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I am 23 years old and for two months I have suffered from lower abdomen pain. It is below my belly button and especially bad in the morning when I wake. There are mornings I find it difficult to stand erect. I also feel bloated, have gas, and nausea from the pain. By the afternoon the symtoms improve. I have restricted what I eat, but it just keeps getting worse. I just moved to a new city and made an appointment with a Dr. I think stress can be a trigger.

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Acute and sudden pains are always worrying but chronic pain can also have serious implications. You were right in making a doctors appointment.

The doctor will ask about periods, passing of urine and bowel movements. They might also ask if there have been episodes of nausea, vomiting, or fever. If appropriate, they may ask questions concerning your emotional life - family, friends, work - and your sex life.

The doctor will want to examine you. This will involve feeling your abdomen and, in addition, an internal examination (vaginal,rectal or sometimes both) may be necessary.

Further investigations or treatment will be based upon the description of the pain and the findings of the doctor's examination.

Typically, a urine sample will be requested and tested for any signs of infection.

If a kidney problem is suspected than an ultrasound scan of the kidneys and bladder will be arranged.

If a problem with the womb or ovaries is suspected, swabs from the vagina looking for any infection might be performed and an ultrasound scan of the womb and ovaries is commonly performed.

If a bowel problem is suspected, a sample of fecal material may be examined for signs of infection and he may recommend an endoscopic exam.
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