[18F] Experiencing severe abdominal cramps and lower back pain

What might be happening

Based on the information you've provided, here are a few possibilities:

• Dysmenorrhea: This is the medical term for painful periods. It can cause severe cramps in the lower abdomen, back pain, and pain during bowel movements. It can also cause pain during intercourse, known as dyspareunia.

  • Treatment often includes over-the-counter pain relievers, hormonal birth control, and lifestyle changes such as regular exercise and a healthy diet.

• Endometriosis: This is a condition where tissue similar to the lining of the uterus grows outside of the uterus. It can cause severe menstrual cramps, lower back pain, pain during bowel movements, and pain during intercourse.

  • Treatment can include hormonal therapies, pain relievers, and in some cases, surgery.

• Irritable Bowel Syndrome (IBS): This is a disorder that affects the large intestine. Symptoms can include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

  • Treatment often includes dietary changes, lifestyle changes, and medications.

• Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral, bacterial, or parasitic infection. It can cause abdominal cramps, diarrhea, and sometimes fever and vomiting.

  • Treatment usually involves rest, hydration, and over-the-counter remedies.

What you can do

1. Over-the-counter pain relievers: Non-prescription medications such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve) can help relieve menstrual cramps.

2. Heat: Applying a heating pad, heat wrap, or hot water bottle to your abdomen can help soothe muscular contractions.

3. Rest and relaxation: Stress can exacerbate symptoms of many conditions, including dysmenorrhea and IBS. Try to get plenty of sleep and engage in relaxing activities such as reading or taking a warm bath.

4. Dietary changes: If you suspect your symptoms may be related to IBS, try avoiding high-gas foods, gluten, and certain carbohydrates known as FODMAPs.

What you should look out for

Please seek immediate medical attention if:

• Your pain becomes severe or unbearable
• You have a high fever (>100.4°F)
• You notice blood in your stool
• You experience persistent vomiting

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate examination, testing, and care.