Differential Diagnosis for Female Abdominal Pain
Single Most Likely Diagnosis
- Irritable Bowel Syndrome (IBS): This is a common condition characterized by chronic abdominal pain, bloating, and alteration of bowel habits. It's often the most likely diagnosis due to its high prevalence among females and the broad range of symptoms that can mimic other abdominal conditions.
Other Likely Diagnoses
- Gynecological Conditions: Such as dysmenorrhea, endometriosis, or ovarian cysts. These conditions are common in females of reproductive age and can cause significant abdominal pain.
- Gastroesophageal Reflux Disease (GERD): Although more common in males, GERD can cause abdominal pain in females, especially if it involves the upper abdomen.
- Constipation: A very common condition that can cause significant abdominal discomfort or pain.
- Urinary Tract Infections (UTIs): Can cause lower abdominal pain, especially if the infection involves the kidneys (pyelonephritis).
Do Not Miss Diagnoses
- Ectopic Pregnancy: Although less common, an ectopic pregnancy is a life-threatening condition that requires immediate medical attention. It typically presents with severe abdominal pain and vaginal bleeding in a pregnant female.
- Appendicitis: Can occur in females of any age and is a surgical emergency. The pain often starts near the navel and then moves to the lower right abdomen.
- Ovarian Torsion: A rare but emergency condition where the ovary twists around its ligaments, cutting off blood supply. It causes severe, sudden onset abdominal pain.
- Ruptured Ovarian Cyst: Can cause severe abdominal pain and is a medical emergency.
Rare Diagnoses
- Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis are less common than IBS but can cause chronic abdominal pain and changes in bowel habits.
- Adhesions or Bowel Obstruction: Can cause severe abdominal pain and are more common in individuals with a history of abdominal surgery.
- Endometriosis of the Bowel: A rare condition where endometrial tissue grows in the bowel, causing cyclical abdominal pain and changes in bowel habits.
- Malrotation or Intussusception: Rare conditions that can cause bowel obstruction and severe abdominal pain, more commonly seen in children but can occur in adults.