Abdominal Pain: Is It Menstrual or Gastrointestinal?

Abdominal distension, abdominal pain?

Recently, I visited a clinic due to dull pain in my lower abdomen.
The doctor diagnosed it as gastroenteritis, but the next day my menstrual period started, so I suspect that the discomfort might have been related to my menstruation.
However, on the fourth day of my period, I woke up feeling a noticeable soreness in my lower abdomen.
Around 8 AM, the soreness turned into intermittent pain that spread from my lower abdomen to my upper abdomen, both sides of my waist, and the lower back.
I also felt a tightness in my chest, and the pain lasted for about an hour.
Later, I went to the school health center to see a doctor, who said that the abdominal pain was related to my menstrual cycle and prescribed some painkillers.
After taking the medication, I did not experience the same level of pain for a few days, but I have been having frequent pain in my lower left abdomen, especially noticeable when walking.
It feels like a cramping pain that is not very intense, but sometimes I can feel a tightening sensation in that area.
Additionally, in recent days, whenever I eat, I feel the urge to use the restroom, but most of the time I can only pass a small amount, and when I exert pressure in my abdomen, I tend to pass gas more.
I would like to ask the doctor if the pain in my lower left abdomen is related to my gastrointestinal tract or my menstrual cycle.
Should I go to the hospital for an examination? Thank you very much for your time!

Rin, 10~19 year old female. Ask Date: 2023/04/27

Dr. Li Yanquan reply Internal Medicine

This issue involves both obstetrics and gynecology as well as gastroenterology, so it is recommended to consult both specialists.
Dr.
Li Yanqian.

Reply Date: 2023/04/27

More Info

Understanding abdominal pain can be quite complex, especially when it involves multiple potential causes such as menstrual issues and gastrointestinal problems. Based on your description, it seems that you are experiencing a combination of symptoms that could be linked to both your menstrual cycle and gastrointestinal health.

Firstly, the area below the navel, known as the lower abdomen, houses several organs, including parts of the intestines, the bladder, and in females, the reproductive organs such as the uterus and ovaries. Pain in this region can arise from various sources, including menstrual cramps, gastrointestinal disturbances, or even urinary tract issues.

From your account, it appears that your initial pain was attributed to gastroenteritis, which is inflammation of the stomach and intestines, often caused by infections. However, the timing of your menstrual cycle is crucial here. Menstrual cramps, or dysmenorrhea, can cause significant discomfort and may sometimes mimic gastrointestinal pain. The fact that your pain intensified around the time of your menstrual period suggests that it could indeed be related to your menstrual cycle.

The subsequent symptoms you described, such as the pain radiating from the lower abdomen to the upper abdomen, sides, and back, along with feelings of tightness and the urge to use the restroom after eating, could indicate a few possibilities:
1. Menstrual Cramps: These can cause referred pain in the lower back and abdomen. The hormonal changes during your menstrual cycle can lead to increased sensitivity and cramping.

2. Gastrointestinal Issues: The sensation of needing to use the restroom frequently after eating, along with the tightness and pain in the left lower abdomen, may suggest a gastrointestinal condition such as irritable bowel syndrome (IBS) or even constipation. IBS is characterized by abdominal pain and changes in bowel habits, which can be exacerbated by stress or dietary factors.

3. Ovarian Issues: Conditions such as ovarian cysts or endometriosis can also cause localized pain in the lower abdomen, particularly around the menstrual cycle. These conditions can lead to pain that feels different from typical menstrual cramps.

Given the complexity of your symptoms and their impact on your daily life, it would be prudent to seek further medical evaluation. A healthcare provider can perform a thorough examination, which may include a pelvic exam, abdominal palpation, and possibly imaging studies like an ultrasound to assess for any underlying issues with the reproductive organs or gastrointestinal tract.

In summary, while your symptoms may be related to your menstrual cycle, the persistent nature of the left lower abdominal pain and the gastrointestinal symptoms warrant further investigation. It is essential to communicate all your symptoms clearly to your healthcare provider, as this will assist them in making an accurate diagnosis and developing an appropriate treatment plan. If the pain worsens or if you experience additional symptoms such as fever, vomiting, or significant changes in bowel habits, do not hesitate to seek immediate medical attention. Your health and well-being are paramount, and addressing these symptoms early can lead to better outcomes.

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