Lower Abdominal Pain: When to Seek Medical Attention - Surgery

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Sharp pain in the lower abdomen?


Hello Doctor, I have been experiencing intermittent sharp pain in my lower abdomen that feels like it's coming from inside, but it doesn't hurt when I press on it.
I would like to ask: 1.
Is this situation indicative of appendicitis? 2.
Since it occurs sporadically, I haven't sought medical attention yet.
Do you think it's necessary for me to see a doctor? Thank you, Doctor.

JAM, 20~29 year old female. Ask Date: 2019/10/27

Dr. Chen Jiaming reply Surgery


Online consultations based solely on text cannot provide a clinical diagnosis (a physician needs to conduct an actual examination and physical assessment), and they do not meet the timeliness required for disease treatment.
If there are any concerns regarding a diagnosis, please seek medical attention directly.
Pain varies from person to person, and there is no standard measure.

Reply Date: 2019/10/27

More Info


Lower abdominal pain can be a concerning symptom, and understanding when to seek medical attention is crucial for proper diagnosis and treatment. Your description of experiencing a stabbing pain that feels like it’s coming from within, but does not hurt when pressed, raises several possibilities, including appendicitis, but it is important to consider other potential causes as well.

1. Appendicitis: This condition typically presents with pain that starts around the belly button and then moves to the lower right abdomen. It is often accompanied by other symptoms such as nausea, vomiting, loss of appetite, and sometimes fever. If your pain is localized to the lower right abdomen and is worsening, it could indeed be a sign of appendicitis, and you should seek medical attention promptly.

2. Other Potential Causes: There are numerous other conditions that could cause lower abdominal pain. These include:
- Ovarian issues: In women, conditions such as ovarian cysts or torsion can cause similar pain.

- Gastrointestinal issues: Conditions like diverticulitis, inflammatory bowel disease (IBD), or even constipation can lead to abdominal discomfort.

- Urinary tract issues: Infections or stones in the urinary tract can also manifest as abdominal pain.

- Musculoskeletal pain: Sometimes, pain can arise from muscle strain or injury, especially if you have been physically active or lifting heavy objects.

Given that your pain is intermittent, it may not seem urgent, but it is essential to monitor the situation. If the pain becomes more severe, persistent, or is accompanied by other symptoms such as fever, vomiting, changes in bowel habits, or any significant changes in your overall health, you should seek medical attention immediately.


When to Seek Medical Attention:
- Severe Pain: If the pain becomes severe and unmanageable.

- Persistent Symptoms: If the pain does not resolve or worsens over time.

- Accompanying Symptoms: If you experience fever, vomiting, diarrhea, or changes in urination.

- Changes in Appetite: If you find it difficult to eat or drink due to pain.


Conclusion:
While it is understandable to hesitate to seek medical attention for intermittent pain, it is always better to err on the side of caution. If you have any doubts or if your symptoms change, consulting with a healthcare professional is advisable. They may recommend imaging studies, blood tests, or a physical examination to determine the underlying cause of your pain. Early diagnosis can lead to more effective treatment and prevent complications.
In summary, while your symptoms may not seem urgent at the moment, it is wise to keep a close eye on them and seek medical advice if they change or worsen. Your health is paramount, and understanding your body’s signals is key to maintaining it.

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