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URLhttps://www.verywellhealth.com/lower-abdominal-pain-5184279
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Meta TitleWhy You Shouldn't Ignore Lower Abdominal Pain
Meta DescriptionFind out the common causes of lower abdominal pain and when it's important to seek medical help. Learn how to recognize serious symptoms.
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Key Takeaways Lower abdominal pain is not a disease but a symptom of various conditions. Gas and indigestion are common causes of lower abdominal pain. Severe pain with red flag symptoms like blood in stool needs immediate medical attention. Lower abdominal pain can range from mild discomfort due to gas to serious conditions like appendicitis. Understanding your symptoms and when to seek medical attention can help you address potential concerns appropriately. Verywell / Jessica Olah What Causes Pain in the Lower Abdomen? The lower abdomen is the area between your belly button and pelvic bone. Causes of pain in this area of the body can be related to: Organs like the appendix, bladder, or kidneys Conditions of the digestive tract like irritable bowel syndrome or celiac disease Female-specific conditions like uterine fibroids or endometriosis What Are the Four Quadrants of Abdominal Pain? Healthcare providers divide the abdomen into four quadrants to identify pain sources:   Upper abdomen : Above the belly button Lower abdomen : Below the belly button Right side or left side : The breastbone (the long flat bone located in the center of the chest) marks the middle of your abdomen, which runs right through the belly button Pain in a specific quadrant, along with other symptoms, aids diagnosis. For instance, pain in the lower right abdomen often indicates appendicitis . Is Your Abdominal Pain Acute or Chronic? Acute pain starts suddenly, has a specific cause, and can be severe, like in appendicitis. It may last several weeks. Chronic pain lasts six months or more and results from an ongoing problem, such as liver cirrhosis or cancer.  Digestive Issues That Can Cause Abdominal Pain The digestive system is the group of organs in the body that break down food and absorb nutrients. Anything that can't be broken down, digested, or absorbed is excreted in bowel movements. Common digestive issues causing pain include: Gas : Most people pass gas 14 to 23 times daily. However, when gas gets trapped, it can be painful. This often happens after consuming gas-producing foods, due to food intolerances, or swallowing too much air while chewing. Indigestion : A burning sensation, pain, and/or feeling uncomfortably full after eating. Its causes include the types of foods eaten (e.g., spicy, greasy, or fatty), overeating, stress, or eating too fast. Diarrhea : Occurs when waste moves too quickly through the intestines, preventing fluid absorption and leading to watery stools and painful cramps. Causes include food-borne illnesses, food intolerances/allergies, or inflammatory bowel diseases. Constipation : Difficulty having a bowel movement or having fewer than three bowel movements per week. Constipation occurs when the colon absorbs too much water (resulting in hard and dry stools), an underlying medical condition, certain medications, or low fiber intake. Food allergies and intolerances (e.g., celiac disease , sensitivity to dairy or soy) Bowel obstruction/twisted bowel ( volvulus ) : Occurs when part of the intestine twists, potentially cutting off blood supply. Causes include scarring from prior surgery, inactivity in bedridden individuals, or chronic constipation. Inflammatory conditions (e.g., colitis , inflammatory bowel disease ) Infections (e.g., enteritis , diverticular disease ) Cancer : Originating in various organs of the lower abdomen (e.g., the colon, rectum, appendix, ovaries, or uterus) and cancer that has spread from other areas of the body.  Can Urinary Problems Lead to Abdominal Pain? The urinary system includes the kidneys, ureters, bladder, and urethra. These organs work together to filter blood and remove toxins and waste from body tissues. Common causes of urinary system pain include: Kidney infections : A type of urinary tract infection (UTI) that starts in the tube that carries urine from the body or the bladder. Typically, these infections are caused by bacteria. Kidney stones : Pebble-like masses that form in the kidneys and produce intense pain. Stones form due to high levels of certain minerals and acids like calcium, oxalate, phosphorus, and uric acid. Cystitis : Inflammation of the bladder. The most common cause is an infection. Acute urinary retention : The sudden inability to pass urine. Causes include urinary blockage, infection, nerve damage, an enlarged prostate, and certain