[39F] Experiencing chronic lower abdominal and back pain

What might be happening

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

• Ovarian Cysts: These are fluid-filled sacs that can form in the ovaries. They are common and usually form during ovulation. Symptoms can include pelvic pain, bloating, and tiredness.

  • Treatment can range from monitoring to surgery, depending on the size of the cyst and the severity of the symptoms.

• Endometriosis: This is a condition where tissue similar to the lining inside the uterus (called the endometrium), is found outside the uterus, where it induces a chronic inflammatory reaction that may result in scar tissue. It is a possible cause of your lower abdominal pain and fatigue.

  • Treatment typically involves medication for pain relief and hormone therapy to slow the growth of the endometrial tissue. In more severe cases, surgery may be necessary.

• Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually starts suddenly, fluctuating in intensity with periods of relief in between. The pain can radiate to the lower abdomen and groin and is often associated with nausea.

  • Treatment includes pain management and drinking lots of fluids to help pass the stone. Medical procedures may be required if the stone is too large.

• Musculoskeletal Issues: Problems with the muscles, ligaments, and tendons in the lower back can cause back pain. The pain can sometimes radiate to the lower abdomen.

  • Treatment typically involves physical therapy, pain medication, and lifestyle modifications.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention. Here are some steps you can take:

1. Schedule an appointment with your healthcare provider as soon as possible. They can perform a physical examination and possibly order imaging tests (like an ultrasound) or blood tests to help determine the cause of your symptoms.
2. Keep track of your symptoms, including when they occur, how long they last, and any factors that make them better or worse. This information can be helpful to your healthcare provider.
3. In the meantime, over-the-counter pain relievers may help manage your pain. However, these should not replace a visit to your healthcare provider.

What you should look out for

Seek immediate medical attention if you experience:

• Severe or sudden abdominal pain
• Fever or chills
• Vomiting
• Difficulty urinating or bloody urine
• Unusual vaginal bleeding

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for an accurate diagnosis.