Side Abdominal Pain: Possible Causes and Concerns - Gastroenterology and Hepatology

Q: Side Abdominal Pain: Possible Causes and Concerns

Hello： Since the discomfort is present on both sides, it may be necessary to consider issues related to the abdominal wall muscles or nerves, or problems with the colon, such as fecal impaction or bloating. <br>If the condition persists without improvement, it is advisable to con

Dull abdominal pain?

Hello Doctor: For the past few days, I have been experiencing a dull pain on both sides of my abdomen (approximately four fingerbreadths to the left and right of my navel).
Occasionally, there is a sharp pain, especially during activities that require straining, such as using the restroom or sneezing.
There is some tenderness upon palpation, with the left-sided pain being more pronounced.
However, I do not have any other symptoms such as stomach pain, diarrhea, or constipation, and my appetite is normal.
A few days ago, I had an ultrasound at the gynecologist's office, where the doctor found a small cyst on the left side.
Since the pain is located in the lateral abdomen rather than the lower abdomen, and it is not currently my menstrual period, I would like to ask what could be causing this lateral abdominal pain.
Is it possible that it is related to gynecological issues? Thank you, Doctor!

Emily, 20~29 year old female. Ask Date: 2016/06/28

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Since the discomfort is present on both sides, it may be necessary to consider issues related to the abdominal wall muscles or nerves, or problems with the colon, such as fecal impaction or bloating.
If the condition persists without improvement, it is advisable to consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/06/28

More Info

Understanding side abdominal pain can be quite complex, as it can stem from a variety of causes, some of which may be benign while others could indicate a more serious underlying condition. Based on your description of the pain being located approximately four fingerbreadths from the navel on both sides, with the left side being more pronounced, and the absence of gastrointestinal symptoms such as diarrhea or constipation, we can explore several potential causes.

1. Musculoskeletal Issues: Given that you experience pain during activities that involve straining, such as using the restroom or sneezing, it is possible that the discomfort is related to musculoskeletal issues. Strains or sprains in the abdominal muscles can cause localized pain, especially if there has been any recent physical activity or heavy lifting.
2. Gastrointestinal Causes: While you mentioned that you do not have gastrointestinal symptoms, it is still worth considering conditions such as diverticulitis, which can cause localized pain in the lower abdomen, or even conditions like irritable bowel syndrome (IBS) that can present with abdominal discomfort without significant changes in bowel habits.
3. Gynecological Factors: Since you have already had an ultrasound that revealed a small cyst on the left side, it is important to consider that this could be a contributing factor to your pain. Ovarian cysts can sometimes cause discomfort, especially if they are larger or if they rupture. Additionally, conditions such as endometriosis can lead to cyclical pain that may not necessarily coincide with your menstrual cycle.

4. Urinary Tract Issues: Conditions affecting the urinary tract, such as a urinary tract infection (UTI) or kidney stones, can also manifest as side abdominal pain. Although you did not mention urinary symptoms, it may be worthwhile to monitor for any changes in urination or additional symptoms.

5. Referred Pain: Sometimes, pain in the abdominal area can be referred from other areas of the body, such as the back or even the diaphragm. This can complicate the diagnosis, as the source of the pain may not be immediately apparent.

Given your symptoms and the findings from your recent ultrasound, it is advisable to follow up with your healthcare provider for further evaluation. They may recommend additional imaging studies, such as a CT scan or MRI, to get a clearer picture of what might be causing your discomfort. Furthermore, if the pain persists or worsens, or if you develop new symptoms such as fever, nausea, or changes in bowel habits, it is crucial to seek medical attention promptly.

In conclusion, while there are several potential causes for your side abdominal pain, a thorough evaluation by a healthcare professional is essential to determine the exact cause and appropriate treatment. Keeping track of any additional symptoms and changes in your condition will also be helpful in guiding your healthcare provider in making an accurate diagnosis.

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