medications Urinary tract infections (UTIs) : A common infection that can affect any part of the urinary system (kidneys, bladder, and urethra), resulting in pain. UTIs usually result from the transfer of bacteria from the rectum or vagina to the urethra. Reproductive System Causes Menstrual cramps due to uterine contractions are a normal part of menstruation. Normal cramping can be very painful, but, in some cases, cramps and pain in the lower abdomen and/or pelvis may be due to a reproductive disorder such as: Ovulation pain : Occurs when the ovary releases an egg Endometriosis : A chronic disease in which inflammatory tissue similar to the lining of the uterus grows outside the uterus Pelvic inflammatory disease (PID) : An inflammatory infection that affects the uterus, ovaries, and fallopian tubes Uterine fibroids : Non-cancerous growths that may not have symptoms but can cause pelvic/abdominal pain and other issues. Ovarian cysts / ruptured ovarian cyst : Fluid-filled sacs that may cause pain and/or rupture, causing sudden, severe pain. Ovarian torsion : Occurs when an ovarian cyst becomes twisted (torsion), which can cause severe pain and block blood flow to the ovary. Ectopic pregnancy : A pregnancy that develops in the fallopian tube rather than in the uterus or, rarely, in the cervix, ovary, or abdomen. Ovarian hyperstimulation : A serious complication of fertility treatments. The ovaries enlarge, and fluid accumulates in the abdominal cavity, causing pain. Ovarian cancer : Rarely causes symptoms early on but may cause vague abdominal and pelvic pain at late stages. In males, lower abdominal or pelvic pain may be a result of: Prostatitis : Inflammation of the prostate, a walnut-shaped gland that produces the fluid portion of semen Benign prostatic hyperplasia (BPH) : An enlarged prostate. Over time, it can lead to painful conditions like urinary tract infections, bladder stones, and chronic kidney disease. Urethral stricture : Narrowing of the urethra, through which urine leaves the bladder and exits the body, leading to pain during urination Post-vasectomy pain syndrome : Chronic testicular pain that may be constant or intermittent When to See a Healthcare Provider See a healthcare provider if your symptoms aren't going away or are getting worse, or if you have other potentially serious symptoms, such as: Blood in vomit, stool, or urine High fever Nausea and/or vomiting Lightheadedness Jaundice (yellowing of skin and eyes) Inability to eat or have a bowel movement for a few days Bloated/swollen abdomen that is rigid or painful to touch Severe pain that doesn't go away If you are pregnant and experience abdominal pain, contact your healthcare provider or seek immediate medical attention. Diagnostic Tests If your abdominal pain doesn’t seem to be the result of indigestion and is getting worse or not going away, you should see a healthcare provider.  They will likely perform a physical exam and ask about your symptoms in detail. They may also request tests to rule out possible causes of your abdominal pain. Expect your provider to ask you about the exact location of the pain and to describe the sensation you’re feeling. They may perform a gynecological or rectal exam if you have lower abdominal pain. Testing may include: Blood tests such as a complete blood count to check for infection or blood loss A pregnancy test Imaging tests such as a computed tomography (CT) scan to look at your abdominal organs If you could be pregnant, an ultrasound is the preferred imaging method for evaluating unexplained abdominal pain. Treatment Approaches Many cases of lower abdominal pain result from minor causes. For example, most digestive upsets can usually be treated at home with: Over-the-counter (OTC) medications (e.g., Gas-X, Tums, Pepto-Bismol, Imodium) Rest Hydration Following a clear liquid diet for a day or two Chronic conditions that require long-term care will typically necessitate dietary adjustments and prescription medications. More serious conditions will require careful diagnosis and a treatment plan which may involve surgery. Mild abdominal pain may respond to OTC nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen (Tylenol) . Depending on the condition, prescription pain relievers (e.g., corticosteroids, opioids) may be necessary. If your pain is severe or lasting enough to require emergency care, treatment options will depend on your condition. By Steph Coelho Steph Coelho is a health and wellness writer and editor with nearly a decade of experience working on content related to health, wellness, mental health, chronic illness, fitness, sexual wellness, and health-related tech.She's written extensively about chronic conditions, telehealth, aging, CBD, and mental health. Her work has appeared in Insider, Healthline, WebMD, Greatist, Medical News Today, and more. Was this page helpful? Thanks for your feedback! What is your feedback?
