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Can Bowels Cause Pelvic Pain?

Can Bowels Cause Pelvic Pain?

Pelvic pain is an issue that many people face in their daily lives, with numerous potential causes that can make it difficult to pinpoint the root of the problem. One less-discussed but surprisingly common source of pelvic discomfort comes from bowel issues. But can bowels actually cause pelvic pain? In this article, we'll delve into the connection and provide you with valuable information to better understand and manage your pelvic health.

Understanding the Pelvic Floor and Bowels

Before we can understand how bowel problems can lead to pelvic pain, it's crucial to understand the pelvic floor and its connection to our digestive system. The pelvic floor is a muscular structure that spans across the base of the pelvis, supporting the bladder, rectum, and, in women, the uterus and vagina. These muscles also play a role in controlling the release of urine and feces by contracting and relaxing. Bowel issues can lead to dysfunction of the pelvic floor muscles, which can result in pain and discomfort.

Causes of Pelvic Pain from Bowel Issues

There are several common conditions and factors that can contribute to pelvic pain due to bowel issues:


Chronic constipation is a leading cause of pelvic pain. Hard and compacted stools can put excessive pressure on the rectum and the surrounding pelvic muscles, causing discomfort and pain.

Irritable Bowel Syndrome (IBS)

This common gastrointestinal disorder affects the large intestine and can cause symptoms such as cramping, bloating, and changes in bowel habits. The pain associated with IBS can also manifest itself in the pelvic area.

Inflammatory Bowel Disease (IBD)

Crohn's disease and ulcerative colitis are forms of IBD that cause chronic inflammation in the digestive tract. This inflammation can extend to the pelvic region and cause pain.


Scar tissues may form within the pelvic cavity following surgery, infection, or inflammation. Adhesions can interfere with normal bowel function and cause pelvic pain.

Real-Life Example

Take Sarah, for example, a 35-year-old woman who started experiencing persistent pelvic pain a few months ago. After several tests and consultations with her gynecologist, it was suggested that her symptoms might be related to her bowel health. Further investigation revealed that Sarah was suffering from IBS, a condition she had never considered could be linked to her pelvic pain. Now, Sarah is working on managing her IBS through lifestyle changes and a tailored treatment plan, and she has already noticed her pelvic pain beginning to subside.

The key to finding relief from pelvic pain that stems from bowel issues is to address the underlying cause. Depending on the specific condition or issue, treatments may include:

Dietary and lifestyle changes: Increasing fiber intake, staying hydrated, and incorporating regular exercise into your routine can help improve bowel function and ease pelvic pain.

Medication: Your healthcare provider may recommend over-the-counter or prescription medications to address constipation, inflammation, or other bowel-related issues.

Pelvic floor physical therapy: A pelvic floor therapist can help identify and address muscle dysfunction through manual manipulation, exercises, and other techniques.

So, can bowels cause pelvic pain? The answer is yes - bowel issues can undoubtedly contribute to pelvic discomfort. It's essential to consider your bowel health when investigating the source of your pelvic pain and work closely with healthcare professionals to develop a comprehensive treatment plan. By addressing the root cause of your discomfort, you can begin the journey to a pain-free life. We encourage you to share this article with others experiencing pelvic pain and explore our other resources on Pelvic Floor Therapy to take control of your pelvic health today.


About Annie Starling

Annie Starling, MD, is a respected authority in gynaecology and women's health with over 15 years of enriching experience. Her expansive knowledge and compassionate approach have been instrumental in transforming countless lives. Alongside her medical career, Annie has an impressive acting background, bringing a unique blend of expertise and empathetic communication to her work. She's not just a doctor; she's an educator, an advocate, and a trailblazer, deeply committed to empowering women through health education. Her blog posts reflect her passion for the field, offering a wealth of insights drawn from her vast professional experience. Trust Annie to guide you on your journey to better pelvic health.

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