
What Causes Lower Abdominal And Groin Pain?

Question: I have I have pain across lower stomach and sometimes in groin area. I am female age 74. Does not hurt during the night and not first thing in the morning. Hurts most when walking not sitting. And today lower back pain as well. I was constipated for two days but that cleared up. Stools are brown. Name is XXXXXXX and email is YYYY@YYYY
Brief Answer:
Most likely urinary tract infection.
Detailed Answer:
Hi there,
Lower abdominal pain that radiates to the back is almost always a urinary tract infection, especially in a post-menopausal women. Constipation is usually associated with the pain.
I would recommend starting cranberry juice or Azo (which you can pick up OTC at any pharmacy), as well as a probiotic. Probiotics are good for you intestines and urinary system.
You should also have a urinalysis which will determine if you have an infection. You will most likely need a short course of antibiotics. Azo (also known as pyridium) is a pain reliever that affects the lower part of your urinary tract (bladder and urethra).
Most likely urinary tract infection.
Detailed Answer:
Hi there,
Lower abdominal pain that radiates to the back is almost always a urinary tract infection, especially in a post-menopausal women. Constipation is usually associated with the pain.
I would recommend starting cranberry juice or Azo (which you can pick up OTC at any pharmacy), as well as a probiotic. Probiotics are good for you intestines and urinary system.
You should also have a urinalysis which will determine if you have an infection. You will most likely need a short course of antibiotics. Azo (also known as pyridium) is a pain reliever that affects the lower part of your urinary tract (bladder and urethra).
Above answer was peer-reviewed by :
Dr. Prasad


I do not have urinary tract infection. I have had a lot of them and I know what they feel like
Brief Answer:
Pain could be related to intestines, uterus, ovaries, or bladder
Detailed Answer:
Hi there,
Your pain sounds very typical of a urinary tract infection; however, I understand if this is not like your previous infections.
The other causes of lower abdominal pain would be:
-Gastroenteritis: an infection, usually viral, of the small and large intestine. The infection usually clears within 24 hours, but it does cause significant pain. The treatment is to increase your fluid intake and maintain hydration.
- Appendicitis: pain with appendicitis is usually constant. It does not wax or wane. There are usually fevers.
- Diverticulitis: The would be the second most likely source of your pain if it is not a UTI. Diverticulitis is very common in constipation. There is occasionally blood in the stool. High fiber diet is recommended.
- Peptic ulcer disease: Ulcers in the stomach or small intestine. There is usually a significant association with food and most people with ulcers are intolerable to food due to severe pain.
- Malignancy of the large bowel or ovarian/uterus. This would be the most concerning. A pap smear would rule out an cervical malignancy. An ultrasound would rule out an ovarian masses. A colonoscopy will rule out colonic malignancy.
Your pain could be related to several different organ systems. I would recommend taking Tylenol when you get the pain. In addition, I would recommend taking Tums with food which would help if the pain is related to an ulcer. I would also recommend taking Azo or pyridium. Probiotics will be the best option, however. Probiotics will help if the pain is related to the intestines or urinary tract. It helps re-grow your natural bacteria in the gut.
A high fiber diet will also help with your constipation.
Let me know if you have additional questions. Thanks!
Pain could be related to intestines, uterus, ovaries, or bladder
Detailed Answer:
Hi there,
Your pain sounds very typical of a urinary tract infection; however, I understand if this is not like your previous infections.
The other causes of lower abdominal pain would be:
-Gastroenteritis: an infection, usually viral, of the small and large intestine. The infection usually clears within 24 hours, but it does cause significant pain. The treatment is to increase your fluid intake and maintain hydration.
- Appendicitis: pain with appendicitis is usually constant. It does not wax or wane. There are usually fevers.
- Diverticulitis: The would be the second most likely source of your pain if it is not a UTI. Diverticulitis is very common in constipation. There is occasionally blood in the stool. High fiber diet is recommended.
- Peptic ulcer disease: Ulcers in the stomach or small intestine. There is usually a significant association with food and most people with ulcers are intolerable to food due to severe pain.
- Malignancy of the large bowel or ovarian/uterus. This would be the most concerning. A pap smear would rule out an cervical malignancy. An ultrasound would rule out an ovarian masses. A colonoscopy will rule out colonic malignancy.
Your pain could be related to several different organ systems. I would recommend taking Tylenol when you get the pain. In addition, I would recommend taking Tums with food which would help if the pain is related to an ulcer. I would also recommend taking Azo or pyridium. Probiotics will be the best option, however. Probiotics will help if the pain is related to the intestines or urinary tract. It helps re-grow your natural bacteria in the gut.
A high fiber diet will also help with your constipation.
Let me know if you have additional questions. Thanks!
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Prasad

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