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What Causes Constant Burning Pain In Lower Abdomen?

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Posted on Mon, 11 Jan 2016
Question: Suffering from burning pain in lower abdomen for 8 wks now. Tested +ve for UTI. Took 5 day course of amoxicillin, no better. Now on day 4 of 7 day course of nitrofurantoin. If anything the pain is getting worse, causing disruption to sleep. Feels like an ulcer pain . No pain on urinating at all, but vulva burning too!

doctor
Answered by Dr. Grzegorz Stanko (14 minutes later)
Brief Answer:
Please give some more details.

Detailed Answer:
Hello!

Thank you for the query.

Can you please give some more details? Where exactly is the pain located (lower right, left or both sides)? Do you have any back pain? Any fever? Do you suffer from diabetes? Is your urine smelly or foamy?
Can you please attach the urine analysis report? Have you had urine culture done?
Do you have any constipation, diarrhea, mucus in the stool, blood in the stool?
Do you wake up at night to urine? How many times?

I`m looking forward to hearing from you.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (11 minutes later)
Pain centre of lower abdomen.no back pain now. No fever. Not diabetic. Urine smelly.
Urine analysis not seen , but told culture sensitive to amoxicillin and nitrofurantoin.
No constipation, no diarrhoea, no blood or mucus in stool to the naked eye.
Wake up once at night to urinate.
doctor
Answered by Dr. Grzegorz Stanko (1 hour later)
Brief Answer:
Abdominal ultrasound should be done.

Detailed Answer:
This seems to be still bladder and urethra infection. Most likely the antibiotics are ineffective. It is also possible that the infection is only a cause of some disease like stone in the bladder or some lump in the bladder. That is why, I suggest you to have abdominal ultrasound to see the bladder and consider urologist consult. In case of any doubts, cystoscopy should be done. Especially if there was a trace of blood in the urine analysis.
For sure urine analysis should be repeated. It would be also good to repeat urine culture, but it can be done some time after antibiotics treatment will be over.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5797 Questions

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What Causes Constant Burning Pain In Lower Abdomen?

Brief Answer: Please give some more details. Detailed Answer: Hello! Thank you for the query. Can you please give some more details? Where exactly is the pain located (lower right, left or both sides)? Do you have any back pain? Any fever? Do you suffer from diabetes? Is your urine smelly or foamy? Can you please attach the urine analysis report? Have you had urine culture done? Do you have any constipation, diarrhea, mucus in the stool, blood in the stool? Do you wake up at night to urine? How many times? I`m looking forward to hearing from you. Regards.