Pain in the Lower Abdomen: Causes and Next Steps

Q: Pain in the Lower Abdomen: Causes and Next Steps

In response to your question： Based on your symptom description, it seems that you do not experience pain in the lower abdomen under normal circumstances, but the pain arises after specific movements. <br>This could indicate chronic inflammation of the muscles or fascia near the

"There is pain in the muscle area from below the navel to the pubic region."

Hello Doctor: I have been experiencing occasional pain in the area "below the navel to the pubic region" for some time now.
I can feel it when I apply light pressure while standing.
I previously visited a rehabilitation specialist who mentioned that it is rare for someone to injure that area.
If the pain continues, he advised me to see an internist.
I saw an internist, and the doctor said that since it hurts when I touch it lightly, it should be a muscle injury! Since my urination and bowel movements are normal, the doctor concluded that there is no issue with the bladder or constipation, and it is likely a muscle problem.
During previous sexual activity, I experienced a "pop" sound in my lower abdomen multiple times during thrusting.
I didn't think much of it at the time, but later the pain started to appear.
Since it wasn't unbearable, I didn't pay much attention to it.
However, I noticed that the pain also occurs after masturbation.
I would like to ask the doctor: 1.
Where exactly am I injured, and which specialist should I see? 2.
Since I have seen a rehabilitation specialist who prescribed anti-inflammatory medication and muscle relaxants, but there seems to be no improvement, how should I communicate this to the doctor during my visit? Are there any specific tests that need to be done? Thank you, Doctor!

Billy, 20~29 year old female. Ask Date: 2007/11/20

Dr. Zheng Shunping reply Rehabilitation

In response to your question: Based on your symptom description, it seems that you do not experience pain in the lower abdomen under normal circumstances, but the pain arises after specific movements.
This could indicate chronic inflammation of the muscles or fascia near the deep pubic area.
Sometimes, medication may not provide significant relief.
It is recommended that you apply a warm compress to the painful area for 20 minutes in the morning and evening, and avoid excessive strain.
If there is no improvement, you may consider visiting a rehabilitation department for physical therapy.
If the condition persists, it is advisable to consult a urologist for further evaluation.

Reply Date: 2007/11/20

More Info

Understanding pain in the lower abdomen can be quite complex, as there are numerous potential causes for discomfort in that area. Based on your description, it seems that you are experiencing pain localized below the navel and above the pubic region, which can be indicative of several underlying issues.

1. Possible Causes of Pain:
- Muscle Strain: Given that you mentioned the pain is exacerbated by pressure and has persisted over time, it is plausible that you may have a muscle strain or injury in the abdominal region. This could be related to physical activities, including sexual intercourse, which you noted may have caused a "pop" sound. Such sounds can sometimes indicate a strain or tear in the muscle or connective tissue.

- Pelvic Floor Dysfunction: The pelvic floor muscles support the pelvic organs, and any dysfunction or strain in these muscles can lead to pain. This is particularly relevant if you have experienced discomfort during or after sexual activity.

- Nerve Irritation: Sometimes, irritation of the nerves in the lower abdomen can lead to pain sensations. This could be due to various factors, including muscle tightness or inflammation.

- Other Conditions: While you mentioned that urination and bowel movements are normal, it’s important to consider other potential causes such as hernias, endometriosis, or other gynecological issues, especially if you are female.

2. Next Steps:
- Consulting the Right Specialist: Given your symptoms, it would be advisable to consult a specialist in either physical medicine and rehabilitation (PM&R) or a gynecologist. A PM&R specialist can help assess muscle and nerve issues, while a gynecologist can rule out any reproductive system-related concerns.

- Communicating with Your Doctor: When you visit your doctor, it’s important to provide a detailed account of your symptoms. Explain the nature of the pain, when it occurs, any activities that exacerbate it, and any previous treatments you have tried. This information will help your doctor make a more accurate diagnosis.

- Potential Diagnostic Tests: Depending on your doctor’s assessment, they may recommend imaging studies such as an ultrasound or MRI to visualize the abdominal and pelvic structures. Blood tests may also be conducted to rule out infections or other systemic issues.

3. Management Options:
- Physical Therapy: If a muscle strain is confirmed, physical therapy may be beneficial. A physical therapist can provide exercises to strengthen the abdominal muscles and improve flexibility, which may alleviate pain.

- Pain Management: If inflammation is present, your doctor may prescribe anti-inflammatory medications or muscle relaxants. However, if these have not provided relief, it may be necessary to explore other pain management strategies.

- Lifestyle Modifications: Consider modifying activities that exacerbate your pain. Gentle stretching and strengthening exercises may help, but be cautious and avoid any movements that cause discomfort.

In conclusion, while muscle strain seems to be a likely cause of your pain, it is essential to rule out other potential issues through proper evaluation and diagnostic testing. Open communication with your healthcare provider about your symptoms and concerns will be key in finding an effective treatment plan. Remember, persistent pain should not be ignored, and seeking further evaluation is a proactive step towards recovery.

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