Lower Abdominal Pain When Bending: Should You See a Doctor?

Lower abdominal pain when bending over?

Hello Doctor: My menstrual period just ended, but I have been experiencing persistent dull pain in my lower left abdomen for 3 to 4 days.
Additionally, I feel soreness in my lower abdomen every time I bend over, making it difficult to bend for long periods.
This soreness in my lower abdomen has been ongoing for about two weeks.
Should I see a doctor for an examination? I am concerned that it might be ovarian inflammation or possibly another issue.
I would appreciate your guidance.
Thank you.

Yú Bō, 20~29 year old female. Ask Date: 2020/02/26

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if you are still feeling unwell, it is advisable to get checked to determine if there are any issues.
You may want to start by consulting an obstetrician-gynecologist to see if it is a gynecological problem.
Wishing you good health.

Reply Date: 2020/02/26

More Info

When experiencing persistent lower abdominal pain, especially after your menstrual period, it is crucial to pay attention to the symptoms and consider seeking medical advice. Your description of a dull ache in the left lower abdomen that worsens with bending suggests that there could be several underlying causes that need to be evaluated by a healthcare professional.

Given your symptoms, it is advisable to consult a doctor, preferably a gynecologist, who specializes in female reproductive health. They can perform a thorough examination and may recommend imaging studies such as an ultrasound to assess the ovaries and other pelvic organs. This is particularly important because conditions such as ovarian inflammation (ovarian cysts or ovarian torsion) or endometriosis can cause similar symptoms.
Endometriosis, for instance, occurs when tissue similar to the lining of the uterus grows outside of it, often leading to significant pain, especially during menstruation or when bending. Ovarian cysts can also cause discomfort and may lead to complications if they rupture. Additionally, pelvic inflammatory disease (PID) is another condition that could cause lower abdominal pain and is often associated with infections.

It is also worth considering other potential causes of lower abdominal pain, such as gastrointestinal issues like irritable bowel syndrome (IBS) or diverticulitis, which can sometimes mimic gynecological pain. Given that your symptoms have persisted for two weeks, it is essential to rule out any serious conditions, including ectopic pregnancy, especially if there is any chance of pregnancy.

In summary, it is highly recommended that you see a doctor for a comprehensive evaluation of your symptoms. They will likely perform a physical examination, take a detailed medical history, and may order tests such as blood work or imaging studies to determine the exact cause of your pain. Early diagnosis and treatment can help prevent complications and provide you with relief from your symptoms.
In the meantime, keep track of any additional symptoms you may experience, such as changes in your menstrual cycle, fever, or unusual discharge, as these can provide valuable information to your healthcare provider. Remember, it is always better to err on the side of caution when it comes to health concerns, especially those involving persistent pain.

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