Lower Front Abdominal Pain

What Causes Lower Front Abdominal Pain?

Lower front abdominal pain 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 front abdominal pain, 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 front abdominal pain" as a symptom.  Here are eight of many possibilities (more below):
  • Ovarian Cancer
  • Kidney Stones
  • Mesenteric Ischemia
  • Intestinal Obstruction
  • Crohn's Disease
  • Appendicitis
  • Ulcerative Colitis
  • Ovarian Cysts

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:
kidney stones in family members
discontinued low-carb diet
severe abdominal pain
chronic diarrhea
excessive flatulence
joint pain/swelling/stiffness
ulcerative colitis in remission
recent onset vomiting
highly elevated basophil count
weak urine stream
slight abdominal distension
chronic nausea
... and more than 90 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 front abdominal pain:
Cause Probability Status
Ovarian Cysts 92% Confirm
Kidney Stones 23% Unlikely
Crohn's Disease 19% Unlikely
Mesenteric Ischemia 5% Ruled out
Ulcerative Colitis 3% Ruled out
Intestinal Obstruction 0% Ruled out
Appendicitis 0% Ruled out
Ovarian Cancer 0% 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 unaffected by eating, abdominal pain reduced by eating or abdominal pain increased by eating, The Analyst™ will ask further questions including this one:
LOWER-CENTER abdomen: Do you experience discomfort or pain at the top of your pubic area?
Possible responses:
→ No / only after meals / don't know
→ Occasional mild discomfort
→ Frequent mild and/or occasional moderate pain
→ Frequent moderate and/or occasional severe pain
→ Frequent or constant severe pain
Based on your response to this question, which may indicate mild hypogastric discomfort, moderate hypogastric pain, significant hypogastric pain or severe hypogastric pain, The Analyst™ will consider possibilities such as:
Kidney Stones (Urolithiasis)

Kidney stones are characterized by (often extreme) pain at the site where the stone is causing irritation i.e. back and sides of the abdomen, lower front of the abdomen and groin area.

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