Lower abdominal pain in women: 15 possible causes and treatments

lower abdominal pain causes

Lower stomach agony can demonstrate a progression of issues. Read our guide to figure out what could be causing your pain.


Lower stomach torment in ladies for the most part alludes to agony, distress, or spasms beneath the gut button. From appendicitis to period cramps, there are a variety of potential causes for lower abdominal pain in women and therefore the right treatment depends on the right diagnosis.

Here check out 15 possible causes of lower abdominal pain in women, so you recognize when to succeed in for the recent bottle or when to call your doctor:

What is lower abdominal pain?

When we mention lower abdominal pain, we generally mean pain that you simply feel below the extent of your belly button. It can emerge out of any of the tissues and organ frameworks around there, which is the reason it is regularly confounding. Pain that is extremely low down is termed pelvic pain but we’ll be including it as lower abdominal pain for this guide.

Describing your lower abdominal pain

When a doctor asks you about your pain. They’re going to want to understand where exactly you’re feeling the pain. This will be a useful indicator of what the cause could be.

They’ll also want to understand how long you’ve had the pain, the severity, and therefore the nature of the pain; is it coming or going, or is it continuous? they’re going to ask you to explain how the pain feels, is sharp, dull, crampy, or burning for instance.

Associated symptoms like diarrhea, vomiting, and urinary symptoms can all help to differentiate the cause so your doctor will question you about these also.

15 potential reasons for lower stomach torment in ladies

We’ll investigate the reasons for lower stomach torment by their area to shape it simpler to sort out what’s causing your agony.

Pain around the belly button

If you experience pain around the belly button (peri-umbilical) it might be one among the following:

  • Early appendicitis

Inflammation of the appendix is usually initially felt around the belly button. It’s going to come and go and gradually move to the proper side. It gets more extreme more than 24 hours and is more terrible on development. You’ll feel nauseated, have slight loose stools and a temperature. Surgery is usually required to get rid of an inflamed appendix so don’t wait for the reception. If you think that this might be the diagnosis.

  • Stomach ulcers

Conditions of the stomach lining like inflammation (gastritis) or ulcers could also be felt within the center of your abdomen. The pain is usually burning in nature. Nausea, indigestion, belching and even vomiting are common. Blood within the vomit or black, tar-like stools are worrying signs and wish urgent assessment. Treatment to prevent acid production and ease pain are required so see your doctor.


Pain just above the pubis

If you experience pain just above the pubis (supra-pubic) it might be one among the following:

  • Bladder pain

Bladder pain is usually a coffee central pain. Squeezing and consuming during or after passing pee may demonstrate a disease. With a urine infection, you would possibly get to choose a wee more often, notice blood in your urine, and feel tired and sick. If your symptoms aren’t settling with many fluids, then you would like to ascertain your doctor for possible antibiotics. Bladder stones can cause pain during this area too with a sharper, more severe pain and difficulty passing urine.

  • Period pain

Crampy, low, central pain is typical of menstrual pain (dysmenorrhoea) although it’s going to radiate across to the edges too. Period pain can start within the days leading up to bleeding commencing but usually eases up after a couple of days of blood loss. Pain killers from the pharmacist, a predicament bottle and delicate exercise can all help.

  • Pelvic disease (PID)

An infection in your womb, tubes, or ovaries is often quite mild with occasional pain or more severe with intense pain and fever. Other symptoms include discolored discharge, bleeding unexpectedly, and pain when having sex (dyspareunia) or passing urine. 1 / 4 of cases are thanks to a sexually transmitted infection so a full sexual health screen is required if this is often an opportunity. Attend your local sexual health clinic or GP if you think that you’ve got PID.

Pain on one side

Now and then low stomach torment is felt on one side. It is often anywhere from just beside of your belly button, right right down to your groin, and will be one among the following:

  • Ovulation pain

Also referred to as mittelschmerz, this sharp pain can occur when your ovary is releasing an egg within the middle of your cycle, so about a fortnight before your period. It’s going to get on the proper or the left side, counting on which ovary is releasing an egg that month. Although it is often severe, it’s usually short-lived and is normal and not harmful.

