Brief Answer:
Needs investigations to find the cause.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The acute pain in the lower abdomen near ovarian region can be due to
- Renal colic and Pyelonephritis.
- Irritable Bowel Syndrome (IBS).
- Inflammatory bowel disease (IBD).
- Ulcerative Colitis or Diverticular disease.
- Ovarian Cyst, fibroid or Adenomyosis etc.

Ectopic pregnancy should be ruled out through one home pregnancy test if you have missed your regular period.

Proper clinical examination and some initial investigations should be carried out under the guidance of gynecologist.

Investigation includes: One pelvic ultrasound scan; Blood tests like Renal and Liver function, Sugar (PPBS), ESR; Urine microscopy and culture; GI Endoscopy or Colonoscopy, CT or MRI scan (if required) etc.

Complete treatment can be made only after diagnosis of the case. You can take an over the counter anti spasmodic till then for relief.

In addition, you must take healthy balanced diet, avoid spicy and salty food stuffs, drink plenty of water, keep bowel habit regular, maintain genital hygiene and take sound sleep. Don't stay in empty stomach for long time. Take 6 small meals instead of 3 large meals.

Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

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Brief Answer:
Yes.

Detailed Answer:
Hello.
Thanks for writing again.
Yes. If the pain is severe and persistent then going to ER is recommended.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

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