Dull, Constant Lower Abdominal Ache

What Causes Dull Constant Lower Abdominal Ache?

Dull constant lower abdominal ache can have various causes, ranging in severity from 'needs attention' to 'generally fatal'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose dull constant lower abdominal ache, we could:
  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "dull constant lower abdominal ache" as a symptom.  Here are six possibilities:
  • Ulcerative Colitis
  • Diverticular Disease
  • Ovarian Cancer
  • Appendicitis
  • Ovarian Cysts
  • Crohn's Disease

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
past and future vaccination
coffee consumption
severe lower abdominal pain
severe lower-right abdominal pain
past vaccinations
occasional significant bloating
moderate unexplained fevers
genital sores
orange stool color
occasional painful urge to defecate
major unexplained weight loss
ulcerative colitis
... and more than 40 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of dull constant lower abdominal ache:
Cause Probability Status
Ovarian Cysts 95% Confirm
Appendicitis 50% Possible
Crohn's Disease 17% Unlikely
Diverticular Disease 5% Ruled out
Ulcerative Colitis 1% Ruled out
Ovarian Cancer 1% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

If you indicate abdominal pain, The Analyst™ will ask further questions including this one:
Do you have a dull, constant ache on either or both sides of your lower abdomen near the pelvis, but above the pubic area?
Possible responses:
→ Don't know
→ No
→ Left side only
→ Right side only
→ Both sides or in the middle
Based on your response to this question, which may indicate absence of lower abdominal ache, left lower abdominal ache, right lower abdominal ache or lower abdominal ache, The Analyst™ will consider possibilities such as:
... and also rule out issues such as: