Bladder Issues: Causes and Relief for Lower Abdominal Pain - Urology

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Bladder issues


I have been experiencing frequent lower abdominal bloating and pain lately, along with a constant urge to urinate, but only producing a small amount each time.
I initially thought the abdominal pain was due to ovulation, but it has persisted for about five days.
I would like to inquire about what the possible issues might be and what relief methods are available.
Thank you for your response!

Chen, 20~29 year old female. Ask Date: 2021/05/02

Dr. Du Shixi reply Urology


Hello: 1) It is still recommended to seek medical attention for a urine test.
2) First, drink plenty of water; if you work indoors, aim for at least 2000cc/day.
Avoid drinking beverages.
Wishing you good health.

Reply Date: 2021/05/02

More Info


Lower abdominal pain, especially when accompanied by frequent urges to urinate with little output, can be indicative of several underlying issues. Given your symptoms, it is essential to consider various potential causes, including urinary tract infections (UTIs), bladder irritation, or even gynecological conditions such as ovarian cysts or endometriosis.

Possible Causes
1. Urinary Tract Infection (UTI): One of the most common causes of lower abdominal pain and increased urinary frequency is a UTI. This condition occurs when bacteria enter the urinary tract, leading to inflammation and discomfort. Symptoms often include a burning sensation during urination, cloudy urine, and sometimes fever.

2. Bladder Irritation: Conditions such as interstitial cystitis (IC) can cause chronic bladder pain and frequent urination. IC is characterized by bladder pressure, bladder pain, and sometimes pelvic pain, which can be exacerbated by certain foods or stress.

3. Ovarian Cysts: In females, ovarian cysts can lead to lower abdominal pain, especially if they rupture or become large. They can also cause changes in menstrual cycles and may lead to discomfort during urination if they press on the bladder.

4. Endometriosis: This condition occurs when tissue similar to the lining inside the uterus grows outside of it, often leading to significant pain, especially during menstruation. It can also cause bladder-related symptoms if the endometrial tissue affects the bladder.

5. Gastrointestinal Issues: Sometimes, gastrointestinal problems such as constipation or irritable bowel syndrome (IBS) can manifest as lower abdominal pain and may also affect urinary habits.


Relief Methods
1. Hydration: Drinking plenty of water can help flush out bacteria if a UTI is present and can also dilute urine, which may alleviate some discomfort.

2. Heat Therapy: Applying a heating pad to the lower abdomen can help relax muscles and reduce pain.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation.

4. Dietary Adjustments: Avoiding irritants such as caffeine, alcohol, and spicy foods may help reduce bladder irritation.

5. Consult a Healthcare Provider: Given that your symptoms have persisted for five days, it is crucial to consult a healthcare provider for a thorough evaluation. They may recommend a urinalysis to check for infection, an ultrasound to assess for ovarian cysts, or other diagnostic tests based on your symptoms.


When to Seek Immediate Care
If you experience severe pain, fever, blood in your urine, or any other concerning symptoms, it is essential to seek medical attention promptly. These could be signs of a more serious condition that requires immediate intervention.

In summary, while lower abdominal pain and urinary frequency can stem from various causes, identifying the underlying issue is crucial for effective treatment. Consulting with a healthcare professional will provide you with the best course of action tailored to your specific situation.

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