Which three conditions are commonly associated with suprapubic pain?

• A. Appendicitis, Cholecystitis, Diverticulitis
• B. Ovarian torsion, Ovarian cyst, UTI
• C. Pancreatitis, Gallstones, Kidney stones
• D. GERD, MI, Cholecystitis

Answer: (B)

Suprapubic pain is often associated with conditions that affect the pelvic region, particularly those involving the urinary or reproductive organs. The correct choice highlights three such conditions: ovarian torsion, ovarian cysts, and urinary tract infections (UTIs).

Ovarian torsion occurs when an ovary twists around the ligaments that support it, cutting off its blood supply. This condition results in severe, acute suprapubic pain, and often necessitates emergency intervention. Ovarian cysts, which are fluid-filled sacs on the ovaries, can also cause discomfort and pressure in the suprapubic region, particularly if they rupture or become large. Urinary tract infections typically present with lower abdominal discomfort, often described as suprapubic pain, in addition to other symptoms like urinary frequency or burning.

The other options include conditions that are less directly associated with suprapubic pain. Appendicitis, cholecystitis, diverticulitis, pancreatitis, gallstones, and kidney stones tend to cause pain in different areas of the abdomen or back rather than being localized to the suprapubic area. Additionally, conditions such as gastroesophageal reflux disease (GERD), myocardial infarction (MI), and cholecystitis have presentations