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Published on: 3/5/2025

What Could Cause Both Lower Abdominal Pain and Back Pain?

When you feel pain in both your lower belly and your back, it may be because the same condition is affecting both areas, like the digestive system, urinary system, or musculoskeletal system.

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Explanation

There are a number of reasons why you might have pain in your lower abdomen and your back at the same time. Sometimes, digestive issues can cause pain that is felt in your abdomen and your back. Similarly, conditions involving your urinary or reproductive system can also send pain signals to both your belly and back. As examples, bowel obstructions, kidney stones, and ovarian cysts can all cause pain in both the back and the abdomen. Musculoskeletal issues like muscle strains or problems in the spine like herniated discs can cause pain in these areas. In rare cases, problems with a big blood vessel in abdomen, called an abdominal aortic aneurysm, may cause pain in the lower back along with discomfort in your abdomen. If pain is severe or persistent, it is best to discuss with a healthcare provider.

(References)

  • Smith MD, Russell A, Hodges PW. How common is back pain in women with gastrointestinal problems? Clin J Pain. 2008 Mar-Apr;24(3):199-203. doi: 10.1097/AJP.0b013e31815d3601. PMID: 18287824.

  • Paulson JD. Abdominal and urogenital diseases can often be the cause of lower back pain and sciatic-like symptoms. Pain Manag. 2012 May;2(3):279-94. doi: 10.2217/pmt.12.14. PMID: 24654670.

  • Yildizgoren MT, Ogut H, Kayali A, Turhanoglu AD. Abdominal Aortic Aneurysm as a Long Time Cause of Low Back Pain and Vertebral Scalloping. Pain Med. 2016 Feb;17(2):372-3. doi: 10.1111/pm/pme.12888. PMID: 26893462.

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