Pain in lower left abdomen near hip bone in female or in soft tissues may be due to benign or significant underlying reasons.
Understanding the origins is crucial. It differs from pain in the lower right abdomen in general and also in females.
Comprehensive description of the symptoms, possible causes, and recommended courses of action based on previous studies is provided below.
What Causes Lower Left Abdominal Pain in Females?
Diverticulitis frequently serves as the cause of acute pain in the left lower quadrant, particularly in older adults.
Renal colic, urinary tract infections, gynecologic problems, epiploic appendicitis, perforated carcinoma, various inflammatory illnesses of the colon, and diseases of the abdominal wall are among the most widespread differential diagnoses.
Further examination is required because the clinical impression could result in an incorrect diagnosis.
Pain in Lower Right Abdomen in Female:
Dull pain in the lower right abdomen that comes and goes can arise from an abundance of conditions, some of which may require immediate medical care.
Women of reproductive age (WORA) frequently experience severe abdominal pain due to appendicitis, and the most common emergency surgery performed on these patients is an appendectomy.
Periumbilical pain is often the initial symptom of acute appendicitis, then comes nausea and anorexia.
Usually, vomiting appears later. About eight hours after the
initial pain, the lower right abdominal region is usually where the pain goes.
undesirable outcomes from acute appendicitis may arise if the diagnosis is incorrect or not made promptly.
Physical procedures that point to appendicitis include fullness and discomfort in the pelvis during a digital rectal examination, McBurney tenderness, rebound, Rovsing’s sign, Dunphy’s sign, psoas sign, and obturator sign.
While they can help verify the diagnosis, laboratory tests including granulocyte counts, C-reactive protein (CRP), and white blood cell counts (WBC) cannot make a diagnosis on their own. In cases where the diagnosis of appendicitis remains unclear, a (WBC) count below specific criteria might greatly increase the condition’s negative predictive value.
Ovarian cyst, ovarian torsion, pregnancy, ureterolithiasis, diverticulitis, colitis, pyelonephritis, cystitis, and pelvic inflammatory disease are among the less common differential diagnoses for pain in the lower left abdomen in females.
Further medical examinations and background gathering may minimize this discrepancy. However, the first differential rarely includes a musculoskeletal or hip etiology.
Healthcare professionals need to be aware that localized tissues may get irritated or compressed, resulting in symptoms.
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When to Seek for Medical Help?
Patients with lower right abdomen pain should keep close monitoring on their symptoms.
The following symptoms warrant for an immediate medical assessment:
- Abrupt onset of severe pain
- Pain accompanied by chills or a fever
- Abnormalities in bowel patterns, such as blood in the stool
- Frequent vomiting
- Shock symptoms, such as dizziness and fast heartbeat.
Summary:
Females who experience lower, left, or right abdominal pain may have a variety of medical disorders that impact distinct systems of the body. Causes may be benign, but some can necessitate immediate medical attention.
Recognizing concurrent symptoms and immediately obtaining medical advice are essential elements towards effective treatment.
It is recommended that individuals receive regular check-ups and be aware of their health state in order to identify and address any underlying problems as soon as possible.
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References
Hollerweger, A., Macheiner, P., & Gritzmann, N. (2003). Akute linksseitige Unterbauchschmerzen:
Sonographische Differenzialdiagnose [Acute left lower quadrant abdominal pain: ultrasonographic differential diagnosis]. Ultraschall in der Medizin (Stuttgart, Germany : 1980), 24(1), 7–16. https:// doi.org/10.1055/s-2003-37410.
• Hatipoglu, S., Hatipoglu, F., & Abdullayev, R. (2014). Acute right lower abdominal pain in women of reproductive age: clinical clues. World journal of gastroenterology, 20(14), 4043–4049. https:// doi.org/10.3748/wjg.v20.i14.4043.
• Boulet, S., Milliron, M. L., & Lund, K. H. (2022). It’s Not Always the Appendix: An Unusual Case of Right Lower Quadrant Pain in an Emergency Department Patient Due to Iliopsoas Bursitis From Uncommon Sleep Positioning. Cureus, 14(2), e22251. https://doi.org/10.7759/cureus.22251 .
• Snyder, M. J., Guthrie, M., & Cagle, S. (2018). Acute appendicitis: Efficient diagnosis and management. American Family Physician, 98(1), 25-33.
