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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Severe Pain In Lower Abdomen Suggest?

since the morning (8:00 am & now 10:00) i have had severe lower abdominal pain, as if at the bottom of my uterus, with pain as i press on it and rub it - perhaps more on the lower left side. it is around time for mentrual cycle to start, but i have never experienced pain like this-so severe to affect walking. also have chills, body aches abd headaches....
Wed, 21 Jan 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.

The combination of the pain in lower abdomen, tenderness left lower abdomen, shills, bodyache and headache is suggestive of some infection:
Mostly PID, pelvic inflammatory disease,
Salpingitis or
Ovarian problem.
The pain gets enhanced due to the congestion one get just before menses.

I would advise you the following:
Ultrasonography.
Gynecologist's examination and opinion.
Start appropriate antibiotic cover.
Bed-rest

I hope this answer helps you, you have not mentioned any urinary or bowel symptoms hence not suspected to have Gastroenteritis or colitis.
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What Could Severe Pain In Lower Abdomen Suggest?

Hi. Thanks for your query and an elucidate history. The combination of the pain in lower abdomen, tenderness left lower abdomen, shills, bodyache and headache is suggestive of some infection: Mostly PID, pelvic inflammatory disease, Salpingitis or Ovarian problem. The pain gets enhanced due to the congestion one get just before menses. I would advise you the following: Ultrasonography. Gynecologist s examination and opinion. Start appropriate antibiotic cover. Bed-rest I hope this answer helps you, you have not mentioned any urinary or bowel symptoms hence not suspected to have Gastroenteritis or colitis.