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[Complete Blood Count (CBC) Analyzer](https://www.verywellhealth.com/complete-blood-count-cbc-analyzer-8647862) - [About Us](https://www.verywellhealth.com/about-us-5180305) - [Editorial Process](https://www.verywellhealth.com/verywell-editorial-process-4777042) - [Medical Review Board](https://www.verywellhealth.com/meet-our-medical-expert-board-11762003) Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Ⓒ 2026 People Inc. — All rights reserved # Why You Shouldn't Ignore Lower Abdominal Pain By [Steph Coelho](https://www.verywellhealth.com/steph-coelho-5082687) Updated on January 19, 2026 Medically reviewed by [Jay N. Yepuri, MD](https://www.verywellhealth.com/jay-yepuri-md-ms-4777065) Table of Contents View All Table of Contents - [What Causes Pain in the Lower Abdomen?](https://www.verywellhealth.com/lower-abdominal-pain-5184279#toc-what-causes-pain-in-the-lower-abdomen) - [Digestive Causes](https://www.verywellhealth.com/lower-abdominal-pain-5184279#toc-digestive-issues-that-can-cause-abdominal-pain) - [Urinary Causes](https://www.verywellhealth.com/lower-abdominal-pain-5184279#toc-can-urinary-problems-lead-to-abdominal-pain) - [Reproductive Causes](https://www.verywellhealth.com/lower-abdominal-pain-5184279#toc-reproductive-system-causes) - [When to Seek Medical Care](https://www.verywellhealth.com/lower-abdominal-pain-5184279#toc-when-to-see-a-healthcare-provider) - [Diagnosis and Treatment](https://www.verywellhealth.com/lower-abdominal-pain-5184279#toc-diagnostic-tests) - [Treatment Approaches](https://www.verywellhealth.com/lower-abdominal-pain-5184279#toc-treatment-approaches) ### Key Takeaways - Lower abdominal pain is not a disease but a symptom of various conditions. - Gas and indigestion are common causes of lower abdominal pain. - Severe pain with red flag symptoms like blood in stool needs immediate medical attention. Lower abdominal pain can range from mild discomfort due to gas to serious conditions like appendicitis. Understanding your symptoms and when to seek medical attention can help you address potential concerns appropriately. ![Red Flag Digestive Symptoms - Illustration by Jessica Olah]() ![Red Flag Digestive Symptoms - Illustration by Jessica Olah](https://www.verywellhealth.com/thmb/_p38ew4z4GpWgRo5Zh6HClQSJgY=/1000x1500/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/VWH_Illustration_RedFlagDIgestiveSymtpoms_Illustrator_JessicaOlah_Final-c5b501ebe287456496277b7f90dc7878.jpg) Verywell / Jessica Olah ## What Causes Pain in the Lower Abdomen? The lower abdomen is the area between your belly button and pelvic bone. Causes of pain in this area of the body can be related to: - Organs like the appendix, bladder, or kidneys - Conditions of the digestive tract like irritable bowel syndrome or celiac disease - Female-specific conditions like uterine fibroids or endometriosis ### What Are the Four Quadrants of Abdominal Pain? Healthcare providers divide the abdomen into four quadrants to identify pain sources: - **Upper abdomen**: Above the belly button - **Lower abdomen**: Below the belly button - **Right side or left side**: The breastbone (the long flat bone located in the center of the chest) marks the middle of your abdomen, which runs right through the belly button Pain in a specific quadrant, along with other symptoms, aids diagnosis. For instance, pain in the lower right abdomen often indicates [appendicitis](https://www.verywellhealth.com/appendicitis-symptoms-7095369). ### Is Your Abdominal Pain Acute or Chronic? Acute pain starts suddenly, has a specific cause, and can be severe, like in appendicitis. It may last several weeks. Chronic pain lasts six months or more and results from an ongoing problem, such as liver cirrhosis or cancer. ## Digestive Issues That Can Cause Abdominal Pain The [digestive system](https://www.verywellhealth.com/digestive-system-facts-1944708) is the group of organs in the body that break down food and absorb nutrients. Anything that can't be broken down, digested, or absorbed is excreted in bowel movements. Common digestive issues causing pain include: - **Gas**: Most people pass gas 14 to 23 times daily. However, when gas gets trapped, it can be painful. This often happens after consuming gas-producing foods, due to food intolerances, or swallowing too much air while chewing. - **Indigestion**: A burning sensation, pain, and/or feeling uncomfortably full after eating. Its causes include the types of foods eaten (e.g., spicy, greasy, or fatty), overeating, stress, or eating too fast. - **Diarrhea**: Occurs when waste moves too quickly through the intestines, preventing