[56F] With severe lower abdominal pain for one month

What might be happening

Based on the information you've provided, there are a few potential causes for your severe lower abdominal pain:

1. Gastrointestinal Issues:

   • Irritable Bowel Syndrome (IBS): IBS can cause chronic abdominal pain, often described as cramping or sharp pain. It can be associated with changes in bowel habits, but not always.
   • Diverticulitis: This condition involves inflammation or infection of small pouches in the digestive tract and can cause severe, constant pain, usually in the lower abdomen.

2. Gynecological Issues:

   • Endometriosis: Even though you had a hysterectomy, endometriosis can still cause pain if there are remaining endometrial tissues.
   • Ovarian Cysts: These can cause sharp, severe pain in the lower abdomen and back.

3. Musculoskeletal Issues:

   • Muscle Strain or Hernia: Given the location and severity of your pain, a muscle strain or hernia could be contributing to your symptoms.

4. Autoimmune Flare-Up:

   • Lupus Flare: Since you have lupus, it's possible that your abdominal pain could be related to a flare-up of your condition, which can sometimes affect the gastrointestinal tract.

What you can do

Severe Lower Abdominal Pain:

• Seek Immediate Medical Attention: Given the severity and duration of your pain, it's important to see a healthcare provider as soon as possible. They may perform imaging tests like an ultrasound or CT scan to determine the cause.
• Pain Management: While waiting to see a doctor, you can take over-the-counter pain relievers like ibuprofen, but be cautious with the dosage and frequency.
• Rest and Hydration: Ensure you are resting and staying hydrated. Sometimes, lying down in a comfortable position can help alleviate some pain.

General Tips:

• Track Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help in identifying patterns and potential triggers.
• Avoid Triggers: If you notice certain foods or activities worsen your pain, try to avoid them until you can see a healthcare provider.

What you should look out for

Given the severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Fever or Chills: These could indicate an infection.
• Nausea or Vomiting: Persistent nausea or vomiting could be a sign of a more serious condition.
• Changes in Bowel Habits: Any new onset of diarrhea, constipation, or blood in your stool should be evaluated.
• Urinary Symptoms: Pain during urination, increased frequency, or urgency could indicate a urinary tract infection or other issues.
• Severe Back Pain: If the pain in your back becomes more severe, it could indicate a more serious condition.

Remember, while I can provide some guidance, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to continue the conversation.