Sudden Lower Abdominal Pain: Possible Causes and What You Should Know

Sudden lower abdominal pain can be alarming and may indicate a variety of underlying conditions. While some causes are mild and temporary, others require immediate medical attention. Below are several potential reasons for this type of discomfort:

1. Intestinal Functional Disorders

One common cause is intestinal functional disorder, often linked to autonomic nervous system imbalances affecting the small intestine. Normally, the small intestine contracts rhythmically about 3 to 5 times per minute. However, during functional disturbances, these contractions may increase to 7 or 8 times per minute, leading to sudden spasmodic pain in the lower abdomen. This condition can usually be managed with medications that regulate gut function, such as prokinetics or probiotics. In more severe cases, antispasmodic drugs like hyoscine butylbromide (Buscopan) or injections of anisodamine (654-2) may be necessary to relieve pain and reduce intestinal contractions.

2. Small Intestine Diseases

Conditions such as Crohn's disease or intestinal tuberculosis can lead to sudden, sharp, and knife-like abdominal pain, especially if complications like perforation occur. Tumors in the small intestine or rectum may also cause acute pain when tissue necrosis or internal bleeding happens. These types of pain are often accompanied by a rigid or hard abdomen, which is a concerning sign.

Seeking Emergency Medical Care Is Crucial

Persistent and intense lower abdominal pain should be considered a medical emergency. It could signal life-threatening issues such as organ perforation or bowel rupture. If you experience severe pain lasting more than a few hours, seek immediate care at an emergency room or contact a specialist in gastrointestinal surgery or colorectal medicine. Delaying treatment can result in serious complications or even death.

In summary, sudden lower abdominal pain should never be ignored. Understanding its possible causes helps in determining the urgency of the situation and the need for prompt medical evaluation. Always consult a healthcare professional if symptoms persist or worsen over time.