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Female | 35

Why Do I Experience Sharp Lower Abdominal Pains?

35 Female with lower abdominal pains below the belly button, bilateral(on both the left and right sides) unilateral in nature(where one sided pain occurs). Sharp and pinpoint to same location for both left and right sides, directly across from each other. happening since October 2021, coincided with period first occurrence on right side 2021 thought it was a cyst at first. Went away until the second occurrence on June 19th, 2022(period cycle then was June 8th - 16th), right side. Went away and returned September 25th, 2022 on left side this time(period cycle for September 2022 was the 3rd through 11th), it occurred again in January 7th 2023 on the right side(period cycle for January 2023 a skipped period) at this point I still thought it was was cyst like pain or even ovulation pain bothering me,so I went to gynecologist, they thought it could be large intestine related due to the location of the pains. I got an ultrasound that came back normal in February of 2023. The same day i had the ultrasound, I went to medexpress to get my physical for my driver's permit, and they suggested asking my previous pcp for a ct scan, to check my appendix. It was hard to get into my previous pcp as I didn't see them in 3 years so I wasn't established. I reached out to the gynecologist I saw in january of 2023, in June 2023 when I had another occurrence of the pain, to see about getting a ct scan. It was approved by insurance, but ultimately denied under physician review( by the supervising gynecologist, and my previous pcp, because my ultrasound was normal). I then established care in December of 2023, with a new pcpx who is suspicious that my pains are coming from ibs mixed with spasms. I am taking dicyclomine 10 mg 4 times a day as needed, but it's not really doing anything when the pains occur. My pcp also changed my dicyclomine to a 45 day supply as I asked in a different question. I also met with a surgeon in March of 2024 due to a large gallstone, as my pcp said they were common in people my age. The surgeon gave a complete different answer than what I have been given before, and he thought my pains could be coming from endometriosis. The surgeon performed my cholecystectomy, on May 29th, and did a general exploration during it, but found no endometriosis. My pcp still suggested getting an evaluation for endometriosis just to know we didn't miss anything, as well as getting evaluated by a gastroenterologist. As my pains have still been continuing. What could these pains be coming from? I feel like I will be tossed back and forth between gynecology and gastroenterology, and I don't want that at all. Some helpful info: My new pcp also diagnosed me with pcos as I fit the criteria for it with my irregular period cycles, despite my bloodwork and ultrasound coming back normal. I also had the cbc; comprehensive metabolic panel; celiac; thyroid; A1C; ESR; and C-Reactive protein all tested in December of 2023 when I met with my new pcp. The only two that came back as abnormal were my ESR at 34 and C-Reactive protein at 29.7

1 Answer
Dr. Nisarg Patel

Social Obstetrics And Gynecologist

Answered on 13th Sept '24

You have been through a lot with your abdominal pains. Therefore, considering the normal ultrasound results and the new suspicion of endometriosis from the surgeon, your pain may be due to endometriosis, the condition wherein tissue similar to the lining of the uterus grows outside the uterus that can result in cyclical sharp pelvic pain. It's okay to talk to a gynecologist about more tests and treatments. Besides, you might want to see a gastroenterologist, too, so as to eliminate the probability of any intestinal problems causing the symptoms you are having. 

4 people found this helpful

Questions & Answers on "Gynaecology" (4237)

I'm having vaginal infection

Female | 22

You may be experiencing a vaginal infection, which can cause discomfort. Symptoms of a vaginal infection can include an unusual odor, itching, pain, or abnormal discharge. These infections are often caused by fungi or bacteria. To address this issue effectively, consult a pharmacist. They can recommend specific pills or creams to treat your condition, leading to noticeable results. 

Answered on 23rd July '24

Dr. Himali Patel

Dr. Himali Patel

On my periods i started having paiful headaches which leads to vomiting and pale face- am i anemic? I take vitamins and folic acid but it takes time to affect

Female | 37

Painful headaches, vomiting, and pale face during periods - common. Vitamins and folic acid may not work. Consult a doctor immediately. 

Answered on 23rd May '24

Dr. Hrishikesh Pai

Dr. Hrishikesh Pai

I am a 24 year old female with no known health defects that I know of. Occasionally I suffer from a severe lower stomach cramp followed by severe constipation, followed by severe nausea (with throw up). One of these episodes lead me to faint. This normally happens when I'm on my period, and sometimes they don't. I am roughly 165 LBS and I'm 5'3. My diet isn't the best but it's not too shitty.

Female | 24

You look like you might be afflicted with a serious case of menstrual cycle cramps that can, in some cases, lead to constipation and nausea. Stress, as well as physical pain, can lead to a fainting spell. This pain, as well as stress, can't be relieved by following these symptoms. The symptoms can be reduced by keeping your body hydrated, eating food high in fiber, and using pain relievers similar to ibuprofen. What you want to do on your end is to get a proper consultation with the gynecologist to learn about alternative reasons and treatments. 

Answered on 23rd May '24

Dr. Swapna Chekuri

Dr. Swapna Chekuri

I have been taking contraceptives for some time now and my last time of taking was December 15 I haven't had sex till now my menses came December n last month but was supposed to come last week but it didn't come. I checked for pregnancy n it was negative

Female | 27

Hormonal contraceptives do affect your menstrual cycle. Also if your pregnancy test is negative then the period delay can be due to stress, changes in weight, or certain medications.

Answered on 23rd May '24

Dr. Swapna Chekuri

Dr. Swapna Chekuri

Hi mam kya Ak baar sex karne ke baad dubara do saal Baad karne pr vagina S3 blood aata hai kya,?

Female | 20

NO, BLEEDING 2 YEARS AFTER SEX IS NOT NORMAL.. POSSIBLE CAUSES INCLUDE INFECTIONS OR HORMONAL IMBALANCES.. IT'S IMPORTANT TO CONSULT WITH A HEALTHCARE PROVIDER FOR EVALUATION.. UNTREATED CONDITIONS MAY LEAD TO COMPLICATIONS IN THE FUTURE.

Answered on 5th Dec '24

Dr. Swapna Chekuri

Dr. Swapna Chekuri

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