Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Causes Severe Pain In The Lower Abdomen?
My 15 year old granddaughter has been having severe abdominal pain since November of 2017. She has had a stomach & pelvic ultrasound performed by a gastroenterologist in December 2017. She has had a CT Scan & another ultrasound without any results. Her next Dr appt will be at a ob/gyn. Could there be another reason for the pain in her lower abdomen? The pain is constant & does not occur just during her monthly cycle.
Sat, 14 Apr 2018
Hello,
Since most of the investigation and examination by a gastroenterologist is normal, thus the following should be your approach:
1. Take the opinion of a medical specialist who might ask for an investigation like endoscopy, gastric analysis, colonoscopy. At present all I can say is that it might be a 'gastrointestinal' symptom thus you should contact either general surgeon, gastroenterologist or gynecologist and if not sure consult your general physician who after reviewing your case history and physical examination will refer you to specialist concerned.
2. Most common diagnoses of lower abdominal pain relate to uterine, gonadal, renal, and bladder complications, [less common causes like primary dermatologic and musculoskeletal problems as well as referred pain and neuropathies related to underlying vertebral and spinal cord complications can also occur], so examination is mandatory for further workup and management.
In females, consult a gynecologist for any underlying pathologies like endometriosis, uterine fibroids or pelvic inflammatory disease [PID]. If after pelvic examination the doctor suspects an underlying condition, she may order further investigations like MRI, CT, hysteroscopy, laparoscopy since surgery may be needed to remove the abnormal tissue [if any].
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Munish Sood
Since most of the investigation and examination by a gastroenterologist is normal, thus the following should be your approach:
1. Take the opinion of a medical specialist who might ask for an investigation like endoscopy, gastric analysis, colonoscopy. At present all I can say is that it might be a 'gastrointestinal' symptom thus you should contact either general surgeon, gastroenterologist or gynecologist and if not sure consult your general physician who after reviewing your case history and physical examination will refer you to specialist concerned.
2. Most common diagnoses of lower abdominal pain relate to uterine, gonadal, renal, and bladder complications, [less common causes like primary dermatologic and musculoskeletal problems as well as referred pain and neuropathies related to underlying vertebral and spinal cord complications can also occur], so examination is mandatory for further workup and management.
In females, consult a gynecologist for any underlying pathologies like endometriosis, uterine fibroids or pelvic inflammatory disease [PID]. If after pelvic examination the doctor suspects an underlying condition, she may order further investigations like MRI, CT, hysteroscopy, laparoscopy since surgery may be needed to remove the abnormal tissue [if any].
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Munish Sood
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Loading Online Doctors....