  • Ovarian cysts

Ovarian cysts are rarely painful. Most will get away on their own and it’s as long as they become particularly large, twist, or rupture that they produce pain. You would possibly experience bloating, pain during sex, or got to keep passing urine frequently. Thankfully only a little minority of ovarian cysts are cancerous and this is often usually in women who are through menopause. you ought to see your doctor however if you think that you’ll have a cyst.

  • Ectopic pregnancy

This is where a fertilized egg doesn’t make it as far because the womb and tries to grow a fetus within the Fallopian tube. The pregnancy cannot continue and surgery is usually required to get rid of it. If left untreated extrauterine pregnancy can pose a threat to the mother’s life also as her future fertility. If you’ve got low one-sided abdominal pain and have missed your period or think you’ll be pregnant then you ought to see a doctor as soon as possible.

  • Endometriosis

Tissue from the liner of the womb (endometrium) is usually found elsewhere within the abdomen and pelvis and causes pain when it bleeds during menstruation. This pain could also be central and generalized but because the ovary and fallopian tubes are common sites for endometriosis then pain is usually one-sided. Treatments include pain killers, hormonal therapies, and surgery.

  • Appendicitis

As mentioned above, the pain from appendicitis can start centrally but usually settles low down on the proper hand side of the abdomen where the appendix is found. It hurts to press during this area and is additionally worse once you cough, sneeze or move.

  • Pyelonephritis

Infection during a kidney gives pain on one side which can originate from or spread through to your back. you’ll have urinary symptoms like pain on weeing, have blood in your urine, and feel generally unwell. It’s common to feel nauseated, vomit, and have heat. These infections are usually bacterial and need antibiotics so don’t delay seeing your doctor.

  • Muscular pain

It’s easy to forget that an easy muscle strain can cause pain within the abdomen. The pain is often quite severe when the muscle is moved so consider it if you’ve got been understanding or the pain features a muscular feel thereto. Hot showers and torment executioners will as a rule settle solid torments.

  • Generalized pain

Lots of conditions produce more of an everywhere pain which doesn’t seem to specialize in one location, and will be one among the following:

  • Constipation

A common explanation for abdominal pain and sometimes related to nausea, loss of appetite, and bloating. The pain is usually everywhere but could also be felt on the left side where the massive bowel descends to the rectum. Treatment involves drinking many fluids, taking exercise, and eating fibrous foods. Speak to your pharmacist about laxatives if you’re struggling to urge your bowels to work.

  • Irritable Bowel Syndrome (IBS)

Pain from IBS is often anywhere in your abdomen and is usually related to bloating, constipation or diarrhea. They are often constant or colicky (in waves). IBS may be a future condition and treatment focuses on spotting triggers like stress and learning to manage the condition through diet and a healthy lifestyle.

  • Gastroenteritis

Infections of the bowel like viruses and gastrointestinal disorders can cause generalized abdominal pain. It is often a dull ache but often crescendos and cramps up before episodes of diarrhea, vomiting, or both. Most bouts of gastroenteritis settle during a few days and therefore the priority for treatment is to avoid dehydration so small amounts of fluids often are suggested. If you’re concerned you’re getting dehydrated or your symptoms are becoming worse or not settling after every week then see your doctor.

Abdominal pain examination and investigations

Your doctor will have an honest idea of what could be causing your pain after taking note of your description and asking questions. They’re going to usually examine your abdomen too to ascertain if there’s any pain on pressing on certain areas of your tummy and to see for any lumps.

They may be ready to offer you a diagnosis and recommend treatment. But if any longer clarification is required then further tests are going to be arranged. These will vary consistent with what condition is suspected but may involve:

  • Taking urine, stool, or blood samples
  • Taking vaginal swabs
  • Arranging a scan of your abdomen
  • Possibly referring you to a specialist

It is often a difficult business deciding exactly what the explanation for lower abdominal pain is so do make a meeting if you’re concerned and always return to your doctor if your symptoms aren’t resolving.

When to ascertain a doctor for lower abdominal pain

Rather than trying to diagnose your pain, if you’ve got any of the subsequent symptoms then see your doctor as soon as possible:

  • Severe pain
  • Pain that continues to urge worse
  • A heat
  • Blood in your crap – either new or dark and foul
  • Pain once you are pregnant or think you’ll be Inability to steer around thanks to the pain
  • Recurrent vomiting especially if there’s blood in your vomit
  • A persistent change in your bowel habit



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