Q. What causes burning sensation in lower abdomen with nausea?

Answered by
Dr. Ajeet Kumar Lohana
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on May 20, 2020 and last reviewed on: Jun 02, 2020

Hello doctor,

I have a burning sensation in the left side lower abdomen (a bit underneath the navel) and nausea for 2 weeks.

Dr. Ajeet Kumar Lohana

Medical Gastroenterology


Welcome to icliniq.com.

Well to be very honest I am not convinced with the diagnosis of IBS. IBS does cause a significant pain which is obvious in nature and show characteristic spasm like pain, not the burning you you described. Pain of IBS however, do occur over lower part of the abdomen. The burning nature of the pain suggest may be ongoing urinary tract infection, or a nerve pain within the wall of abdomen not necessarily within the bowel itself. This may be the reason pain is not responding to colofac which is an effective medication to control pain of IBS in among every patient.

I suggest you test urine detail report and ultrasound abdomen with kidney ureter and bladder to exclude if there is underling kidney or ureter stone or infections involving these organs. Take plenty of water making sure you have adequate amount of urine daily. You can continue with Omeprazole if you think this helps in this condition, otherwise you can stop these medications for now. First confirm then I can suggest you some treatment. Meanwhile for burning you can take capsule Pregablin 75 mg at night. It causes increased sleep that why suggested to take at night. This will help nerve and muscle pain.

The Probable causes:

Nerve entrapment pain
KUB stones, infections

Investigations to be done:

urine detail report and Ultrasound abdomen with kidney ureter and bladder

Treatment plan:

Cap Pregablin 75 mg at night. It causes increased sleep that why suggested to take at night. This will help nerve and muscle pain.

Regarding follow up:

You can follow up after investigations

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