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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Lower Abdominal Pain Be Treated?

My daughter, 22 years old, has been experiencing lower abdominal pain. She has had an ovarian cyst removed. Didn't know if this could be the cause. She recently had a colonoscopy last week. That only showed she has a clear colon. The doctor said she was constipated. She refuses the diagnosis. Any suggestions?
Mon, 16 Jul 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Pain needs evaluation and should not be ignored if it is bothering. Kindly get checked by a physician/surgeon or gynaecologist, know the final pathology report of the cyst that is removed. Sit with your daughter and discuss about the type of the pain. There are various reason for pain abdomen and lower abdomen in young females.
1. gastro intestinal
2. urinary stones
3. related to menses, premenstrual symptoms
4. pain related to muscular injury during any heavy work or post surgery
5. psychogenic (attention seeking behaviour if any issues in school or college)
What type of pain she has is important, colicky pain which comes and goes and reduces after passing stools is related to large bowel problem that you have ruled out by colonoscopy. Colicky pain is seen in urinary stones, urinary tract infection and menses related problems and in pelvic infection too. Minimum test required is non invasive testing is ultrasound pelvis, urine routine and complete blood picture.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Nataraj Naidu R
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How Can Lower Abdominal Pain Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Pain needs evaluation and should not be ignored if it is bothering. Kindly get checked by a physician/surgeon or gynaecologist, know the final pathology report of the cyst that is removed. Sit with your daughter and discuss about the type of the pain. There are various reason for pain abdomen and lower abdomen in young females. 1. gastro intestinal 2. urinary stones 3. related to menses, premenstrual symptoms 4. pain related to muscular injury during any heavy work or post surgery 5. psychogenic (attention seeking behaviour if any issues in school or college) What type of pain she has is important, colicky pain which comes and goes and reduces after passing stools is related to large bowel problem that you have ruled out by colonoscopy. Colicky pain is seen in urinary stones, urinary tract infection and menses related problems and in pelvic infection too. Minimum test required is non invasive testing is ultrasound pelvis, urine routine and complete blood picture. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nataraj Naidu R