Burning sensation on lower abdomen / suprapubic (both sides)

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Have been experiencing a persistent burning sensation in the lower abdomen / suprapubic region (both sides) for more than 2 months now. Blood tests, UTI , STI, X-rays all came negative and my PCP seemed to not know what is going on. Bowel movement has been pretty regular and cannot figure out what worsens the pain so far. Have had hemorrhoids in the past that comes and goes but mostly under control. No diarrhea or fever so far. Anybody experienced similar condition and what has worked for you guys?  

0 likes, 8 replies

8 Replies

  • Posted

    Have burning sensation myself for 4 months....

    Only after ultrasound they found that i have fatty liver...to what extend i dont know.... But diet should help it... Long term diet...

    So it may be an option...

    • Posted

      Thanks EdEire for the reply. Was your burning sensation also lower abdomen/upper pelvic region? Thanks
  • Posted

    Diagnosing pelvic/supra-pubic pain requires a thorough history, physical examination, and appropriate selection of labs and imaging.

    A thorough history, as detailed in the section below, is critical to define acuity of the pelvic/supra-pubic pain, as several surgical emergencies may present with it. By understanding the acuity, severity, and characterization of the pain, a targeted physical exam can be performed.

    There are several approaches to generating a differential diagnosis list for pelvic/supra-pubic pain. One approach is to consider superficial or referred causes of pain, and then focus on peri-pubic causes of pain. Extra-peritoneal causes of pain include dermatologic diseases such as cellulitis, musculoskeletal causes such as pelvic bone fracture, neuropathies, and referred pain from the gonads in men. Intra-peritoneal and retroperitoneal causes relate to the organs that populate the pelvic/supra-pubic region which includes the ovaries, testicles, bladder, kidney, and uterus.

    Once the physician creates a list of differential diagnoses, pre-test probabilities should be assigned to each diagnosis while also taking into account the acuity of diagnoses which cannot be missed. Finally, labs and evidence-based imaging can be ordered. Subspecialists, including Surgery, Urology, Gynecology, and Interventional Radiology, should be consulted if there is clinical suspicion that a procedure is warranted.

  • Posted

    If your PCP does not know what is going on he should have referred you to a specialist. If not, do so yourself starting with a gastroenterologist.
    • Posted

      Meeting my PCP next week and will ask him for the referral. Thanks. 

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