[25F] Experiencing recurrent abdominal and pelvic pain

What might be happening

Based on the information you've provided, possible diagnoses include:

• Endometriosis: This is a condition where tissue similar to the lining of the uterus is found outside of the uterus. It can cause symptoms like pelvic pain, lower back pain, and painful bowel movements. The pain can be cyclical, similar to menstrual cramps, and can be exacerbated by hormonal changes such as stopping birth control.

  • Treatment options for endometriosis often involve hormonal therapies, pain management, and in some cases, surgery.

• Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and constipation or diarrhea. Given your family history of gastrointestinal issues and IBS, this could be a possibility.

  • Treatment for IBS typically involves long-term management of diet, lifestyle changes, and stress management.

• Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs, often caused by sexually transmitted bacteria. It can cause pelvic pain and pain during urination.

  • Treatment for PID typically involves antibiotics to clear the infection.

• Ovarian Cysts: These are fluid-filled sacs or pockets in an ovary or on its surface. They can cause pelvic pain, bloating, and a feeling of fullness in the abdomen.

  • Treatment for ovarian cysts can range from monitoring to surgery, depending on the size and type of the cyst.

What you can do

1. Schedule an appointment with your primary care doctor or a gynecologist to discuss your symptoms. They may want to perform a pelvic exam or order imaging studies to further evaluate your symptoms.
2. Keep a symptom diary. Note when your symptoms occur, their severity, and any potential triggers (such as certain foods or stress).
3. Try over-the-counter pain relievers for temporary relief of your pain. However, these should not replace a visit to your doctor.
4. Maintain a balanced diet and regular exercise routine. This can help manage symptoms of IBS and promote overall health.

What you should look out for

Seek immediate medical attention if you experience:

• Severe abdominal or pelvic pain
• Fever or chills
• Vomiting
• Painful or difficult urination
• Unexplained weight loss

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment options.