Hello there,
If colonoscopy and sonography didnt reveal any anamoly ...then you dont have any systemic problem as such....however your second suspicion could be correct....most probably it is an lower abdominal muscle strain.
Next Steps
i had treated patients with symptoms exactly like you however your pain duration of 1.5 yrs is rather long.
usually if its a muscle strain...depending upon the grade it should heal in 3-5 months.
dont do movements which cause the pain and dont sit cross leg for time being
do get in touch for proper analysis and advice .
Health Tips
Dr Raviraj Francis
MPTh(Rehab),MPT(MSk).UK