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Published on: 5/6/2025

What Could Be Causing Pain in the Very Low Abdomen?

Very low abdominal pain can come from a number of causes, including issues with the intestines, muscles, or organs in the pelvic area.

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Explanation

Pain in the very low abdomen means you feel discomfort in the area near your pelvic region. This type of pain may have many reasons. One cause could be a problem with your intestines, like diverticular disease, where small pouches in the wall of your colon become inflamed. Another possibility is that a blockage or infection in your intestines is giving you pain. A very common reason is a urinary tract infection or sexually transmitted infection. Sometimes, the muscles or ligaments in the pelvic area can be strained or injured, leading to pain in the low abdomen. In some cases, pain you feel might not be from the abdomen itself but could be coming from nearby areas like the lower back or pelvic floor. Because there are many possible causes, it is important to pay attention to other symptoms you might have, like fever, changes in your bowel movements, or pain that does not go away. If your pain is very strong or lasts a long time, it is wise to see a doctor who can help figure out the exact reason and guide you to the proper treatment.

(References)

  • Purysko AS, Remer EM, Filho HM, Bittencourt LK, Lima RV, Racy DJ. Beyond appendicitis: common and uncommon gastrointestinal causes of right lower quadrant abdominal pain at multidetector CT. Radiographics. 2011 Jul-Aug;31(4):927-47. doi: 10.1148/rg.314105065. PMID: 21768232.

  • Carlberg DJ, Lee SD, Dubin JS. Lower Abdominal Pain. Emerg Med Clin North Am. 2016 May;34(2):229-49. doi: 10.1016/j.emc.2015.12.003. PMID: 27133242.

  • Murali N, El Hayek SM. Abdominal Pain Mimics. Emerg Med Clin North Am. 2021 Nov;39(4):839-850. doi: 10.1016/j.emc.2021.07.003. Epub 2021 Sep 10. PMID: 34600641; PMCID: PMC8430370.

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