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Wednesday, 22 May 2024



Customer question:

What could be causing pain in the lower abdomen and lower back? Anonymous customer's question



Pharmacist's answer:

Various factors can cause pains in the lower abdomen and lower back:

    • Lumbar sprain: damage to muscles or ligaments in the lower back.
    • Herniated disc: a bulging intervertebral disc that can press on nerves.
    • Spondylolisthesis: sliding of one vertebra over another.
    • Menstrual pain (dysmenorrhea): cramps and pain during menstruation.
    • Endometriosis: tissue similar to the lining of the uterus grows outside the uterus.
  • Pelvic inflammatory disease (PID): infection of the reproductive organs.
  • Ovarian cysts: can cause pain when they enlarge or burst.
  • Urinary tract infection (UTI): Bladder or kidney infection.
  • Kidney stones: pain due to the passage of stones through the urinary tract.
  • Irritable bowel syndrome (IBS): abdominal pain associated with digestive disorders.
  • Appendicitis: inflammation of the appendix that requires urgent medical attention.
  • Inflammatory bowel diseases (IBD): include Crohn's disease and ulcerative colitis.
  • Pregnancy: including ectopic pregnancy.
  • Stress and anxiety can cause tension in the abdominal and back muscles.



What helps with lower abdominal pain?

Depending on the cause of the pain, there are several approaches to relieving lower abdominal pain. Over-the-counter medications such as pain relievers and NSAIDs can help significantly. Paracetamol is often recommended to reduce pain, while ibuprofen or naproxen not only relieves pain but also reduces inflammation, which is particularly effective for menstrual pain.

Heat therapy is also a very effective method. Warm compresses or a heating pad to the lower abdomen can relax the muscles and relieve spasms, significantly reducing pain. Hydration and proper nutrition are essential in pain relief, as adequate fluid intake prevents constipation and relieves symptoms associated with kidney stones or urinary tract infections.

A fiber-rich diet helps prevent digestive problems that can cause pain in the lower abdomen. Relaxation is essential to pain relief as it allows the body to recover from stress or physical exertion that may cause pain. Relaxation techniques such as yoga, meditation, or deep breathing help reduce stress and tension, which has a positive effect on reducing pain. Mild physical activity, such as walking or stretching, improves circulation and reduces pain associated with muscle tension.

Exercises to strengthen the muscles of the pelvic floor, such as Kegel exercises, are helpful for certain types of pain. Treating the underlying cause of the pain is critical to lasting relief. If the pain is due to a urinary tract infection or pelvic inflammatory disease, antibiotics prescribed by the doctor will be effective. Hormonal therapy is often prescribed for endometriosis or menstrual pain, as hormonal contraceptives or other hormonal drugs regulate hormones and reduce pain.



Can painkillers help with stomach pain?

Painkillers can help relieve stomach pain, but their effectiveness depends on the cause of the pain. Analgesics such as paracetamol and non-steroidal anti-inflammatory drugs such as ibuprofen and naproxen are often used to treat abdominal pain. Paracetamol is known for relieving pain and reducing fever, but it is not anti-inflammatory. It is suitable for mild to moderate pain and has fewer gastrointestinal side effects compared to NSAIDs. Paracetamol is often recommended for general abdominal pain, where inflammation is not the leading cause.

Ibuprofen and naproxen are anti-inflammatory and are effective in relieving pain caused by inflammation. This makes them useful for menstrual pain, endometriosis, and inflammatory diseases. In addition to pain relief, they reduce swelling and inflammation. However, long-term use can cause gastrointestinal problems such as ulcers or bleeding, so they should be used with caution and preferably after consulting a doctor. If the abdominal pain is caused by muscle spasms or tension, medicines that relax the muscles (muscle relaxants) can also help. In some cases, such as irritable bowel syndrome, specific medications may be prescribed to relieve cramps and improvement digestion.

It is essential to find out the cause of the abdominal pain before using painkillers. Suppose the pain is due to a severe medical condition, such as appendicitis, inflammation of the pancreas, or an ectopic pregnancy. In that case, it is imperative to seek immediate medical attention, as these conditions require specific treatment. In addition, some painkillers can mask the symptoms of serious diseases, which can make diagnosis and treatment difficult.



Interesting reading: Sore throat, what helps?



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