Subscribe To This Site
XML RSS
Add to Google
Add to My Yahoo!
Add to My MSN
Subscribe with Bloglines

Home
Causes
Upper Abdo Pain
Central Abdo Pain
Lower Abdo Pain
Right Side Pain
Left Side Pain
In Females
In Pregnancy
In Children
Investigations
Treatments
Medications
Free Newsletter
Doctor Online
Feedback Answers
Abdopain Blog
Forum
The SHOP
Contact Us

Lower Abdominal Pain


Lower abdominal pain is any discomfort or annoying sensation rising or occurring in the abdomen at a level below the belly button or umbilicus.

Such pain could be on the right lower abdomen or on the left lower abdomen. It could also be directly just below the belly button or umbilicus in the mid line, also called suprapubic pain.

It is a fairly common problem, especially in women, because of the presence of the womb, tubes and ovaries in this region of the abdomen, in addition to the other organs found in men.

Appendicitis, bladder infection or cystitis, pelvic inflammatory disease, menstrual or period pain, ectopic pregnancy, miscarriage, irritable bowel syndrome, endometrosis, diverticulitis, urine tract infection, fibroids, polycystic ovarian syndrome, lower ureteric stones, and constipation are the most common causes of lower abdominal pain.

Other causes of pain in the lower abdomen include intestinal gas or trapped wind, celiac disease, ulcerative colitis, crohn's disease, bowel polyps, bowel cancer, cancer of the womb or fallopian tubes, premenstrual syndrome and pelvic pain syndrome.

Like in other parts of the abdomen, an understanding of the position of the various organs lying in various regions of the lower abdomen will help shed more light on what could go wrong in the lower abdomen.


Lower Right Abdominal Pain

On the right of the lower abdomen are the appendix, caecum, first part of the large bowel (called ascending colon), the lower pole of the right kidney, lower edge of a large liver, the right ovary, fallopian tube and part of the womb, small intestines, blood vessels, lymph nodes muscles, bones and skin in that area.

The most common causes of lower abdominal pain on the right side of the body occurs if there is problems (such as injury, infection, inflammation, twisting, retention of wind, tumors or cancer involving any of the above mentioned organs. Severe anxiety too could cause pain in the lower abdomen.

Let's briefly go through possible individual causes of lower right abdominal pain here:

Appendicitis?

Do you have any of these symptoms:

  • Pain in the right lower abdomen that came on within the last few days?
  • Is the pain always present?
  • Does movement or direct pressure to the abdomen worsen the pain?
  • Do you feel like vomiting, or have you actually vomited after the pain started?
  • Is your appetite now poor?
  • Any fever - feeling of hot and cold?
If you have more than half of the above symptoms, you most likely have appendicitis, especially if your appetite has also gone off with pain in the lower right abdomen. Contact your doctor now or go to your local Emergency Department.

You can learn more about lower abdominal pain caused by appendicitis here.

Ovarian Cyst?

Are you a lady between ages 12 to 59? Do you have any of the following:

  • Sudden onset pain in the right lower abdomen?

  • Moderate to severe in intensity?

  • Does the abdominal pain spread to your thigh?

  • Do you feel sick, sweaty and feel like passing out (faint)?

  • Are you bending over with the pain?
You might have had a ruptured or twisted ovarian cyst.

Kidney Stone?

Did you just wake up with severe pain on your right side?
  • Will you describe the pain as been perhaps the most severe pain ever (7-8/10 on a scale of 0 -10)?
  • Did the pain start from your upper flank or loin and spread along the right side to your lower abdomen?
  • Are you feeling the urge to vomit... or actually vomited?
  • Did you find yourself moving from one position to the other trying to seek a position of comfort or perhaps pacing in the room?
Oh. It sounds like you have a kidney stone. Get onto the telephone now and call an ambulance! Kidney stone is a common cause of lower abdominal pain, though the pain does not usually originate from the lower abdomen. Please follow this link to find out more causes of lower abdominal pain on lower right abdominal pain .


Lower Central Abdominal Pain

Lower abdominal pain just under the navel or umbilicus is more common with women. This is because, in addition to the urine bladder found there, the uterus or womb, upper part of the cervix and vagina, parts of the fallopian tube are also located there in women.

Other structures that could also be found in the lower middle abdomen include parts of the bowels, muscles and skin in the region, and deep in the back are the large blood vessels and lower part of the spine (also called lumbar vertebrae).

Common specific causes of central lower abdominal pain include:

  1. Urine Tract Infection (or UTI)
  2. Cystitis
  3. Bladder Cancer
  4. Menstrual pain
  5. Miscarriage
  6. Pelvic Inflammatory Disease (or PID)
  7. Endometrosis
  8. Endometritis
  9. Endometrial Cancer
  10. Fibroids
  11. Adhesions if you have had previous abdominal surgery
  12. Trapped wind or Intestinal gas
  13. Constipation
  14. Lactose Intolerance
  15. Ruptured Abdominal Aneurysm (or AAA)
  16. Anxiety
  17. Twisted testicles in the male

Lets take a look at three common causes of lower abdominal pain from the above list.

