Brief Answer:
It has many reasons for such a pain. Needs evaluation!

Detailed Answer:
Thanks for consulting me at virtual clinic. Your trust in HCM means a lot to me as a Physician.
I have completely reviewed your health query, and can well realize all those concerns. Being your physician, I will take care all of them today and will give extend my expertise to solve the problems.

Probabilities:-
I feel sorry for the pain you have. Pain and discomfort in this area is usually due to the following reasons:
1. Stomach or small intestine ulcers due to hyperacidity. But you have not mentioned any history of indigestion, heartburn and regurgitation of stomach acid into mouth or esophagus.
2. Constipation.
3. Pelvic Inflammatory Disease-very common at this age. In this disease there is infection and pain in the area and is manageable by using antibiotics.
4. Muscular spasm of the abdomen. It happens due to repeated coughing due to respiratory infection. In this case patient feels pain even on walking, coughing, straining as in bowel movements or sneezing.

Medications guide:-
If it comes to be due to hyperacidity/stomach ulcer it has a different treatment that starts with Antacids and may need to test for h. Pylori infection of stomach that needs antibiotics course for cure. Sometimes we need to go for a GI endoscopy.
Muscular spasms of the abdomen may be cured by treating the underlying cause (respiratory infection if any). Plus application of topical analgesics like Voltaren gel.
Constipation can be cured through diet modification (adding more fiber containing foods) and Lactulose syrup.
Pelvic Inflammatory Disease needs antibiotics course like Azithromycin.

Final Suggestion:-
Please spare some time to make an appointment with your Primary Care Physician for thorough evaluation of the cause and if necessary, he may go for some diagnostic tests too. Treatment goes accordingly and I have already guided you for the same so that you may be able to discuss it with your Physician.

Hope I answered all of your queries. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with my expert opinion. Please don't forget to give Five Star rating to help me assist patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).


Regards!
DR. HANIF
USA

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