, increased urination, and abdominal distension are concerning and should not be ignored. It is crucial to seek medical attention as soon as possible to receive an accurate diagnosis and appropriate treatment. Early intervention can prevent complications and ensure better health outcomes. Remember, when it comes to abdominal pain, especially when accompanied by systemic symptoms like fever, it is always better to err on the side of caution and consult a healthcare professional.

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