Left Abdominal Pain: Causes and Concerns - Gastroenterology and Hepatology

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Sharp pain in the left abdomen?


I would like to inquire about a sharp pain in my left abdomen that has persisted for a week, accompanied by a burning sensation.
Initially, it was only in the front, but recently I have also felt burning in my back.
I have been experiencing excessive flatulence and a frequent urge to use the restroom.
A few days ago, my stool was dark, and the day before yesterday, I had diarrhea that appeared coffee-colored.
Sometimes I experience constipation, and recently I occasionally feel a cool sensation in my left abdomen.
When I press about 2 to 3 centimeters to the left of my navel, I feel mild pain, which has been becoming increasingly noticeable.

Niming, 20~29 year old female. Ask Date: 2017/03/26

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: If the pain becomes more pronounced and there is a change in the color of your stool, you should consult a gastroenterologist to determine the cause, especially regarding the possibility of ulcers.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2017/03/26

More Info


Left abdominal pain can be a concerning symptom, especially when accompanied by other gastrointestinal issues such as changes in bowel habits, color of stool, and sensations of burning or discomfort in the back. Based on your description, there are several potential causes for your symptoms that warrant further investigation.

1. Gastrointestinal Issues: The left side of the abdomen houses several important organs, including parts of the colon, the left kidney, and in women, the left ovary. Conditions such as diverticulitis, which is inflammation or infection of small pouches that can form in the walls of the colon, can cause sharp pain and changes in bowel habits. The presence of dark or coffee-colored stools may indicate bleeding in the upper gastrointestinal tract, which could be due to ulcers or other serious conditions.

2. Musculoskeletal Causes: Given that you also mention back pain, it’s possible that your symptoms could be related to musculoskeletal issues. Strains or sprains in the abdominal or back muscles can lead to referred pain, which might feel like it’s coming from your abdomen when it’s actually due to muscle tension or injury.

3. Kidney Issues: Conditions affecting the left kidney, such as kidney stones or infections, can also cause pain that radiates to the back and may be accompanied by changes in urination or gastrointestinal symptoms.

4. Pancreatic or Splenic Issues: The pancreas and spleen are located on the left side of the abdomen. Conditions such as pancreatitis or splenic enlargement can lead to pain in this area, and may also cause referred pain to the back.

5. Anxiety and Stress: You mentioned experiencing anxiety, which can exacerbate physical symptoms. Stress can lead to gastrointestinal disturbances, including increased gas production, changes in bowel habits, and abdominal discomfort. While anxiety itself may not directly cause left abdominal pain, it can certainly amplify your perception of pain and discomfort.

Given the complexity of your symptoms, it is crucial to seek medical attention. Here are some steps you should consider taking:
- Consult a Healthcare Provider: Given the duration and nature of your symptoms, it is essential to consult a healthcare provider for a thorough evaluation. They may recommend imaging studies, such as an abdominal ultrasound or CT scan, to visualize the organs in your abdomen and identify any potential issues.

- Laboratory Tests: Blood tests can help assess for signs of infection, inflammation, or other abnormalities. A stool test may also be warranted to check for blood or other concerning signs.

- Keep a Symptom Diary: Documenting your symptoms, including the timing, duration, and any associated factors (such as food intake, stress levels, and bowel habits), can provide valuable information to your healthcare provider.

- Avoid Self-Diagnosis: While it’s helpful to research and understand potential causes, self-diagnosing can lead to unnecessary anxiety. Focus on gathering information to discuss with your healthcare provider.

In conclusion, left abdominal pain accompanied by gastrointestinal symptoms can arise from various causes, ranging from benign to serious. It is important to approach this with a thorough medical evaluation to determine the underlying cause and appropriate treatment. Your health and well-being should always be the priority, so do not hesitate to seek professional help.

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