Lower Abdominal Pain: Is It Related to Constipation?

Lower abdominal pain issues?

Hello Doctor, about two years ago, I suddenly experienced severe pain in the lower abdomen, just below the navel.
I sometimes have constipation.
I went to the emergency room, where the doctor performed an X-ray and a urinalysis, but no abnormalities were found.
They only prescribed a stool softener.
Over the past two years, I have had similar episodes about once or twice a year, but I haven't seen a doctor since then.
After the lower abdominal pain, I don't experience cramping, but walking or moving my body causes pain in the lower abdomen.
However, this sensation disappears the day after the abdominal pain.
Could this be related to constipation? Or do I need to go to the hospital for further examination? Thank you!

Tina, 20~29 year old female. Ask Date: 2010/12/22

Dr. Sun Yizhen reply Internal Medicine

Hello Tina, please come to the outpatient clinic for a clinical evaluation.
Thank you! Wishing you well.

Reply Date: 2010/12/22

More Info

Lower abdominal pain can be a perplexing symptom, and it often raises questions about its underlying causes, especially when it is recurrent and associated with constipation. Based on your description, it seems that you have experienced episodes of severe pain in the lower abdomen, particularly below the navel, which has been linked to episodes of constipation.
Constipation can indeed be a significant factor contributing to lower abdominal pain. When stool builds up in the intestines, it can lead to increased pressure and distension in the bowel, causing discomfort and pain. This pain can manifest as cramping or sharp sensations, particularly when the bowel is distended or when there is an attempt to pass stool. In some cases, the pain may also radiate to other areas, such as the lower back or pelvis, due to the interconnected nature of the body's musculature and nerve pathways.

Your experience of having severe pain that resolves after a bowel movement or with the use of laxatives suggests that there may be a functional component to your symptoms. Functional gastrointestinal disorders, such as Irritable Bowel Syndrome (IBS), can present with abdominal pain that is often relieved by defecation. IBS is characterized by a combination of symptoms, including abdominal pain, bloating, and changes in bowel habits, which can include constipation or diarrhea.

However, it is essential to consider other potential causes of lower abdominal pain, especially since you mentioned that you have had episodes of severe pain that required emergency care. While constipation is a common cause, other conditions such as appendicitis, diverticulitis, ovarian cysts (in females), or even urinary tract infections can present with similar symptoms. Given that you have had imaging studies (X-rays) and urinalysis that did not reveal any abnormalities, it may be reassuring, but it does not entirely rule out other conditions.

If your abdominal pain persists or worsens, or if you experience additional symptoms such as fever, vomiting, changes in bowel habits, or blood in your stool, it is crucial to seek medical attention. A healthcare provider may recommend further evaluation, which could include additional imaging studies (such as an ultrasound or CT scan), blood tests, or a referral to a gastroenterologist for specialized care.

In the meantime, managing your constipation through dietary changes (increasing fiber intake), staying hydrated, and regular physical activity can be beneficial. Over-the-counter laxatives can also help, but they should be used judiciously and not as a long-term solution without consulting a healthcare provider.

In summary, while your lower abdominal pain may be related to constipation, it is essential to remain vigilant for other potential causes. If your symptoms continue or change, a thorough evaluation by a healthcare professional is warranted to ensure that any underlying issues are appropriately addressed.

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