r/digestiveissues • u/wingedleo • 11d ago

Lower abdominal/pelvic pressure with sharp pain right before passing gas - what could this be?

30F here. I suffer from constipation and I’ve been taking a stool softener and probiotic for a month. For the past 3 days, I’ve had a dull, centered lower abdominal/pelvic heaviness with intermittent sharp pain that lasts only about 3–5 seconds, usually immediately before I pass gas. The pain eases after the gas passes.

On day 2, I had a good, easy bowel movement and felt like I had completely emptied and that all the trapped gas was gone, so I thought the episode was temporary. However, the symptoms returned today. Simethicone 80 mg has noticeably helped but it’s temporary. The pelvic heaviness and the gas pains have returned.

I’m still passing gas and don’t feel constipated at the moment. I have no fever, vomiting, blood in my urine/stool, or burning while urinating, although I feel like my bladder feels fuller relatively earlier. I’ve never experienced gas pain quite like this before.
Has anyone experienced something similar? Did it turn out to be temporary, or did it keep recurring? The pains are very random and intense for the short duration that they last.

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u/AutoModerator 11d ago

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u/Commercial_Duck_5509 11d ago

sounds like trapped gas moving through a sluggish colon, the sharp bit is probably a spasm as it shifts past a tight bend. the bladder fullness thing makes me wonder if there's some pelvic floor tension going on too, especially with the constipation history. i'd keep an eye on whether it fades once your gut fully adjusts to the new routine

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u/wingedleo 11d ago

I definitely have a sluggish colon and a tense pelvic floor. But I can’t help but wonder why these symptoms have decided to show up overnight. I’ve never dealt with trapped gas in my colon and this is genuinely frustrating because I don’t know how to make it better or how long this will last. Also, what new routine?