Causes Of Low Back Pain To The Lower Abdomen?

Illustration of Causes Of Low Back Pain To The Lower Abdomen?
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Dear Doc,

1 Answer:

Hello Lenny Merleni,


Pain is an uncomfortable and unpleasant sensation that arises due to interference with body tissues. Pain is generally subjective, varies in each person regarding the intensity, quality of pain, and spread. Pain in the waist and pelvis can occur due to abnormalities in the tissues or organs around the area or can also arise from abnormalities in other organs outside the area but have the same innervation.


In women, pain around the lower back and pelvis can occur due to:

Abnormalities in the spine: hernia pulposus nucleus, spinal nerve stenosis, spinal deformities, etc.
Abnormalities in the reproductive organs: endometriosis, uterine myomas, ovarian cysts, pelvic inflammatory disease, etc.
Abnormalities in the urinary tract and kidneys
Abnormalities in the digestive tract

To differentiate these causes, the doctor needs to anamnesis (interview) the patient regarding the history of complaints, the main symptoms and accompanying, pain trigger factors, duration and quality of pain, factors that reduce pain, history of trauma, history of treatment, and much more in order focus the diagnosis to certain diseases. In addition it is necessary to do a physical examination to assess tenderness in certain areas, pain due to certain movements, defans in the abdominal area, spinal alignment, the ability of spinal movements, and other physical examinations to prove where the pain comes from. Besides investigations such as x-rays, ultrasound, CT-scan / MRI, urine analysis, may be needed to support the diagnosis of certain diseases.


If the pain that you experience almost every day and get worse, it is better to do a direct examination with a doctor first. Later the doctor will determine the appropriate supporting examination after getting the results from the history and physical examination. Avoid lifting heavy items and strenuous activities for a while. Lying on your back with a rather hard base can help align the spine. You can take pain relievers if pain is severe for a while. Thus the explanation from me, hopefully useful.

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