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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Do I Have Persistent Lower Back And Abdominal Pain, Worsened By Lying Down, Sitting, And Intercourse, Along With Gas And Bloating?

Hello ! I have a lower back pain that gets worse laying down and at night for over a year now. After I had a baby 15 months ago. Intercourse makes it worse and very painful in my lower abdomen , sitting down causes lower abdomen pain. Lots of gas and bloating. After intercourse I have bad pain in lower abdomen for days like if the air got stuck inside. Did an US 6 Months ago and ovaries and uterus are fine.
posted on Wed, 25 Oct 2023
Twitter Wed, 13 Aug 2025 Answered on
Twitter Mon, 1 Sep 2025 Last reviewed on
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General & Family Physician,  's  Response
Hello,

Pelvic adhesions or scar tissue, pelvic floor muscle dysfunction, dyspareunia, endometriosis, prolapse, etc., may cause such symptoms. Certain conditions can be missed on routine Ultrasound examination and may need further evaluation. Avoid constipation. Take high-fiber diet and keep yourself hydration. Use a pillow between your knees when lying down to ease back strain.

After intercourse, gentle stretching and pelvic floor relaxation breathing may help reduce cramping. Get clinically examined by a gynecologist who specializes in pelvic pain or a urogynecologist so that spine and abdomen both can be well evaluated. Get done pelvic MRI to detect endometriosis, deep pelvic inflammation, or adhesions better than ultrasound.

Get connected to a pelvic floor physiotherapist to check muscle tension/weakness. GI evaluation is also needed if bloating and gas are severe or constant. You can take antacids or PPIs to get relieve from pain due to gas. Get evaluated and treated before symptoms get worse. Do not let symptoms interfere with your quality life.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr Nupur K., General & Family Physician
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Why Do I Have Persistent Lower Back And Abdominal Pain, Worsened By Lying Down, Sitting, And Intercourse, Along With Gas And Bloating?

Hello, Pelvic adhesions or scar tissue, pelvic floor muscle dysfunction, dyspareunia, endometriosis, prolapse, etc., may cause such symptoms. Certain conditions can be missed on routine Ultrasound examination and may need further evaluation. Avoid constipation. Take high-fiber diet and keep yourself hydration. Use a pillow between your knees when lying down to ease back strain. After intercourse, gentle stretching and pelvic floor relaxation breathing may help reduce cramping. Get clinically examined by a gynecologist who specializes in pelvic pain or a urogynecologist so that spine and abdomen both can be well evaluated. Get done pelvic MRI to detect endometriosis, deep pelvic inflammation, or adhesions better than ultrasound. Get connected to a pelvic floor physiotherapist to check muscle tension/weakness. GI evaluation is also needed if bloating and gas are severe or constant. You can take antacids or PPIs to get relieve from pain due to gas. Get evaluated and treated before symptoms get worse. Do not let symptoms interfere with your quality life. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr Nupur K., General & Family Physician