What could be the reason for severe pain in the lower abdomen and uterus region?

Hello,

Welcome to icliniq.com.

I understand your concern.

There are two issues, one related to the gut and another to her reproductive system. First, regarding gut, diverticulosis is rare in young people, usually a medical condition in the elderly. It is important to ask about the type of pain, like constant dull pain, and whether there is any improvement with passing stools or when she is not having her periods.

IBS (irritable bowel syndrome) is common in young people, but before labeling it IBS, baseline investigations, stool workup, and colonoscopy are necessary. Secondly, gastrointestinal issues do not explain the change in her periods; a gynecologist must evaluate this. Finally, there is a condition known as endometriosis, in which the patient suffers severe abdominal pain, especially during or around her periods. Another possibility is to rule out UTI (urinary tract infection) and any renal issues like small renal stones, etc. I would suggest the following:

1. Take anti-spasmodic for pain such as tablet Colofac (Mebeverine hydrochloride) 135 mg for pain.

If she has a history of constipation, it should also be treated.

I hope this helps.

Thank you.