<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello, I m 30 years old and for the past 2-3 months I have been having A lot of abdominal pain while on my menstrual cycle. This is different from the mild unnoticeable cramps I m used to. It mainly occurs when I get gas or have to use the restroom during both urination and a bowel movement. The pain was so severe last month I couldnt even move out the bed, when it subsided, i went to the bathroom which was painful. today it was so bad I got nauseated. Now, I m not constipated, in fact the stool is soft, the pain seems to be like uterine contractions but honestly my labor was a lot less painful than this. Do you have any ideas what this could be? I have two children, 7 and 9 and I am in groom health with the exception of my cycles.  <response>: HI. The most probable reasons for such pains in the lower abdomen which increase during urination and bowel movements can be due to :Severe PID-Pelvic inflammatory disorder. The congestion in the pelvis is increased by the process of menstruation. There can be associated Ovarian cyst with torsion or so or severe for of enteritis, appendicitis. I would advise you the following. O get investigated and examined during an attack to get the correct diagnosis so that the treatment will be fruitful. Ultrasonography of the abdomen. X-ray of the abdomen in standing position for intestinal obstruction. Blood, urine and stool tests. Proper diagnosis alone can lead to successful treatment 