Differential Diagnosis for Lower Abdominal Pain with Walking
- Single most likely diagnosis
- Musculoskeletal strain: This is a common cause of lower abdominal pain that worsens with walking, often due to overuse or poor posture.
- Other Likely diagnoses
- Ovarian cyst or torsion: Walking can exacerbate the pain caused by ovarian cysts or torsion, especially if the cyst is large or the torsion is severe.
- Uterine fibroids: Fibroids can cause lower abdominal pain that worsens with physical activity, including walking.
- Inguinal hernia: An inguinal hernia can cause lower abdominal pain that worsens with walking or straining.
- Endometriosis: Endometriosis can cause chronic lower abdominal pain that worsens with physical activity, including walking.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Ectopic pregnancy: Although less common, an ectopic pregnancy can cause severe lower abdominal pain that worsens with walking, and is a medical emergency.
- Appendicitis: Appendicitis can cause lower abdominal pain that worsens with walking, and if left untreated, can lead to serious complications.
- Ovarian cancer: Ovarian cancer can cause lower abdominal pain that worsens with walking, and is often diagnosed at an advanced stage.
- Rare diagnoses
- Intestinal obstruction: An intestinal obstruction can cause severe lower abdominal pain that worsens with walking, and is a medical emergency.
- Retroperitoneal fibrosis: This is a rare condition that can cause lower abdominal pain that worsens with walking, due to the formation of fibrotic tissue in the retroperitoneum.
- Abdominal aortic aneurysm: An abdominal aortic aneurysm can cause lower abdominal pain that worsens with walking, and is a medical emergency if it ruptures.