Pain in the lower abdomen – 7 most common causes

Health Tips

If we talk about the causes of abdominal pain, then most often we are dealing with something from this list:

  1. Pain during ovulation – occur in the middle of the cycle, quickly pass (the stomach hurts for a maximum of one day). If we are talking about ovulation, accompanied by a large amount of fluid in the abdomen, the so-called. apoplexy, then the pain remains longer, it is poorly stopped by antispasmodics and analgesics. In this case, you have to consult a doctor.
  2. Pain with appendicitis – has nothing to do with the menstrual cycle and in general with anything else. It doesn’t go away during the day. Dull, increasing progressively, poorly removed or not removed at all with drugs. May be accompanied by nausea, diarrhea, mild fever.
  3. Intestinal spasm. As a rule, the cause of such pain can be malnutrition the day before. Often, but not necessarily, this pain is accompanied by diarrhea and stool changes. Such pain is successfully removed by antispasmodics and quickly passes. However, antispasmodics cannot relieve bloating; drugs of a separate series are intended for this. That is, therapy requires a combination of drugs for flatulence and antispasmodics: some remove gases, others relieve spasms. The dosage of any drugs should be calculated depending on body weight.
  4. Ectopic pregnancy. Suspicion of it may arise against the background of a delay in menstruation. To make an accurate diagnosis in this case, you need to see a doctor, donate blood for hCG and undergo an examination.
  5. Inflammation of the appendages. May be associated with hypothermia (for example, after a flight from a warm country to a cold one), as well as infection (for example, when changing sexual partners). In this case, painkillers will not help, you must consult a doctor and carry out antibiotic therapy.
  6. Cystitis. You are unlikely to confuse it with something: a very specific symptom is dull and slightly cutting pains in the very bottom of the abdomen, but they are associated with urination, that is, it can be pain at the beginning, middle or end of urination. Before contacting a doctor, antispasmodics and warm baths may temporarily help. Other self-help won’t work. Because all drugs that are prescribed by a doctor as basic therapy (uroseptics, antibiotics, diuretics) give a delayed effect (within 2-3 days).
  7. PMS. Pain before menstruation or on the first day of the menstrual cycle is associated mainly with spasm of the uterus itself and the tension of its ligamentous apparatus, which allows the organ to remain mobile. Normally, uterine spasm is associated with the physiological process of the release of menstrual blood. But even in this case, it is necessary to be examined by a gynecologist. If the doctor does not reveal pathologies, then this is an individual physiological norm. Often this is inherited: if the mother had painful periods, the daughter is more likely to have painful periods too. If menstruation was not painful, but became so, this is definitely not the norm and it is necessary to be examined.

Dangerous reasons

Obviously, even among the listed (frequent) reasons, there are those that can pose a real threat to health and even life. How to respond to them? Can I take painkillers before seeing the doctor?


Since ancient times, it was believed that taking painkillers hides the symptoms of appendicitis and makes it difficult to recognize it. This is not true. There are a number of tests that the surgeon performs to make sure that it is an appendicitis. In addition, the effect of the painkiller in such cases does not last very long, so there is no point in torturing yourself. However, the doctor must be warned which painkillers you have taken so that he knows that the symptoms are leveled. Appendicitis can turn into peritonitis, so the pain on the right in the lower abdomen cannot be tolerated for longer than a day.


Pain with adnexitis (inflammation of the ovaries) – cutting, shooting through the urethra, uterus (in the center). Pain usually begins on both sides, since adnexitis is usually bilateral. Only a doctor can determine the cause of the pain. There is nothing that distinguishes appendicitis from adnexitis. You can take medications, but be sure to tell your doctor about taking painkillers.

uterine fibroids

Fibroids themselves do not hurt, but give non-specific pain syndromes, as they can provoke pain and disturbances in the work of those organs that are under pressure. If it presses on the appendages, for example, on the side wall of the pelvis, then the pain will be there. Fibroids can cause constipation (if it presses on the rectum), urination disorders (if it grows forward). If it grows inside the uterus, there will be no symptoms. Also, pain can occur when there is a malnutrition in the node – they are similar to pain during menstruation and are treated only in a hospital.

Ectopic pregnancy

Pain in the lower abdomen often occurs in pregnant women. If it is known for sure that this is a uterine pregnancy and it is proceeding normally, you can not be afraid of them: we are talking about adhesions that every woman has. The uterus changes its position and pulls the ligaments. However, until an examination has been carried out and the suspicion of an ectopic pregnancy has not been removed, any pain is a reason for an immediate (without an appointment and outside the schedule) visit to a doctor.

Oncological diseases

In this case, the pain does not have a clear localization, it is spilled and non-specific. That is, the patient cannot say where and what exactly hurts, he talks about abdominal pain in general. They do not depend on anything, they can appear and pass. But they can manifest themselves in different ways and depend on what kind of diagnosis we are talking about and at what stage of development. Pain in the abdomen can be with any oncology. But every person has pain, and it is not necessary to suspect the worst every time.

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