Pain in the lower abdomen near the pubic bone

Apr 17, 2023 Source: Cainiu Health
Dr. Lin Yunfei
Introduction
Pain in the lower abdomen near the pubic bone may be caused by factors such as pubic symphysis separation, pubic osteitis, or pubic bone fracture. Once the cause is identified, consult a doctor to choose appropriate treatment measures. In addition to these common causes, conditions such as endometritis may also be responsible. After diagnosis, it is important to follow the treating physician's recommendations and strengthen supportive care.

In general, pain in the lower part of the lower abdomen near the pubic bone may be caused by factors such as pubic symphysis diastasis, pubic osteitis, or pubic bone fracture. Once the cause is identified, it is important to consult a doctor to determine appropriate treatment measures. Specific analyses are as follows:

1. Pubic Symphysis Diastasis

If the pubic symphysis is injured during childbirth, local pubic and pelvic function may be impaired, resulting in pain at the pubic symphysis area, accompanied by difficulty lifting the legs, soreness in the waist and buttocks, and other symptoms. For severe pain, medications such as etoricoxib tablets, celecoxib capsules, or meloxicam tablets may be taken under medical guidance to achieve pain relief.

2. Pubic Osteitis

The pubic symphysis is located in the pelvic region. Long-term strain may lead to anterior pelvic tilt, causing compression of the pubic symphysis area and resulting in pain, abnormal gait, and muscle spasms. Under medical guidance, patients may use medications such as enteric-coated aspirin tablets, ibuprofen sustained-release capsules, or nimesulide tablets to manage symptoms and control disease progression.

3. Pubic Bone Fracture

Trauma such as vehicle impact or being run over by a wheel can cause separation of the pubic symphysis, along with widening of the joint space, leading to tenderness to varying degrees. Mild cases may be treated with manual reduction, while severe cases require consultation with a doctor regarding internal fixation surgery. Postoperative care should include bed rest.

Besides the above common causes, conditions such as endometritis may also be responsible. After onset, patients should cooperate with their primary physician's treatment plan and strengthen nursing care.


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