It depends on the cause of the lower abdominal pain. lf it's caused by ligamental strain, you would need physiotherapy and may need to take some painkillers in the worst case scenario. Pain could also be commonly due to infections. Two common areas are vagina (with discharge) or urinary tract infection. In the lower abdominal, there are three organ systems - the womb, urinary system and intestine system. Pain diagnosis is by exclusion and the doctor will treat accordingly.