fluid absorption and leading to watery stools and painful cramps. Causes include food-borne illnesses, food intolerances/allergies, or inflammatory bowel diseases. - **Constipation**: Difficulty having a bowel movement or having fewer than three bowel movements per week. Constipation occurs when the colon absorbs too much water (resulting in hard and dry stools), an underlying medical condition, certain medications, or low fiber intake. - [**Food allergies and intolerances**](https://www.verywellhealth.com/food-allergy-vs-intolerance-11681208) (e.g., [celiac disease](https://www.verywellhealth.com/celiac-disease-symptoms-overview-4581988), sensitivity to dairy or soy) - **Bowel obstruction/twisted bowel (**[**volvulus**](https://www.verywellhealth.com/volvulus-symptoms-causes-diagnosis-and-treatment-4686173#toc-volvulus-symptoms)**)**: Occurs when part of the intestine twists, potentially cutting off blood supply. Causes include scarring from prior surgery, inactivity in bedridden individuals, or chronic constipation. - **Inflammatory conditions** (e.g., [colitis](https://www.verywellhealth.com/infectious-colitis-5197876), [inflammatory bowel disease](https://www.verywellhealth.com/ibd-symptoms-1942663)) - **Infections** (e.g., [enteritis](https://www.verywellhealth.com/bacterial-gastroenteritis-5219755), [diverticular disease](https://www.verywellhealth.com/diverticulitis-7229626)) - [**Cancer**](https://www.verywellhealth.com/early-signs-of-cancer-5094855): Originating in various organs of the lower abdomen (e.g., the colon, rectum, appendix, ovaries, or uterus) and cancer that has spread from other areas of the body. ## Can Urinary Problems Lead to Abdominal Pain? The urinary system includes the kidneys, ureters, bladder, and urethra. These organs work together to filter blood and remove toxins and waste from body tissues. Common causes of urinary system pain include: - [**Kidney infections**](https://www.verywellhealth.com/kidney-infection-when-to-go-to-the-hospital-7511488): A type of urinary tract infection (UTI) that starts in the tube that carries urine from the body or the bladder. Typically, these infections are caused by bacteria. - **Kidney stones**: Pebble-like masses that form in the kidneys and produce intense pain. Stones form due to high levels of certain minerals and acids like calcium, oxalate, phosphorus, and uric acid. - [**Cystitis**](https://www.verywellhealth.com/cystitis-8647309): Inflammation of the bladder. The most common cause is an infection. - **Acute urinary retention**: The sudden inability to pass urine. Causes include urinary blockage, infection, nerve damage, an enlarged prostate, and certain medications - [**Urinary tract infections (UTIs)**](https://www.verywellhealth.com/urinary-tract-infections-4158392): A common infection that can affect any part of the urinary system (kidneys, bladder, and urethra), resulting in pain. UTIs usually result from the transfer of bacteria from the rectum or vagina to the urethra. ## Reproductive System Causes [Menstrual cramps](https://www.verywellhealth.com/period-cramps-8662719) due to uterine contractions are a normal part of menstruation. Normal cramping can be very painful, but, in some cases, cramps and pain in the lower abdomen and/or [pelvis](https://www.verywellhealth.com/pelvic-pain-causes-513760) may be due to a reproductive disorder such as: - [**Ovulation pain**](https://www.verywellhealth.com/ovulation-pain-8628062): Occurs when the ovary releases an egg - [**Endometriosis**](https://www.verywellhealth.com/endometriosis-7484890): A chronic disease in which inflammatory tissue similar to the lining of the uterus grows outside the uterus - [**Pelvic inflammatory disease (PID)**](https://www.verywellhealth.com/pelvic-inflammatory-disease-pid-3133135): An inflammatory infection that affects the uterus, ovaries, and fallopian tubes - [**Uterine fibroids**](https://www.verywellhealth.com/things-to-know-uterine-fibroid-tumors-3522376): Non-cancerous growths that may not have symptoms but can cause pelvic/abdominal pain and other issues. - [**Ovarian cysts**](https://www.verywellhealth.com/what-are-ovarian-cysts-3520952)**/**[**ruptured ovarian cyst**](https://www.verywellhealth.com/what-happens-if-i-have-a-ruptured-ovarian-cyst-2616648): Fluid-filled sacs that may cause pain and/or rupture, causing sudden, severe pain. - **Ovarian torsion**: Occurs when an ovarian cyst becomes twisted (torsion), which can cause severe pain and block blood flow to the ovary. - [**Ectopic pregnancy**](https://www.verywellhealth.com/ectopic-pregnancy-7546815): A pregnancy that develops in the fallopian tube rather than in the uterus or, rarely, in the cervix, ovary, or abdomen. - **Ovarian hyperstimulation**: A serious complication of fertility