Burning sensation on lower abdomen / suprapubic (both sides)

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...

Try a food diary and monitor your stress levels to see if eirher of these things bring on/worsen your pain.

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.

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.