Lower Abdominal Pain: Symptoms and When to Seek Help

Lower abdominal pain

Is there a bone in the front of the lower abdomen? I previously felt something hard on both sides when I pressed, but pressing on the right side caused pain.
After that, the pain symptoms have persisted whether I am lying down or sitting.
What could this be? Should I get it checked?

Yuan, 20~29 year old female. Ask Date: 2020/03/30

Dr. Chen Shidian reply Gastroenterology and Hepatology

You may first apply a local heat compress and observe.
If discomfort persists, you can visit a family medicine or gastroenterology clinic.

Reply Date: 2020/03/30

More Info

Lower abdominal pain can be a complex issue, as it may arise from various underlying conditions. The abdomen is home to many vital organs, including parts of the gastrointestinal tract, the urinary system, and reproductive organs, particularly in females. Understanding the nature of your pain, its location, and associated symptoms is crucial in determining the potential causes and whether you should seek medical attention.

To address your specific question about whether there are bones in the lower abdomen: the lower abdomen does not contain bones in the same way that other parts of the body do. However, the pelvic bones, which include the pubic bone, ilium, ischium, and sacrum, form the bony structure of the pelvis and can be felt in the lower abdominal area. When you press on your abdomen and feel hardness, it could be due to muscle tension, fat deposits, or underlying organs rather than bone.

Given that you mentioned experiencing pain on the right side upon pressing, this could indicate several potential issues. Some common causes of right-sided lower abdominal pain include:
1. Appendicitis: This is an inflammation of the appendix and is often characterized by sharp pain that starts around the navel and then moves to the lower right abdomen. Accompanying symptoms may include nausea, vomiting, and fever.

2. Ovarian Issues: In females, conditions such as ovarian cysts, ovarian torsion, or ectopic pregnancy can cause significant pain in the lower abdomen, particularly on one side.

3. Hernia: An inguinal hernia can occur when tissue protrudes through a weak spot in the abdominal muscles, often causing pain and discomfort, especially when lifting or straining.

4. Gastrointestinal Issues: Conditions such as diverticulitis, irritable bowel syndrome (IBS), or constipation can lead to localized pain in the lower abdomen.

5. Urinary Tract Issues: Infections or stones in the urinary tract can also cause pain in the lower abdomen, often accompanied by urinary symptoms.

Since you are experiencing persistent pain regardless of your position (sitting or lying down), it is advisable to seek medical attention. A healthcare provider can perform a thorough evaluation, including a physical examination and possibly imaging studies (like an ultrasound or CT scan) to determine the cause of your pain.

In summary, while there are no bones in the lower abdomen itself, the pain you are experiencing could be due to various underlying conditions. Given the persistence and nature of your symptoms, it is essential to consult a healthcare professional for a comprehensive assessment. Early diagnosis and treatment can help prevent complications and improve your overall well-being.

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