treatments. The ovaries enlarge, and fluid accumulates in the abdominal cavity, causing pain. - [**Ovarian cancer**](https://www.verywellhealth.com/ovarian-cancer-7368536): Rarely causes symptoms early on but may cause vague abdominal and pelvic pain at late stages. In males, lower abdominal or pelvic pain may be a result of: - [**Prostatitis**](https://www.verywellhealth.com/prostatitis-overview-4582651): Inflammation of the prostate, a walnut-shaped gland that produces the fluid portion of semen - [**Benign prostatic hyperplasia (BPH)**](https://www.verywellhealth.com/bph-symptoms-7549544): An enlarged prostate. Over time, it can lead to painful conditions like urinary tract infections, bladder stones, and chronic kidney disease. - [**Urethral stricture**](https://www.verywellhealth.com/urethral-stricture-overview-4176296): Narrowing of the urethra, through which urine leaves the bladder and exits the body, leading to pain during urination - [**Post-vasectomy pain syndrome**](https://www.verywellhealth.com/vasectomy-7547705): Chronic testicular pain that may be constant or intermittent ## When to See a Healthcare Provider See a healthcare provider if your symptoms aren't going away or are getting worse, or if you have other potentially serious symptoms, such as: - Blood in vomit, stool, or urine - High fever - Nausea and/or vomiting - Lightheadedness - Jaundice (yellowing of skin and eyes) - Inability to eat or have a bowel movement for a few days - Bloated/swollen abdomen that is rigid or painful to touch - Severe pain that doesn't go away If you are pregnant and experience abdominal pain, contact your healthcare provider or seek immediate medical attention. ## Diagnostic Tests If your abdominal pain doesn’t seem to be the result of indigestion and is getting worse or not going away, you should see a healthcare provider. They will likely perform a physical exam and ask about your symptoms in detail. They may also request tests to rule out possible causes of your abdominal pain. Expect your provider to ask you about the exact location of the pain and to describe the sensation you’re feeling. They may perform a gynecological or rectal exam if you have lower abdominal pain. Testing may include: - Blood tests such as a complete blood count to check for infection or blood loss - A pregnancy test - Imaging tests such as a [computed tomography (CT) scan](https://www.verywellhealth.com/what-is-a-cat-scan-189603) to look at your abdominal organs If you could be pregnant, an [ultrasound](https://www.verywellhealth.com/sonography-overview-4171740) is the preferred imaging method for evaluating unexplained abdominal pain. ## Treatment Approaches Many cases of lower abdominal pain result from minor causes. For example, most digestive upsets can usually be treated at home with: - Over-the-counter (OTC) medications (e.g., Gas-X, Tums, Pepto-Bismol, Imodium) - Rest - Hydration - Following a [clear liquid diet](https://www.verywellhealth.com/what-are-clear-liquids-1192173) for a day or two Chronic conditions that require long-term care will typically necessitate dietary adjustments and prescription medications. More serious conditions will require careful diagnosis and a treatment plan which may involve surgery. Mild abdominal pain may respond to OTC [nonsteroidal anti-inflammatory drugs (NSAIDs)](https://www.verywellhealth.com/best-anti-inflammatory-medication-2548734) or [acetaminophen (Tylenol)](https://www.verywellhealth.com/types-of-tylenol-and-dosage-189128). Depending on the condition, prescription pain relievers (e.g., corticosteroids, opioids) may be necessary. If your pain is severe or lasting enough to require emergency care, treatment options will depend on your condition. Read more: - [Health A-Z](https://www.verywellhealth.com/health-a-z-4014770) - [Digestive Health](https://www.verywellhealth.com/digestive-health-4141198) - [More Digestive Diseases](https://www.verywellhealth.com/more-digestive-diseases-overview-4581926) 11 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our [editorial process](https://www.verywellhealth.com/verywell-editorial-process-4777042) to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. 1. Riverside ER. [4 Types of Abdominal Pain and What You Can Do](https://riversideer.com/4-types-of-abdominal-pain-and-what-you-can-do/). 2. Johns Hopkins Medicine. [Gas in the digestive tract](https://www.hopkinsmedicine.org/health/conditions-and-diseases/gas-in-the-digestive-tract). 3. University of Michigan Health. [Constipation: Frequently asked questions](https://www.uofmhealth.org/conditions-treatments/digestive-and-liver-health/constipation-frequently-asked-questions). 4. National Institute of Diabetes and Digestive and Kidney Diseases. [Colonic volvulus](https://www.niddk.nih.gov/health-information/digestive-diseases/anatomic-problems-lower-gi-tract/colonic-volvulus). 