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Thank you for getting back to me, I have always suffered from constipation since an early age due to being lactose intolerant, also have a very sensitive stomach so occasionally have diarrhea. The lower abdominal pain is mainly in the center but often feel sharp pain on either side mainly after sexual intercourse. No discomfort during urination only the sensation of needing to go more regularly. I came off the pill a year ago and since then it hasent been very regular.
Thanks for the details. I would like to say that there are few important possibilities which should be investigated such as urinary tract infection, Pelvic inflammatory disease, hormonal imbalance, irritable bowel syndrome. I will suggest further tests such as urine culture, fasting blood sugar level, blood estrogen/progesterone level, c-reactive protein, defecography. I will suggest to add probiotics in diet, take at least five portions of vegetables or fruits in a day. Avoid junk or spicy food. Your GP might consider to refer you to Gynaecologist & Gastroenterologist depending on the examination findings and further these test results.
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Dr. Amir Javed.
I have been tested for urinary track infection, endrometiosis and cysts in my ovaries and all came back negative, also I have been seen by 2 Gynaecologists and nothing has been found. Thank you for your advise I will take this to my GP, but are you able to hint what could possibly be causing these symptoms?
That's good and next step should be as I suggested to refer you to Gastroenterologist because of persistent abdominal pain. There might need to do further some specific tests as I mentioned including colonoscopy. If nothing will found in all these tests which I mentioned including colonoscopy then most likely its Irritable bowel syndrome which is a disease of exclusion. Try to follow the guidelines and add probiotics in diet.