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What are possible causes for gradually progressing, sharp pain in lower abdomen, radiating to lower back and groin?

Age: 16 - 29
Pain Orthopaedic Surgery Sport Medicine
DOCTOR’S ANSWER (2)

Any abdominal pain should have a through exmaination and imaging to exclude problems inside the tummy that could be the cause of pain.

The character of pain gives an indication of source as well. If it is dull, intermittent and gnawing,  this is likely arising from inside the tummy and a CT scan should be able tk discern the cause.
 
If the pain is sharp and movement related; if there is a precipitating accident or trauma, this could point to a muscular source.
 
Pain that is associated with numbness, electric shock, cold or burning sensation would indicate that neuropathic pain is likely. 
 
In this area, such possible causes could be arising from ilioinguinal and iliohypogastric, or genitofemoral nerves. 
 
Thank you!

Dr Daniel Phang
MBBS

Singapore Paincare Center
The Anaesthesia and Pain Practice 05-01
Starmed Specialist Centre
12 Farrer Park Station Road
S217565

259 views 11 Apr 2019

Thanks for the question.

You will need to rule out nerve compression in the back.
I will suggest MRI of the thoraco-lumbar spine.

 


Dr Hee Hwan Tak

PINNACLE SPINE & SCOLIOSIS CENTRE

MOUNT ELIZABETH MEDICAL CENTRE
3 MOUNT ELIZABETH
#04 - 07 Singapore 228510


246 views 11 Apr 2019
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