[44F] With lower abdominal cramping and sharp shooting pains

What might be happening

Based on your symptoms and medical history, here are some possible explanations:

• Pelvic Inflammatory Disease (PID) Recurrence: Given your history of PID, it's possible that you might be experiencing a recurrence. PID can cause lower abdominal pain, which can be crampy or sharp. It often requires antibiotic treatment.

  • Typical Treatment: Antibiotics prescribed by a doctor. It's important to complete the full course of antibiotics even if symptoms improve.

• Ovarian Cysts: These can cause sharp, shooting pains in the lower abdomen and may come and go. They can also cause irregular menstrual cycles.

  • Typical Treatment: Many ovarian cysts resolve on their own, but some may require medication or surgery. An ultrasound can help in diagnosis.

• Endometriosis: This condition can cause severe cramping and irregular menstrual cycles. It involves the tissue that normally lines the inside of your uterus growing outside of it.

  • Typical Treatment: Pain management, hormonal therapy, and sometimes surgery.

• Irritable Bowel Syndrome (IBS): This can cause cramping and abdominal pain, often relieved by bowel movements. Stress and certain foods can trigger symptoms.

  • Typical Treatment: Dietary changes, stress management, and sometimes medication.

• Urinary Tract Infection (UTI): Although you haven't reported changes in urination, UTIs can sometimes cause lower abdominal pain.

  • Typical Treatment: Antibiotics prescribed by a doctor.

What you can do

While waiting to see a healthcare professional, you can try the following:

1. Hydration: Drink plenty of water to stay hydrated.
2. Heating Pad: Continue using a heating pad for temporary relief.
3. Dietary Changes: Avoid foods that can irritate your stomach, such as spicy foods, caffeine, and alcohol.
4. Over-the-Counter Pain Relief: Medications like ibuprofen can help manage pain, but consult a healthcare provider before taking any medication.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or Worsening Pain: If the pain becomes unbearable or significantly worsens.
• Fever or Chills: These could indicate an infection.
• Vomiting or Nausea: Persistent vomiting or nausea could be a sign of a more serious condition.
• Changes in Urination: Painful urination, increased frequency, or blood in the urine.
• Unusual Vaginal Discharge: Any unusual discharge could indicate an infection.

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.