What are the causes of left lower abdominal pain in women?

Question

Hello doctor,

I am a 28-year-old female weighing 45 kg. I am experiencing pain in my left lower abdomen and around my hip, and fatigue. I also have a discharge. I do not take any medications. However, the doctor found a red color in the cervix and advised a test. What diseases could I be suffering from as a result of these symptoms?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Please send me detailed information regarding your issue.

1. Is there any history of a recent fall or hit?

2. Are your periods overdue?

3. Does the discharge have any smell or color?

4. Any intermenstrual or post-coital bleed?

5. How long will the pain last? And is it aggravated by any activity?

6. Is there any history of constipation or irritable bowel syndrome?

7. Have you confirmed there is no pregnancy?

I suggest you have serum beta hCG (human chorionic gonadotropin) test to confirm your pregnancy status. If positive, then immediately report to emergancy tertiary care centers to exclude ectopic pregnancy.After a positive pregnancy test, the beta hCG level should be checked again after 48 hours, along with a transvaginal scan.

If a transvaginal scan confirms ectopic pregnancy, it is necessary to intervene; however, if a proper diagnosis is made, repeat the beta hCG test after 48 hours; if the increase is less than 60 % in 48 hours, it is confirmed that the pregnancy is ectopic.If beta hCG drops after 48 hours, it is a miscarriage; if it rises more than 60 %, it is a normal pregnancy.

Suppose your beta hCG is negative for pregnancy. In that case, you should have a high vaginal swab, a transvaginal scan for pelvic pathology, and a cervical smear to rule out any cervical pathology. Please let me know whether you have any joint pain or issue related to the bone, like arthritis, trauma, etc. If yes, then consult a related specialist and general physician as well. Here are some suggestions for you to follow:

Have a soft, light diet with lots of vegetables, fruits, and water.
Practice walking and exercise daily.
Undergo physiotherapy for pain after excluding any medical or bones-related issue by consultation with a related specialist, as I suggested above.
Try to have a complete checkup of any health issue you have and undergo complete treatment.
After the swab, take the tablet Doxycycline 100 mg twice daily and Metronidazole 400 mg eight hourly for 14 days.
Tablet Ponstan (Mefenamic acid) 400 mg eight hourly for two to five days for pain.

Collect laboratory tests and report back to discuss them here.I hope this will help you out.

I hope this helps address your concerns.

Please feel free to reach out for any further clarification.

Thank you.