Lower Abdominal Pain: Causes and Concerns for Women

Q: Lower Abdominal Pain: Causes and Concerns for Women

Dear Parent of Two： Hello, regarding your inquiry, we recommend scheduling an appointment with the obstetrics and gynecology department. <br>Thank you. <br>Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Lower abdominal bloating and pain?

I have had a history of cystitis, and recently I have been experiencing increased itching in the genital area.
During the day, I don't feel much discomfort, but at night, I start to feel a dull pain in my lower abdomen and a sensation of needing to urinate.
Although I do urinate, I still have that lingering feeling similar to my previous cystitis.
However, I don't experience this sensation during the day.
Could this be a sign of inflammation, overactive bladder, or possibly related to aging or degeneration? Is there any connection to the sympathetic and parasympathetic nervous systems? Thank you.

Er Bao Ma, 30~39 year old female. Ask Date: 2021/06/10

Dr. Lin Manying reply Obstetrics and Gynecology

Dear Parent of Two: Hello, regarding your inquiry, we recommend scheduling an appointment with the obstetrics and gynecology department.
Thank you.
Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Reply Date: 2021/06/10

More Info

Understanding lower abdominal pain in women can be complex, as it can stem from a variety of causes, ranging from benign to more serious conditions. Given your history of bladder infections and the symptoms you are currently experiencing, it is essential to consider several potential factors.

Firstly, the symptoms you describe—lower abdominal discomfort that intensifies at night, a persistent urge to urinate, and a sensation reminiscent of a previous bladder infection—could indicate a recurrence of a urinary tract infection (UTI) or cystitis. UTIs are common in women and can cause symptoms such as urgency, frequency, and discomfort in the lower abdomen. The fact that your symptoms are more pronounced at night may suggest that your bladder is more sensitive during this time, or it could be related to changes in your hydration levels throughout the day.

Additionally, the itching you mentioned could be indicative of a yeast infection or another type of vulvar irritation, which can sometimes accompany UTIs. Yeast infections are characterized by itching, burning, and sometimes a discharge, and they can occur more frequently in women who have had recurrent UTIs. It is important to differentiate between these conditions, as they require different treatments.

Your concern about whether this could be related to hormonal changes, especially as you approach menopause, is valid. Hormonal fluctuations can lead to changes in the vaginal flora and urinary tract, potentially increasing susceptibility to infections or causing symptoms like dryness and irritation. The autonomic nervous system, which includes the sympathetic and parasympathetic systems, plays a role in bladder function and can influence sensations of urgency and discomfort.

Given your symptoms and history, it is advisable to consult a healthcare provider for a thorough evaluation. They may recommend a urinalysis to check for signs of infection, as well as a pelvic examination to rule out other potential causes of your discomfort, such as pelvic inflammatory disease or ovarian issues. If a UTI is confirmed, antibiotics would typically be prescribed. If the symptoms are related to hormonal changes, your doctor may discuss options for managing those symptoms, which could include lifestyle modifications or hormonal therapies.

In summary, while your symptoms could be related to a recurrence of a UTI, they could also be influenced by hormonal changes or other underlying conditions. It is crucial to seek medical advice to obtain an accurate diagnosis and appropriate treatment. Keeping track of your symptoms, including their timing and any associated factors, can be helpful for your healthcare provider in determining the best course of action.

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