5. National Cancer Institute. [Urinary system: components of the urinary system](https://training.seer.cancer.gov/anatomy/urinary/components/). 6. Makati Medical Center. [Gassy stomach? Here are the first things to do to relieve it](https://www.makatimed.net.ph/blogs/gassy-stomach-here-are-the-first-things-to-do-to-relieve-it/). 7. National Institute of Diabetes and Digestive and Kidney Diseases. [Kidney stones](https://www.niddk.nih.gov/health-information/urologic-diseases/kidney-stones/definition-facts). 8. Storme O, Saucedo JT, Garcia-Mora A, Dehesa-Davila M, Naber KG. [Risk factors and predisposing conditions for urinary tract infection](https://dx.doi.org/10.1177%2F1756287218814382). *Ther Adv Urol.* 2019;11:1756287218814382. doi:10.1177/1756287218814382 9. American College of Obstetricians and Gynecologists. [Dysmenorrhea: Painful periods](https://www.acog.org/womens-health/faqs/dysmenorrhea-painful-periods). 10. American College of Obstetricians and Gynecologists. [Committee opinion No. 723: Guidelines for diagnostic imaging during pregnancy and lactation](https://doi.org/10.1097/AOG.0000000000002355). *Obstet Gynecol*. 2017 Oct;130(4):e210-e216. doi:10.1097/AOG.0000000000002355. 11. MedlinePlus. [Clear liquid diet](https://medlineplus.gov/ency/patientinstructions/000205.htm). ![Steph Coelho]() ![Steph Coelho](https://www.verywellhealth.com/thmb/T1BWScfpXDXYdEuLYNl9UqnS8Ts=/144x144/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/photo-StephCoelho-71e04b2b22564fbea05f8785e9059178.png) By [Steph Coelho](https://www.verywellhealth.com/steph-coelho-5082687) Steph Coelho is a health and wellness writer and editor with nearly a decade of experience working on content related to health, wellness, mental health, chronic illness, fitness, sexual wellness, and health-related tech.She's written extensively about chronic conditions, telehealth, aging, CBD, and mental health. Her work has appeared in Insider, Healthline, WebMD, Greatist, Medical News Today, and more. [See Our Editorial Process](https://www.verywellhealth.com/verywell-editorial-process-4777042) [Meet Our Medical Expert Board](https://www.verywellhealth.com/meet-our-medical-expert-board-11762003) Share Feedback Was this page helpful? Thanks for your feedback\! What is your feedback? 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Readable Markdown
### Key Takeaways - Lower abdominal pain is not a disease but a symptom of various conditions. - Gas and indigestion are common causes of lower abdominal pain. - Severe pain with red flag symptoms like blood in stool needs immediate medical attention. Lower abdominal pain can range from mild discomfort due to gas to serious conditions like appendicitis. Understanding your symptoms and when to seek medical attention can help you address potential concerns appropriately. Verywell / Jessica Olah ## What Causes Pain in the Lower Abdomen? The lower abdomen is the area between your belly button and pelvic bone. Causes of pain in this area of the body can be related to: - Organs like the appendix, bladder, or kidneys - Conditions of the digestive tract like irritable bowel syndrome or celiac disease - Female-specific conditions like uterine fibroids or endometriosis ### What Are the Four Quadrants of Abdominal Pain? Healthcare providers divide the abdomen into four quadrants to identify pain sources: - **Upper abdomen**: Above the belly button - **Lower abdomen**: Below the belly button - **Right side or left side**: The breastbone (the long flat bone located in the center of the chest) marks the middle of your abdomen, which runs right through the belly button Pain in a specific quadrant, along with other symptoms, aids diagnosis. For instance, pain in the lower right abdomen often indicates [appendicitis](https://www.verywellhealth.com/appendicitis-symptoms-7095369). ### Is Your Abdominal Pain Acute or Chronic? Acute pain starts suddenly, has a specific cause, and can be severe, like in appendicitis. It may last several weeks. Chronic pain lasts six months or more and results from an ongoing problem, such as liver cirrhosis or cancer. ## Digestive Issues That Can Cause Abdominal Pain The [digestive system](https://www.verywellhealth.com/digestive-system-facts-1944708) is the group of organs in the body that break down food and absorb nutrients. Anything that can't be broken down, digested, or absorbed is excreted in bowel movements. Common digestive issues causing pain include: - **Gas**: Most people pass gas 14 to 23 times daily. However, when gas gets trapped, it can be painful. This often happens after consuming gas-producing foods, due to food intolerances, or swallowing too much air while chewing. - **Indigestion**: A burning