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Pelvic Discomfort
Pelvic discomfort often presents as dull aches, cramps, or heaviness in the lower abdomen, affecting men and women alike. Dr. Scott at GastroDoxs in Houston provides evaluations and individualized treatments-from dietary and lifestyle modifications to minimally invasive procedures-to alleviate symptoms.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
What Is Pelvic Discomfort?
Pelvic discomfort is a vague, persistent sense of pressure, bloating, or mild pain in the lower abdomen or pelvic area. It may stem from gastrointestinal issues like constipation or IBS, urinary tract concerns, reproductive system disorders, or inflammation. While often mild, ongoing pelvic discomfort can signal underlying conditions that benefit from medical evaluation and targeted care.
Common Causes and Risk Factors
Hormone changes and a growing uterus during pregnancy
Muscle strain in the lower back referring pain to the pelvis
Bloating or gas from irritable bowel syndrome (IBS)
Diets high in gas-producing foods (beans, cabbage, soda)
Urinary or reproductive infections (UTIs, pelvic inflammatory disease)
Endometriosis or uterine fibroids in women
Past pelvic or abdominal surgeries (e.g., C-section)
Constipation or abdominal hernias
Signs and Symptoms
Pain or pressure below the belly button lasting days to weeks
A heavy, full, or aching sensation in the pelvic area
Discomfort that worsens when sitting, standing, or walking
Pain during sexual activity, bowel movements, or urination
Excessive gas, bloating, or changes in bathroom habits
Pain that radiates from the pelvis to the lower back or legs
How Dr. Scott Diagnoses This Condition?
Dr. Scott uses a step-by-step approach:
Medical History & Exam
He begins by reviewing your symptoms, diet, daily routine, past pregnancies or surgeries, and any risk factors for pelvic or gastrointestinal issues.
Physical Examination
A gentle hands-on exam pinpoints tender or tight areas in your lower abdomen, pelvis, and lower back.
Laboratory Testing
Blood work to check for signs of infection, inflammation, or other systemic causes.
Urinalysis to rule out urinary tract infection or other urinary tract issues.
Imaging & Endoscopy
Pelvic ultrasound to visualize reproductive organs, bladder, and nearby structures.
Endoscopy or colonoscopy if irritable bowel syndrome or other gastrointestinal disorders are suspected.
Pelvic Floor Assessment
A focused pelvic floor exam evaluates muscle strength, nerve function, and identifies any trigger points contributing to your discomfort.
Treatment
Our Team offers a full range of care for pelvic discomfort.
1. Lifestyle and Diet Modifications
Eating more fruits, vegetables, and whole grains to ease constipation
Drinking plenty of water each day
Doing light exercises like walking or gentle yoga
Avoiding foods that cause gas, such as beans, soda, and cabbage
2. Medications
Medicines to relax the bowel and stop cramps
Over-the-counter pain relievers like ibuprofen
Hormone therapy for patients with fibroids or endometriosis
Antibiotics if there is an infection
3. Minimally Invasive or Advanced Procedures
Laparoscopic surgery to treat endometriosis or remove fibroids
Pelvic nerve blocks to reduce long-term pain
Radiofrequency therapy to calm nerve signals
Image-guided injections to relax tight pelvic muscles
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What causes pelvic pain during pregnancy?
The uterus stretches and shifts, placing pressure on pelvic muscles. Hormone changes also affect tissue sensitivity. Light exercise, pelvic belts, and gentle stretching often help relieve discomfort.
When should I see Dr. Scott for pelvic discomfort and back pain?
If your pain lasts more than two weeks, disrupts sleep or daily activities, or is accompanied by fever or bleeding, schedule an appointment for a full evaluation.
Can food really cause bloating and pelvic cramps?
Yes. Certain foods produce excess gas that strains the intestines and pelvic floor. Identifying and avoiding trigger foods can often reduce bloating and cramps.
Is pelvic pain with gas something serious?
Not always. Many cases stem from mild IBS or dietary choices. However, persistent or severe pain should be evaluated to rule out infections, hernias, or other conditions.
Are these procedures safe?
Yes. Most interventions-like laparoscopic surgery, nerve blocks, and image-guided injections-are minimally invasive and offer faster recovery than traditional surgery.
How long does recovery take after injections or therapy?
Many patients notice relief within a few days. Full benefits of pelvic floor therapy or radiofrequency treatments typically appear after four to six weeks.
Do you treat men with pelvic discomfort?
Yes. Although less common, men can experience pelvic pain from muscle tension, prostatitis, or hernias. Dr. Scott provides comprehensive evaluation and treatment for these conditions.
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