Lower Abdominal Pain: Is It Related to Urology? - Urology

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Lower abdominal pain?


Pain in the lower abdomen and on both sides of the pubic bone, especially worsened after drinking beer, with normal urination and no abnormalities found in urine tests.
Could this be related to urology? Thank you!

Xiao Chen, 40~49 year old female. Ask Date: 2001/01/16

Dr. Du Shixi reply Urology


Drinking beer has a temporary diuretic effect, which increases urine output and can naturally lead to a feeling of bloating or discomfort in the lower abdomen and pubic area.
This sensation is similar to what most people experience when they hold in their urine.
Since you are 40 years old, some men may already experience urinary difficulties due to benign prostatic hyperplasia (BPH), which can cause issues with urination or incomplete emptying of the bladder.
If this sensation occurs frequently, it is advisable to consult a urologist.

Reply Date: 2001/01/16

More Info


Lower abdominal pain can be a complex issue, especially when considering its potential relationship with urological conditions. Given your description of pain in the lower abdomen and suprapubic area, particularly exacerbated by drinking beer, it is essential to explore various factors that could contribute to your symptoms.

Firstly, the location of your pain is significant. Pain in the lower abdomen can arise from various sources, including gastrointestinal, urological, and musculoskeletal systems. Since you mentioned that your urinalysis results were normal, this suggests that there may not be an active infection or significant pathology within the urinary tract. However, it does not completely rule out urological issues, as some conditions may not present with obvious abnormalities in urinalysis.

One possibility is that your symptoms could be related to bladder irritation or inflammation. Alcohol, particularly beer, can act as a diuretic and irritant to the bladder, potentially leading to discomfort or pain during or after consumption. This could manifest as a sensation of pressure or pain in the lower abdomen, especially if there is an underlying condition such as interstitial cystitis or bladder overactivity.

Another consideration is the possibility of pelvic floor dysfunction. The pelvic floor muscles support the bladder and other pelvic organs, and tension or dysfunction in these muscles can lead to pain in the lower abdomen and pelvic region. This is particularly relevant if you experience pain during activities that involve the pelvic area, such as sitting for extended periods or engaging in physical activities.

Additionally, conditions such as prostatitis or chronic pelvic pain syndrome could also be contributing factors, especially in males. These conditions can lead to discomfort in the pelvic region and may not always present with typical urinary symptoms. The relationship between pelvic pain and urological health is well-documented, and it may be beneficial to consult with a urologist for a thorough evaluation.

Given the complexity of your symptoms and their potential overlap with both urological and gastrointestinal issues, it may be prudent to seek a multidisciplinary approach. A urologist can assess for any underlying urological conditions, while a gastroenterologist can evaluate for gastrointestinal causes. Furthermore, considering the impact of lifestyle factors, such as alcohol consumption, on your symptoms is essential. Reducing or eliminating alcohol intake may help determine if it is a contributing factor to your pain.

In summary, while your normal urinalysis results suggest that a significant urological issue may be less likely, the nature of your pain and its exacerbation with alcohol consumption warrant further investigation. Consulting with a urologist, along with considering a holistic approach that includes dietary and lifestyle modifications, may provide clarity and relief from your symptoms. It is essential to communicate openly with your healthcare providers about your symptoms and any changes you notice, as this will aid in developing an effective management plan tailored to your needs.

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