sensation, pain, and/or feeling uncomfortably full after eating. Its causes include the types of foods eaten (e.g., spicy, greasy, or fatty), overeating, stress, or eating too fast. - **Diarrhea**: Occurs when waste moves too quickly through the intestines, preventing fluid absorption and leading to watery stools and painful cramps. Causes include food-borne illnesses, food intolerances/allergies, or inflammatory bowel diseases. - **Constipation**: Difficulty having a bowel movement or having fewer than three bowel movements per week. Constipation occurs when the colon absorbs too much water (resulting in hard and dry stools), an underlying medical condition, certain medications, or low fiber intake. - [**Food allergies and intolerances**](https://www.verywellhealth.com/food-allergy-vs-intolerance-11681208) (e.g., [celiac disease](https://www.verywellhealth.com/celiac-disease-symptoms-overview-4581988), sensitivity to dairy or soy) - **Bowel obstruction/twisted bowel (**[**volvulus**](https://www.verywellhealth.com/volvulus-symptoms-causes-diagnosis-and-treatment-4686173#toc-volvulus-symptoms)**)**: Occurs when part of the intestine twists, potentially cutting off blood supply. Causes include scarring from prior surgery, inactivity in bedridden individuals, or chronic constipation. - **Inflammatory conditions** (e.g., [colitis](https://www.verywellhealth.com/infectious-colitis-5197876), [inflammatory bowel disease](https://www.verywellhealth.com/ibd-symptoms-1942663)) - **Infections** (e.g., [enteritis](https://www.verywellhealth.com/bacterial-gastroenteritis-5219755), [diverticular disease](https://www.verywellhealth.com/diverticulitis-7229626)) - [**Cancer**](https://www.verywellhealth.com/early-signs-of-cancer-5094855): Originating in various organs of the lower abdomen (e.g., the colon, rectum, appendix, ovaries, or uterus) and cancer that has spread from other areas of the body. ## Can Urinary Problems Lead to Abdominal Pain? The urinary system includes the kidneys, ureters, bladder, and urethra. These organs work together to filter blood and remove toxins and waste from body tissues. Common causes of urinary system pain include: - [**Kidney infections**](https://www.verywellhealth.com/kidney-infection-when-to-go-to-the-hospital-7511488): A type of urinary tract infection (UTI) that starts in the tube that carries urine from the body or the bladder. Typically, these infections are caused by bacteria. - **Kidney stones**: Pebble-like masses that form in the kidneys and produce intense pain. Stones form due to high levels of certain minerals and acids like calcium, oxalate, phosphorus, and uric acid. - [**Cystitis**](https://www.verywellhealth.com/cystitis-8647309): Inflammation of the bladder. The most common cause is an infection. - **Acute urinary retention**: The sudden inability to pass urine. Causes include urinary blockage, infection, nerve damage, an enlarged prostate, and certain medications - [**Urinary tract infections (UTIs)**](https://www.verywellhealth.com/urinary-tract-infections-4158392): A common infection that can affect any part of the urinary system (kidneys, bladder, and urethra), resulting in pain. UTIs usually result from the transfer of bacteria from the rectum or vagina to the urethra. ## Reproductive System Causes [Menstrual cramps](https://www.verywellhealth.com/period-cramps-8662719) due to uterine contractions are a normal part of menstruation. Normal cramping can be very painful, but, in some cases, cramps and pain in the lower abdomen and/or [pelvis](https://www.verywellhealth.com/pelvic-pain-causes-513760) may be due to a reproductive disorder such as: - [**Ovulation pain**](https://www.verywellhealth.com/ovulation-pain-8628062): Occurs when the ovary releases an egg - [**Endometriosis**](https://www.verywellhealth.com/endometriosis-7484890): A chronic disease in which inflammatory tissue similar to the lining of the uterus grows outside the uterus - [**Pelvic inflammatory disease (PID)**](https://www.verywellhealth.com/pelvic-inflammatory-disease-pid-3133135): An inflammatory infection that affects the uterus, ovaries, and fallopian tubes - [**Uterine fibroids**](https://www.verywellhealth.com/things-to-know-uterine-fibroid-tumors-3522376): Non-cancerous growths that may not have symptoms but can cause pelvic/abdominal pain and other issues. - [**Ovarian cysts**](https://www.verywellhealth.com/what-are-ovarian-cysts-3520952)**/**[**ruptured ovarian cyst**](https://www.verywellhealth.com/what-happens-if-i-have-a-ruptured-ovarian-cyst-2616648): Fluid-filled sacs that may cause pain and/or rupture, causing sudden, severe pain. - **Ovarian torsion**: Occurs when an ovarian cyst becomes twisted (torsion), which can cause severe pain and block blood flow to the ovary. - [**Ectopic