Feeling Of Lower Abdominal Fullness

What Causes Lower Abdominal Fullness?

Lower abdominal fullness 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.

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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose lower abdominal fullness, 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 "lower abdominal fullness" as a symptom.  Here are five possibilities:
  • Ovarian Cysts
  • Ovarian Cancer
  • Intestinal Obstruction
  • Fibroids
  • Endometriosis

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:
significant right iliac pain
significant abdominal pain
severe fatigue after slight exertion
ovarian cancer
severe right iliac pain
significant abdominal distension
significant hypogastric pain
moderate unexplained weight gain
severe flatulence
constant abnormal vaginal discharge
regular painful urge to defecate
... and more than 30 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of lower abdominal fullness:
Cause Probability Status
Endometriosis 91% Confirm
Ovarian Cysts 24% Unlikely
Intestinal Obstruction 3% Ruled out
Fibroids 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 discomfort, The Analyst™ will ask further questions including this one:
Do you experience a sense of lower abdominal fullness that is NOT caused by food or gas? In other words do you ever "feel full" when you shouldn't?
Possible responses:
→ It is caused by gas / don't know
→ No, I do not experience lower abdominal fullness
→ Yes, sometimes a little fullness
→ Yes, often a little / sometimes definite fullness
→ Yes, (almost) always a definite fullness
Based on your response to this question, which may indicate no abdominal fullness, slight abdominal fullness, intermittent abdominal fullness or constant abdominal fullness, The Analyst™ will consider possibilities such as:
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