[18F] With chronic lower right abdominal and pelvic pain

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Chronic Pelvic Pain Syndrome (CPPS):

   • Rationale: CPPS can cause persistent pain in the pelvic region, including the lower abdomen, and can be associated with tenderness and pain in the vaginal area. The pain can be sharp and come and go, as you've described.
   • Typical Treatments/Testing: Treatment may include pain management strategies, physical therapy, and sometimes medications to manage pain and inflammation. A healthcare provider may perform a pelvic exam, imaging tests (like an ultrasound or MRI), and possibly refer you to a specialist.

2. Irritable Bowel Syndrome (IBS):

   • Rationale: IBS can cause abdominal pain and discomfort, which can be sharp and intermittent. While IBS typically affects bowel habits, it can also cause pelvic pain and tenderness.
   • Typical Treatments/Testing: Management often includes dietary changes, stress management, and medications to relieve symptoms. A healthcare provider may recommend a colonoscopy or other tests to rule out other conditions.

3. Ovarian Cysts:

   • Rationale: Ovarian cysts can cause sharp, intermittent pain in the lower abdomen and pelvic area. While you mentioned no history of ovarian cysts, they can develop at any time.
   • Typical Treatments/Testing: Treatment may include watchful waiting, pain management, or surgical intervention if the cysts are large or causing significant symptoms. An ultrasound is typically used to diagnose ovarian cysts.

What you can do

For Chronic Pelvic Pain Syndrome (CPPS):

• See a healthcare provider: It's important to get a proper diagnosis and treatment plan. They may refer you to a specialist, such as a gynecologist or a pain management specialist.
• Pain management: Over-the-counter pain relievers like ibuprofen or acetaminophen may help manage pain. Always follow the recommended dosage.
• Physical therapy: A physical therapist specializing in pelvic pain can provide exercises and techniques to help alleviate pain.

For Irritable Bowel Syndrome (IBS):

• Dietary changes: Consider keeping a food diary to identify any foods that may trigger your symptoms. A low-FODMAP diet is often recommended for IBS.
• Stress management: Techniques such as mindfulness, meditation, and yoga can help manage stress, which can exacerbate IBS symptoms.
• Consult a healthcare provider: They can provide specific dietary recommendations and possibly prescribe medications to help manage symptoms.

For Ovarian Cysts:

• Monitor symptoms: Keep track of your pain and any other symptoms. If the pain worsens or you develop new symptoms, seek medical attention.
• Consult a healthcare provider: They can perform an ultrasound to check for ovarian cysts and recommend appropriate treatment.

What you should look out for

Given the chronic nature of your symptoms and the potential for underlying conditions, you should seek medical care to get a proper diagnosis and treatment plan. Reasons to seek care more urgently include:

• Severe or worsening pain
• Fever or signs of infection
• Unexplained weight loss
• Changes in bowel habits or urinary symptoms
• New or unusual vaginal discharge

Remember, while I can provide information and suggestions, it's important to consult with a healthcare provider for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.