Pelvic or Lower abdominal pain in the area below the bellybutton and between the hips, usually comes from organs within the abdominal cavity. Those organs include the reproductive organs, stomach, small intestine, colon, liver, gallbladder, spleen, and pancreas etc.
In women, the lowest portion of the abdomen is the pelvic area and involves the uterus, fallopian tubes, and ovaries.
The most common causes are acute or recurrent urinary disorder, such as bladder or kidney problems, a bowel problem or a problem with the reproductive system.
The pain in one or more of the following ways:
- Serious and steady.
- Mild, moderate or very severe
- Pain that comes and goes.
- Dull aching.
- Sharp pains or cramping.
- Pressure or heaviness deep within the pelvis.
- An urgent or frequent need to urinate.
- Bloating.
- Upset stomach.
- Constipation or diarrhea.
The pain also may happen:
- During sex.
- While having a bowel movement or urinating.
- When you sit or stand for a long time.
There are 3 probable causes of such pains.
- Pain arising from the urinary system.
Symptoms may include as burning when you pass urine and going to the toilet more often. The Infection can spread to the kidneys (pyelonephritis) and can make you feel unwell with an elevated temperature and back pain.
If you have pain that spreads from your back down to your groin and is severe – you may have kidney stones.
- Pain arising from the digestive system
Pain arising from the large intestine is a particularly common cause of lower abdominal pain in both men and women. Features suggesting your pain may be to do with the bowel:
- Pain associated with pooing
- A change in bowel habit
- Loss of blood when you poo
- Bloating with wind
- Both constipation and diarrhoea can give you pain.
This kind of pain comes and goes in waves. Potential causes of such pain can be;
- Irritable bowel syndrome (IBS), which can give you alternating diarrhoea, constipation and bloating.
- Diverticular disease and its complications which are more frequent in older patients. Inflammatory bowel disease i.e. ulcerative colitis etc.
- Bloating and swelling
- Pain arising from the reproductive organs
This type of pain can originate from your uterus (womb), Fallopian tubes or ovaries. It’s usually felt in the middle of the lower abdomen.
Pain that is felt more to the side can be more typical of a pain coming from the ovary.
Pain coming from the uterus is often worse during your period and is called dysmenorrhoea.
Examples of conditions of the reproductive organs include endometriosis, fibroids, pelvic inflammatory disease, ovarian cysts and problems related to the early stage of pregnancy such as a miscarriage or ectopic pregnancy (pregnancy outside the womb).
Appendicitis — When abdominal pain on the right side occurs and radiates to other areas of the stomach, it could be inflammation of the appendix. This is a condition that can get worse within a matter of hours.
Cystitis — This is a bladder infection that leads to symptoms of lower abdominal pain, pressure in the abdomen, a burning sensation when urinating, and frequent urination.
Pelvic inflammatory disease — An infection in the female reproductive organs can cause a lot of discomfort. The other symptoms include lower abdominal pain and back pain, pain during intercourse, pain when urinating, vaginal discharge, weakness, and fever.
Menstrual pain or PMS — During a woman’s monthly period, she could experience symptoms such as throbbing lower back pain and cramping.
Miscarriage – The loss of a foetus before the 20th week is called a miscarriage and it can cause pain in the lower abdomen. Symptoms include cramping, back pain, vaginal spotting and bleeding and the passing of fluid or tissue from the vagina.
Endometriosis — This is a condition where the uterine tissue grows outside the uterus, leading to pain. Cramping in the pelvis, pain in the lower back and abdomen, pain when urinating and excreting, as well as pain during a period can occur.
Fibroids — The non-cancerous growths in the uterus can include symptoms of pain and pressure in the pelvis, heavy periods, frequent urination, constipation, as well as pain in the back and legs.
Polycystic ovarian syndrome – This is a hormonal disorder seen in women of childbearing age. The symptoms often include pelvic pain, irregular periods, heavy periods, and excessive growth of facial and body hair.
Cancer — When the lower side of the abdomen has a cancerous growth, it can lead to mild or very sharp lower abdominal pain.
Kidney stone — Mild to severe lower abdominal pain under the ribs can occur when kidney stones form. This can also involve severe back pain.
Muscle and bone problems. joints and connective tissues can also lead to pelvic pain that keeps coming back. These problems include fibromyalgia, tension in pelvic floor muscles, swelling of the pubic joint or a hernia.
Cholecystitis — This is inflammation and swelling of the gallbladder, and it causes pain in the lower abdomen.
Ectopic pregnancy — This is a condition that can cause right or left abdominal pain and can be life threatening.
Intestinal obstruction — This happens when contents of the intestine that pass the lower bowl are blocked. This leads to severe abdominal pain.
Ovarian cysts – A sac or cyst on the ovary can lead to lower abdominal pain—these cysts are often benign.
Salpingitis — This is a sexual disease that can cause inflammation in a woman’s fallopian tubes.
Mental health risk factors. Depression, long-term stress, or a history of sexual or physical abuse may raise your risk of chronic pelvic pain.
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