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Kinds of Pain in the Lower Abdomen

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HealthWiki > Where Women Have No Doctor > Chapter 21: Pain in the Lower Abdomen > Kinds of Pain in the Lower Abdomen


Pain in the lower abdomen can have many causes. It can be difficult to find the cause because so many organs in the abdomen are close together.


Kind of Pain May be Caused by What to do
Severe, unusual pain during monthly bleeding or after a monthly bleeding was missed
pregnancy in the tube
URGENT! Go to a hospital right away.
Ongoing pain during monthly bleeding


fibroids
See 'pain with monthly bleeding', and 'problems of the womb'.
Use a mild pain medicine.
Cramps during monthly bleeding normal squeezing of the womb. Some kinds of intra-uterine devices (IUDs) may make the pain worse. See 'pain with monthly bleeding'.
If the monthly bleeding is late


miscarriage
If pain becomes severe, go to a hospital.
Pain after childbirth, miscarriage, or abortion. infection from pieces of afterbirth (placenta) left in the womb, or germs that got into the womb during the birth or abortion See 'womb infection', and 'infection after abortion'.
Severe pain with or without fever (infection)


with or after having a sexually transmitted infection or pelvic infection


on one side of the abdomen, with or without fever, nausea, vomiting, and no appetite


another pelvic infection or a pocket of pus in the abdomen (pelvic abscess)
URGENT! Go to a hospital right away.
appendicitis or other intestinal infection


kidney infection
URGENT! Go to a hospital right away.


See 'bladder and kidney infections'

Pain with diarrhea intestinal infection from bacteria or parasites See 'diarrhea'.
Severe pain in the first 3 months of pregnancy, often with bleeding that comes and goes
pregnancy in the tube
URGENT! Go to a hospital right away.
Severe pain in the last 3 months of pregnancy, with or without bleeding


placenta has pulled away from the wall of the womb
URGENT! Go to a hospital right away.
Mild, occasional pain during pregnancy probably normal No treatment needed.
Pain with frequent or painful urination

Pain with blood in the urine
bladder or kidney infection

kidney stone
See 'bladder and kidney infections'.
See 'kidney or bladder stones'.
Pain with discharge or light bleeding from the vagina, sometimes with fever

pelvic infection wich may be caused by a sexually transmitted infection (STI), or by infection after miscarriage, abortion, or childbirth
See 'pelvic inflammatory disease', 'womb infection', and 'infection after abortion'.
Pain during sex
pelvic inflammatory disease (PID), or scars from an old pelvic infection

a growth on an ovary (ovarian cyst)
fibroids
unwanted sex

See 'PID'.

See 'problems of the ovaries'.

See 'problems of the womb'.

See 'if sex is painful'.
Pain when moving, walking, or lifting old pelvic infection, or any of the reasons listed above Use mild pain medicine if needed.
Pain that lasts only a few hours in the middle of your monthly cycle
the lining of the abdomen gets irritated when the ovary releases an egg (ovulation) because there is a small amount of blood
Use mild pain medicine if needed.
See the chapter on "Understanding Our Bodies."
Pain within 3 weeks of getting an intra-uterine device (IUD)
infection with IUD is most common soon after the IUD is put in
See a health worker right away.
Pain without other signs pelvic infections, which can cause constant or on-and-off pain in the abdomen or lower back that lasts for months or years See a health worker trained to do a pelvic exam.
intestinal infection from bacteria or parasites See a health worker or Where There is No Doctor.
tumor or growth on the womb or ovarySee a health worker trained to do a pelvic exam.


This page was updated:11 Sep 2017
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