Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

137 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Lower abdominal pain, frequent urination and IBS. Blood test normal. What is causing this?

Answered by
Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 11516 Questions

Posted on Tue, 29 Jan 2013 in Abdominal Pain
Question: Hi
For some weeks I have been suffering lower abdominal pain which is particularly bad at night. It occurs very low down and is central and towards the right hand side. Sometimes I need to urinate more frequently though it is not painful.
I do suffer from IBS but this feels very different. I have lost weight recently and so my GP sent me for a series of blood test which came back negative. These included a gluten free test, CA127? I don't think this is relevant but in August I had breast cancer surgery.
Answered by Dr. Praveen Tayal 2 hours later
Thanks for posting your query.
The pelvic pain that you have on the right side could be due to changes in the uterine tissue such as endometriosis, intestinal spasm, bladder spasm or sometimes kidney stones.
STIs and pelvic infection also needs to be ruled out after a physical examination.
You might benefit by visiting your OB-GYN so that you can be evaluated with a panel of blood tests and a ultrasound of the abdomen and pelvis OR a CT scan to diagnose the underlying condition and initiate necessary interventions for proper treatment.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Dr. Praveen Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Praveen Tayal 21 hours later
Thank you Dr Tayal for your response.
I am still puzzled as to why my symtoms are worse at night and first thing in the morning. Also, I didn't know post menopausal women would suffer from endometrioses. Over 30 years ago I had a laperotomy for adhesions caused by pelvic infection (twice!). Might this be a recurrence of this despite not having lower abdominal surgery. I did have my gall bladder removed 4 years ago by keyhole surgery. There is no question of my having STIs since I have never been sexually active. Could you tell me what an OB-GYN is? Is it a gyneacologist? If so I don't have one. I would need to be refered to one at the hospital by my GP. I haven't been taking pain killers to date. Would you advise me to or might it disguise the symtoms? I look forward to hearing from you again.
Answered by Dr. Praveen Tayal 2 hours later
Thanks for writing again.
If your symptoms are worse at night then intestinal colic might be a more likely cause for the pain. Post menopausal women are less likely to have endometriosis but the previous adhesions can cause such a pain later too.
You need to get yourself properly investigated by your gynecologist (OB-GYN). Till then you can continue taking mild pain killers for symptomatic relief.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,  
Medical Procedures ,   ,   ,  

Recent questions on  Keyhole surgery

doctor1 MD

I have recently ( 4 weeks ago) , undergone keyhole surgery for a prolapse and also rectal repair. Even though my recovery seems to be slow, I am improving..... After having a good day - been walking about, over the last couple of hours I am experiencing a bloated/ discomfotf in my stomach. I am going to the toilet normally..... Prior to surgery my GP was treating me for IBS.....I think this may be the current cause of my bloating. What diet do you suggest that I follow to ease the symptoms?? Thank you

doctor1 MD

I have been having very bad bouts of diarrhoea followed by constipation,passing urine frequently severe pain in my left side very tender to touch on same side of abdominal area.I had previous keyhole surgery to remove cysts on same side 4 years ago. I am currently taking macrodantin caps 50mg four times a day to treat kidney infection as bacteria was found in my urine.Inflammation found in my blood.I also have lower back pain and feeling very tired. I am 50 years old usually very fit as I jog and go to gym. I missed my period this month for first time and I am aware this could be start of menopause. Have you any idea what could be wrong?h

doctor1 MD

For surgery on a herniated disc at C5-C6, what is the customary number of days for recovery in the hospital after the surgery? This is a regular surgery on the neck with a fusion. A platelet is being put in with 4 screws and the disc is being replaced with an artificial disk (polycarbonate). It is not keyhole surgery.

doctor1 MD

Hi, i'm 14 years old, around 149cm tall, and my weight is 47kgs. I have recently have an appendicitis open surgery. Which was the keyhole surgery. And now, i feel that i have pain on same spot ( the left lower side ) as last time, and pain feels much more uncomfortable. Is it possible that i have appendicitis again? What are the causes of this? How is it possible?
Please help.

doctor1 MD

I have been diagnosed with spinal stenosis in T 11-12 and L 2-3 I have 2 MRI and am scheduled for surgery at Darthmouth med Center but they do not do laser surgery . I am 85 years old an am concerned with being under general anes. for a long time.

doctor1 MD

I have had severe pain in my upper right abdomen for over a week. My blood tests show that there are probably gallstones I have tried Tramadol from the GP which was not effective. I have now been on Morphine and Diazepam for the pain. I also...

doctor1 MD

Hi. I hope you can help. 2 weeks ago I had my gallbladder removed through keyhole surgery I was sent home that day but was sent back in due to a lot of bleeding they just put extra stitches in? And was sent home the next day I have since not being...