What causes severe pain in lower abdomen?
Patient: good morning sir,      I am suffering from lower abdomen pain for the last one year. Basically i am from andaman. Because of acute medical facilities here the problem was not so far identified. At my effort, knowing my condition, i started browsing the internet keeping in view of my symptoms. I suspect of endometriosis. My symptoms is chrnic pain in the lower abdomen for around ten days before the start of mentstrual period. Now we are planning to get treatment in chennai. Actually we are now confused where to get the proper treatment and how much it will cost, actual duration of the treatment. After visiting many website of the hospitals now I find somewhat genuine with malar hospital. Please reply thank u very much. with regards,  siva mary, andaman email id--  YYYY@YYYY Doctor: Hi Siva Mary.Thanks for your query.Read the history and understood your problem.Yes, I can understand the medical facilities in Andman may not be sufficient at a given time, but they have a full fledged hospital facility and the facility to shift the patient by flight. You have a pain in the lower abdomen 10 days before menstrual periods and I can second your search that Endometriosis is the first thing that should be diagnosed and treated.Malar hospital in Chennai is the best in the town and consult a Surgical Gastroenterologist and a Gynecologist for a combined approach; insist for it. I would advise the following:-CT scan of the abdomen/-Diagnostic laparoscopy as it helps in a proper diagnosis and helps in treatment too as there is a possibility that the mass can be removed is Endometriosis; or some other problem like appendicitis, lymph nodes can be seen , FNAC or biopsy done to get an appropriate diagnosis and treatment.-Colonoscopy too helps to diagnose or rule out the colonic pathology.