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
  • Appendicitis
  • Possible Urgent Medical Need
  • Mesenteric Ischemia
  • Diverticular Disease
  • Ectopic Pregnancy
  • 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:
major joint pain/swelling/stiffness
dizziness when standing up
mild right iliac discomfort
major unexplained weight loss
significant left iliac pain
dairy product consumption
black/tarry stools
significant right hypochondriac pain
severe left lumbar pain
significant meal-induced pain
excessive flatulence
bulimia
... and more than 80 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 95% Confirm
Possible Urgent Medical Need 23% Unlikely
Mesenteric Ischemia 16% Unlikely
Appendicitis 4% Ruled out
Diverticular Disease 0% Ruled out
Ovarian Cancer 0% Ruled out
Ulcerative Colitis 0% Ruled out
Ectopic Pregnancy 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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