Lower abdominal pain?
Hello Doctor: This morning I woke up in pain, initially thinking it was due to a urinary urgency.
However, after urinating, the dull pain persisted, including aching sensations in the penis and perineum (cramping pain), and the pain in the lower right abdomen gradually intensified.
By 4 AM, I planned to go to the emergency room, but once I arrived at the hospital and got out of the car, the pain stopped, so I didn't seek medical attention (the pain lasted for about an hour).
Could you please tell me what this condition might be? Thank you.
A De, 30~39 year old female. Ask Date: 2008/04/22
Dr. Liu Jianting reply Urology
Oh no! Since you're already at the hospital, even if you're not in pain, you should still let a doctor take a look.
Otherwise, it will be difficult to identify the "culprit." Your symptoms could potentially be caused by kidney stones or a urinary tract infection, so it would be best for you to go to the hospital.
Reply Date: 2008/04/22
More Info
Lower abdominal pain can be a complex issue, especially when it involves urological symptoms. Based on your description, it seems that you experienced a sudden onset of pain that was localized in the lower abdomen, including the penis and perineum, which later subsided before you could seek medical attention. This type of pain can be indicative of several potential urological issues, and understanding these can help in managing your health.
One possible cause of your symptoms could be a urinary tract infection (UTI). UTIs can cause a range of symptoms, including lower abdominal pain, urgency to urinate, and discomfort in the pelvic area. However, since you mentioned that the pain subsided after urination, it may not be the primary cause in your case. Another possibility is a condition known as acute prostatitis, which is an inflammation of the prostate gland that can cause severe pain in the lower abdomen, pelvic area, and even the lower back. Symptoms often include difficulty urinating, painful urination, and sometimes fever.
Additionally, testicular torsion is a serious condition that can present with acute pain in the lower abdomen and genital area. It occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This condition requires immediate medical attention, as it can lead to loss of the testicle if not treated promptly. However, since your pain resolved before you could seek medical help, this may be less likely.
Another potential cause could be a hernia, particularly an inguinal hernia, which can cause pain in the lower abdomen and groin area. This type of hernia occurs when tissue protrudes through a weak spot in the abdominal muscles. The pain can be intermittent and may worsen with certain activities or movements.
Muscle strain or spasm in the abdominal or pelvic region could also explain the pain you experienced. If you had engaged in any physical activity or unusual movements prior to the onset of pain, this could be a contributing factor. Stress and anxiety can also manifest physically, leading to muscle tension and discomfort in the abdominal area.
Given that your pain was transient and resolved on its own, it may not indicate a serious underlying condition. However, it is essential to monitor your symptoms closely. If you experience recurrent pain, changes in urination, or any other concerning symptoms, it would be prudent to consult a healthcare professional for a thorough evaluation. They may recommend tests such as urinalysis, ultrasound, or even a CT scan to rule out any significant issues.
In conclusion, while your symptoms may not point to an immediate medical emergency, they warrant attention if they persist or recur. Keeping a record of your symptoms, including their duration, intensity, and any associated factors, can be helpful for your healthcare provider in diagnosing and managing your condition effectively. Always prioritize your health and seek medical advice when in doubt.
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