Differential Diagnosis for Lower Abdomen Pain with Burning Micturition
Single Most Likely Diagnosis
- Urinary Tract Infection (UTI): This is the most common cause of lower abdomen pain accompanied by burning micturition (dysuria). The symptoms are directly related to the infection and inflammation of the urinary tract.
Other Likely Diagnoses
- Sexually Transmitted Infections (STIs): Such as chlamydia and gonorrhea, which can cause lower abdominal pain and dysuria due to the infection of the genital and urinary tract.
- Prostatitis: Inflammation of the prostate gland, which can cause lower abdominal pain, dysuria, and other urinary symptoms, particularly in men.
- Kidney Stones: While the primary symptom is severe pain, smaller stones can cause dysuria and lower abdominal discomfort as they move through the urinary tract.
- Interstitial Cystitis: A condition causing bladder pressure, bladder pain, and sometimes pelvic pain, which can be associated with dysuria.
Do Not Miss Diagnoses
- Appendicitis: Although it typically presents with right lower quadrant pain, appendicitis can sometimes cause lower abdominal pain and should not be missed due to its potential for severe complications if not treated promptly.
- Ectopic Pregnancy: A pregnancy that develops outside the uterus, which can cause lower abdominal pain and other symptoms, including dysuria if the pregnancy compresses or involves the urinary tract. This is a medical emergency.
- Diverticulitis: Inflammation of the diverticula in the digestive tract, which can cause lower abdominal pain and might be associated with urinary symptoms if the inflammation affects nearby urinary structures.
Rare Diagnoses
- Tuberculosis of the Urinary Tract: A rare condition in many parts of the world, which can cause chronic lower abdominal pain, dysuria, and other systemic symptoms.
- Schistosomiasis: A parasitic infection that can involve the urinary tract, causing lower abdominal pain, dysuria, and hematuria (blood in the urine), more common in specific geographic areas.
- Malacoplakia: A rare inflammatory condition that can affect the urinary tract, causing symptoms similar to a UTI, including lower abdominal pain and dysuria.