Left abdominal pain?
Hello Doctor: About four days ago, I hadn't had a bowel movement for two days, and that night I went out for barbecue with friends.
At around three in the morning, while trying to sleep, I was awakened by pain in my lower left abdomen (the area between my navel and left flank).
The pain lasted about 10 seconds and felt more like cramping rather than the sharp pain associated with food poisoning or diarrhea.
After ignoring it, I went back to sleep.
The next morning, the pain suddenly returned, so I went to the bathroom.
After that bowel movement, I didn't experience any more pain that day.
However, the following day and the day after, I occasionally felt sudden cramping pain for a few seconds, but it would go away quickly, occurring only about once a day.
Doctor, what could this issue be? Should I see a doctor or just monitor the situation? Thank you, Doctor!
KK, 30~39 year old female. Ask Date: 2017/08/30
Dr. Chen Shidian reply Gastroenterology and Hepatology
Hello, sir.
It is recommended to maintain regular bowel movements and a normal diet; just observe for now.
Changhua Hospital cares about your health.
Chen Shidian.
Reply Date: 2017/08/30
More Info
Understanding left abdominal pain can be quite complex, as it can arise from various underlying conditions. Based on your description, it seems that you experienced a sudden onset of pain in the left lower abdomen, which lasted for a short duration and was accompanied by a sensation similar to cramping. This type of pain can be attributed to several potential causes, and it is essential to consider the context of your symptoms, including any recent dietary changes or gastrointestinal issues.
One possible explanation for your left lower abdominal pain could be related to gastrointestinal disturbances. Given that you mentioned not having a bowel movement for two days prior to the onset of pain, it is plausible that constipation played a role in your discomfort. When stool builds up in the intestines, it can lead to increased pressure and cramping sensations as the intestines attempt to move the stool along. This could explain the brief episodes of pain you experienced, especially after eating a heavy meal like barbecue, which can be harder to digest.
Another consideration is the possibility of irritable bowel syndrome (IBS), a common gastrointestinal disorder characterized by abdominal pain and changes in bowel habits. Stress, dietary choices, and irregular eating patterns can exacerbate IBS symptoms. If you have a history of gastrointestinal issues or if you notice a pattern of pain related to certain foods or stress, this could be a contributing factor.
Additionally, it is important to rule out other potential causes of left abdominal pain, such as issues related to the urinary tract, reproductive organs (in females), or even musculoskeletal problems. For instance, conditions like kidney stones or urinary tract infections can present with pain in the lower abdomen, and in females, ovarian cysts or other gynecological issues could also be relevant.
Given that your pain has been intermittent and relatively brief, it may be reasonable to monitor your symptoms for a short period. However, if you experience any of the following, it is crucial to seek medical attention:
1. Persistent or worsening pain: If the pain becomes more frequent, severe, or lasts longer than a few seconds, it warrants further evaluation.
2. Accompanying symptoms: If you develop additional symptoms such as fever, vomiting, changes in bowel habits (e.g., diarrhea or blood in stool), or urinary symptoms (e.g., burning sensation during urination), you should consult a healthcare professional.
3. Impact on daily life: If the pain interferes with your ability to perform daily activities or affects your quality of life, it is advisable to seek medical advice.
In summary, while your symptoms may be related to gastrointestinal issues such as constipation or IBS, it is essential to remain vigilant for any changes or worsening of your condition. If you have any concerns or if your symptoms persist, it is always best to consult with a healthcare provider for a thorough evaluation and appropriate management. They may recommend diagnostic tests, such as blood work or imaging studies, to help identify the underlying cause of your pain and guide treatment options.
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