Gastrointestinal diseases
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| Consultation visit, 20 min Price per visit. | from 95,80 € Without Kela reimbursement from 103,80 € Price estimate from 95,80 € Without Kela reimbursement from 103,80 € | Price per visit. |
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Published 10/10/2024
The intensity and sensations of lower abdominal pain can vary greatly. The pain can be mild or severe, aching, sharp or shooting, or it may come and go. Lower abdominal pain often subsides on its own, but sometimes the pain may require further examination.
Sometimes, lower abdominal pain may be localised to only one side of the body. This may indicate that the cause of the pain is located on the same side as the pain. Pain in the lower left-hand side of the abdomen may be caused by inflammation of pouches in the large intestine, also known as diverticulitis, and pain in the lower right-hand side of the abdomen may be a sign of appendicitis.
The early stages of pregnancy usually involve mild pains in the lower abdomen, but pain may also be a sign of an ectopic pregnancy. If the pain is severe or accompanied by bleeding, an ultrasound is always necessary to assess the pregnancy.
If the lower abdominal pain is severe or if it is accompanied by symptoms suggestive of, for example, abdominal inflammation or internal bleeding, you should seek urgent medical attention. The symptoms may also be caused by a gynaecological or other abdominal tumour that requires urgent treatment.
In order to determine the cause of the pain, a gynaecological examination is performed, including a transvaginal ultrasound. The ultrasound provides a clear image of the uterus, ovaries and the surrounding areas. The ultrasound can also help discover any cysts or tumours in the ovaries or fibroids in the uterus and examine various pregnancy-related issues.
When an inflammation is suspected, physicians often order chlamydia, gonorrhoea, CRP and urine tests. If there is a chance of pregnancy, a pregnancy test is also performed.
A Pap smear is rarely necessary for acute pain in the lower abdomen but can be ordered in the event of a long-term ailment if the previous smear test was taken more than 1–2 years ago.
Unclear cases may sometimes call for an MRI scan of the lower abdomen.
If the pain does not seem like a solely gynaecological issue, the gynaecologist cooperates with other specialists to find out the cause.
The correct treatment of lower abdominal pain depends on the cause of the pain. The likely cause of pain in the lower abdomen is usually discovered at the first appointment and the best treatment can be started without delay. Sometimes, however, the pain or the symptoms may require emergency care.
Endometriosis
A gynaecological disease in which tissue that resembles the endometrial mucosa exists outside the uterus.
human papilloma virus (HPV)
a good tendency to heal, but it should be monitored so that the infection does not persist and progress to cancer.
Ovarian cyst
An ovarian fluid-filled sac is often harmless and asymptomatic, but may sometimes require surgery.
Pelvic inflammatory disease
Abdominal pain, foul-smelling vaginal discharge and fever.
Urinary tract infection
A need to urinate frequently and a burning sensation or pain when urinating.
Lower abdominal pain in women can be caused by various conditions, such as gynaecological diseases, bowel disorders or urinary tract infections.
The most common causes of lower abdominal pain in women are:
Pain in the lower left-hand side of the abdomen may be caused by inflammation of pouches in the large intestine, also known as diverticulitis, and pain in the lower right-hand side of the abdomen may be a sign of appendicitis.
Pain can sometimes be felt not only in the lower abdomen, but also in the upper abdomen. This may indicate that the pain is caused by something other than a gynaecological condition. Pain in the upper abdomen may result from acid reflux or gallstones. Sometimes, spinal diseases may cause radiating pain in the abdominal area. It is advisable to consult a physician for a correct diagnosis.
Lower abdominal pain is dangerous if it is accompanied by bleeding, fever, nausea or vomiting, or if the pain is sudden and very severe. If you have these symptoms, please seek urgent medical attention.
Yes, lower abdominal pain can be one of the symptoms of pregnancy, especially in early pregnancy. If you suspect that you are pregnant and have lower abdominal pain, it is advisable to take a pregnancy test and, if necessary, consult a physician for further examinations and advice.
The duration of lower abdominal pain can vary greatly depending on the cause. Mild pain, such as menstrual pain, can last from a few hours to a few days. If the pain is caused by a more serious condition, such as an infection or a gynaecological disease, it may last longer and require medical treatment.
In some cases, such as mild menstrual pain, lower abdominal pain can subside on its own without medical treatment. However, if the pain is severe, persistent or accompanied by other symptoms, it is important to consult a physician as the pain may be a sign of a more serious health problem that requires treatment.