Urine Tract Infection?

Have you been having this dull vague lower abdominal pain just below your navel?

  • Hate you also noticed that you go to the pass urine more often than you normally would?
  • Any pain or burning sensation on passing urine (does it hurt or sting when you pass urine)?
  • Do you feel hot and cold sometimes?
  • Do you feel like vomiting?
You will need to check out your urine. You can order a home testing kit to check if urine infection (also called bladder infection or cystitis) is the cause of your lower abdominal pain. Home Health Testing® - FDA approved home urinary tract infection tests is a popular urine infection test kit. If it suggests that you do have urine infection, you will need urgent treatment. If you are in the UK, please see your G.P immediately if you have those symptoms, or go to your local Emergency department.

Pelvic Inflammatory Disease?

Are you a woman of child bearing age? Sexually active? Do you have lower abdominal pain pain in the middle?
  • Has this pain been nagging for some time now?
  • Any unusual vaginal discharge?
  • Any pain during sex, deep inside you?
  • Have you noticed any change with your menses?
You may be having a pelvic inflammatory disease also called PID.

Fibroids?

Are you a lady in the age bracket of 13 to 59? Having lower abdominal pain?

  • Are you from an Afro Caribbean extraction (black lady?), or Asian? (Fibroids could occur in Caucasians - white women too, but more in women of Afrocaribbean heritage)
  • Does your pain come on with a very heavy menstrual bleeding?
  • Do you sometimes feel heavy under your lower abdomen (this is a late sign in large fibroids)?
You may need an ultrasound scan to confirm if you do have what doctors call fibroids or womb stone.

Follow this link to see more causes of lower central abdominal pain.



Lower Left Abdominal Pain

Lower left abdominal pain is more common than right or central lower abdominal pain. Common causes of pain in this region include:

  1. Irritable bowel syndrome (ibs)
  2. Diverticulitis
  3. Constipation
  4. Ulcerative Colitis
  5. Crohns disease
  6. Coeliac disease
  7. Lactose intolerance
  8. Left kidney stone
  9. Left ovarian problem
  10. Left ectopic pregnancy
  11. Miscarriage
  12. Endometrosis
  13. Bowel cancer
  14. Hernia
  15. Epiplocitis
  16. Abdominal Aortic Aneurysm

These could arise from the lower pole of the left kidney, descending part of the large bowel and coil of small intestines, sigmoid colon, rectum, left ureter, left fallopian tube, left ovary, part of the uterus - left margin, the aorta, muscles, and skin overlying this region.

Again, let see how a few of the above causes of lower left abdominal pain presents.

Irritable Bowel Syndrome?

Suffering with lower left abdominal pain?
  • Is this a cramping abdominal pain?
  • Do you also feel bloated often?
  • Often constipated?
  • Have you noticed that certain food items worsen your pain?
  • Are you a young to middle man or woman?
  • Have the doctors been unable to find what is causing your pain despite numerous tests?
You may be having irritable bowel syndrome.

Sometimes, lactose intolerance could also present like this. The difference is that you tend to have diarrhoea, abdominal pain and bloating after taking food contain milk.

Irritable bowel syndrome is a diagnosis of exclusion (meaning that every thing else that could cause this type of problem needs to be checked and excluded before the tag of ibs can be suggested). It is therefore imperative that you see your doctor to examine you and make that diagnosis.

If you are keen on finding out by yourself if you have lactose intolerance, or some form of food allergy, then get YORKTEST Kit online to check your food tolerance status.

Ectopic Pregnancy?

Are you are lady of child bearing age?Just missed your menses (period)? Or did you have your menses within the last 4 to 12 weeks? Do you also have lower abdominal pain?

  • Are you also bleeding from the vagina?
  • The pain and the bleeding, which started first? Is it the pain, then bleeding?
  • Any dizziness or shoulder tip pain? Feeling fainty?
  • Is the pain more to one side of the lower abdomen?

If you answered yes to more than two of the above questions, you may be having an ectopic pregnancy that has ruptured or a miscarriage. You need to call an ambulance immediately and be taken to the hospital. Please do not delay. If it a ruptured ectopic pregnancy, delay may be deadly.

We have dealt with a few of the more common causes of lower abdominal pain in men and women.

Please for more information on causes of lower left abdominal pain, click here.

We hope you found our page on lower abdominal pain useful!

You are welcome to please post your experience with low abdominal pain below for other users of this site to learn from.








Have A Great Story About Lower Abdominal Pain?

Do you have a great story about this? Share it!

Enter Your Title?

Tell Us Your Story! [ ? ]

Upload A Picture (optional) [ ? ]

Add Picture Caption (optional) 

Author Information (optional)

To receive credit as the author, enter your information below.

Your Name

(first or full name)

Your Location

(ex. City, State, Country)

Submit Your Contribution

Check box to agree to these submission guidelines.


(You can preview and edit on the next page)





footer for lower abdominal pain page