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What Causes Lower Abdominal Spasms?

Posted on Wed, 30 Sep 2015

Question: I am a 55 year old male with a spasm in my middle lower abdomen. No other pain. No pain with eating or going to the bathroom. Just pain when standing, sitting,walking. Any time I move it hurts. It hurts a lot then it eases,

Answered by Dr. Ralf Von Seckendorff (3 hours later)

Brief Answer:
Different diagnostic to be done to find cause

Detailed Answer:
Dear patient,

if someone with your symptoms comes to my office i would suggest different diagnostic steps to find out where the pain comes from, after clinical examination i would do the following:

1. Ultrasound of lower abdomen and urine bladder and kindneys to rule out any condition of urinary organs
2. Blood work for inflammation to see if this could be going in the direction of chronic inflammation
3. If above steps do not bring any conclusion, further diagnostics may be discussed, like mri of lower abdomen and colonoskopy.
4. Xray of lower spine to rule out back issue

Please discuss these suggestions with your local doc,

Best regards

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Ralf Von Seckendorff (7 hours later)

There is no change in urination. There is no back pain. The pain is below the stomach above the groin area.

Answered by Dr. Ralf Von Seckendorff (26 hours later)

Brief Answer:
Ultrasound and MRI lower abdomen next steps

Detailed Answer:
Dear patient,

thank you for specifying. In that case ultrasound and mri lower abdomen would be the best next steps together with blood work for inflammation.

Best regards

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Above answer was peer-reviewed by : Dr. Neel Kudchadkar