pregnancy**](https://www.verywellhealth.com/ectopic-pregnancy-7546815): A pregnancy that develops in the fallopian tube rather than in the uterus or, rarely, in the cervix, ovary, or abdomen. - **Ovarian hyperstimulation**: A serious complication of fertility treatments. The ovaries enlarge, and fluid accumulates in the abdominal cavity, causing pain. - [**Ovarian cancer**](https://www.verywellhealth.com/ovarian-cancer-7368536): Rarely causes symptoms early on but may cause vague abdominal and pelvic pain at late stages. In males, lower abdominal or pelvic pain may be a result of: - [**Prostatitis**](https://www.verywellhealth.com/prostatitis-overview-4582651): Inflammation of the prostate, a walnut-shaped gland that produces the fluid portion of semen - [**Benign prostatic hyperplasia (BPH)**](https://www.verywellhealth.com/bph-symptoms-7549544): An enlarged prostate. Over time, it can lead to painful conditions like urinary tract infections, bladder stones, and chronic kidney disease. - [**Urethral stricture**](https://www.verywellhealth.com/urethral-stricture-overview-4176296): Narrowing of the urethra, through which urine leaves the bladder and exits the body, leading to pain during urination - [**Post-vasectomy pain syndrome**](https://www.verywellhealth.com/vasectomy-7547705): Chronic testicular pain that may be constant or intermittent ## When to See a Healthcare Provider See a healthcare provider if your symptoms aren't going away or are getting worse, or if you have other potentially serious symptoms, such as: - Blood in vomit, stool, or urine - High fever - Nausea and/or vomiting - Lightheadedness - Jaundice (yellowing of skin and eyes) - Inability to eat or have a bowel movement for a few days - Bloated/swollen abdomen that is rigid or painful to touch - Severe pain that doesn't go away If you are pregnant and experience abdominal pain, contact your healthcare provider or seek immediate medical attention. ## Diagnostic Tests If your abdominal pain doesn’t seem to be the result of indigestion and is getting worse or not going away, you should see a healthcare provider. They will likely perform a physical exam and ask about your symptoms in detail. They may also request tests to rule out possible causes of your abdominal pain. Expect your provider to ask you about the exact location of the pain and to describe the sensation you’re feeling. They may perform a gynecological or rectal exam if you have lower abdominal pain. Testing may include: - Blood tests such as a complete blood count to check for infection or blood loss - A pregnancy test - Imaging tests such as a [computed tomography (CT) scan](https://www.verywellhealth.com/what-is-a-cat-scan-189603) to look at your abdominal organs If you could be pregnant, an [ultrasound](https://www.verywellhealth.com/sonography-overview-4171740) is the preferred imaging method for evaluating unexplained abdominal pain. ## Treatment Approaches Many cases of lower abdominal pain result from minor causes. For example, most digestive upsets can usually be treated at home with: - Over-the-counter (OTC) medications (e.g., Gas-X, Tums, Pepto-Bismol, Imodium) - Rest - Hydration - Following a [clear liquid diet](https://www.verywellhealth.com/what-are-clear-liquids-1192173) for a day or two Chronic conditions that require long-term care will typically necessitate dietary adjustments and prescription medications. More serious conditions will require careful diagnosis and a treatment plan which may involve surgery. Mild abdominal pain may respond to OTC [nonsteroidal anti-inflammatory drugs (NSAIDs)](https://www.verywellhealth.com/best-anti-inflammatory-medication-2548734) or [acetaminophen (Tylenol)](https://www.verywellhealth.com/types-of-tylenol-and-dosage-189128). Depending on the condition, prescription pain relievers (e.g., corticosteroids, opioids) may be necessary. If your pain is severe or lasting enough to require emergency care, treatment options will depend on your condition. ![Steph Coelho](https://www.verywellhealth.com/thmb/T1BWScfpXDXYdEuLYNl9UqnS8Ts=/144x144/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/photo-StephCoelho-71e04b2b22564fbea05f8785e9059178.png) By [Steph Coelho](https://www.verywellhealth.com/steph-coelho-5082687) Steph Coelho is a health and wellness writer and editor with nearly a decade of experience working on content related to health, wellness, mental health, chronic illness, fitness, sexual wellness, and health-related tech.She's written extensively about chronic conditions, telehealth, aging, CBD, and mental health. Her work has appeared in Insider, Healthline, WebMD, Greatist, Medical News Today, and more. Was this page helpful? Thanks for your feedback\! What is your feedback?
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