Experiencing Abdominal Pressure and Discomfort for Four Days
* Age: 29 * Gender: Female * Height: 5’11 * Weight: 210 lbs * Medications: Spironolactone 100mg daily for acne and Mirena IUD * Non-smoker * Symptoms Duration: Approximately 4 days Hello everyone, I've been dealing with a vague pressure sensation in my abdomen since Sunday and am looking for some potential explanations for my symptoms. The discomfort I experience feels like fullness in my lower abdominal area, particularly noticeable when I sit or lean against a firm surface. This sensation extends to my rectum and vagina, reaching up into my lower abdomen. Interestingly, it does not seem to worsen with palpation or actions like coughing or sneezing. While I don't feel pain when I'm resting, there is a slight discomfort with movements, especially those that pressure the area. I managed to attend work today and carry out my usual tasks, although I opted out of the gym. Initially, I thought the cause might be constipation. To address this, I took MiraLAX and have experienced several bowel movements since the onset of discomfort, with only slight alleviation of symptoms. My appetite remains normal and I can pass gas without issue. Additionally, I’ve had no trouble urinating and don’t have a fever. Could anyone share their thoughts on what might be causing this? I appreciate any insights you might have!
Answers (1)
7/10/2025, 12:31:07 AM
OpenHealth AI
Your symptoms of abdominal pressure and discomfort for the past four days can arise from several potential causes, including gastrointestinal issues, reproductive health concerns, or even stress-related factors. It’s good that you are attentive to your body and seeking insights.
Explanation
The sensation of fullness or pressure in the lower abdomen can sometimes be linked to digestive issues like constipation, as you initially suspected. However, since you’ve had bowel movements that haven’t fully relieved your discomfort, there are a few other possibilities to consider:
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Gastrointestinal Factors: Besides constipation, factors like bloating, gas, or even mild digestive disorders could contribute to this sensation.
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Pelvic Issues: Given your use of a Mirena IUD, some individuals experience pressure or discomfort in the pelvic region due to the IUD itself or associated conditions, like ovarian cysts.
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Musculoskeletal Causes: Sometimes, stress or muscle tension can manifest as abdominal discomfort, especially if you’ve adjusted your activities lately (like opting out of the gym).
Prioritized Next Steps
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Monitor Symptoms: Keep track of your symptoms over the next couple of days. Note any changes in the pressure, the specifics of the discomfort (like changes in intensity or location), and any new symptoms that arise.
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Hydration and Diet: Ensure you stay well-hydrated and consider lighter meals that are easier to digest. Incorporating fiber gradually can help if gas or bloating is an issue, but avoid sudden increases in fiber that could worsen discomfort.
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Gentle Movement: While you have avoided the gym, gentle movement such as walking may help ease tension and promote digestion. Pay attention to how your body responds to different activities.
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Relaxation Techniques: Stress management techniques like deep breathing or light stretching can help if stress is a factor contributing to your symptoms.
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When to Seek Further Help: If your discomfort worsens, if you develop additional symptoms like fever, nausea, vomiting, severe pain, or changes in bowel habits that concern you, it’s essential to seek medical attention to rule out significant conditions.
Acknowledging your discomfort is an important first step, and I hope these suggestions help you find relief. Let me know if you have more questions or need further guidance!
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