Left Abdominal Pain and Bloating: When to Seek Medical Attention? - Gastroenterology and Hepatology

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Bloating and left abdominal cramping?


Hello, I have been experiencing intermittent pain in my left abdomen recently, and after eating, I feel bloated, have the urge to pass gas, and burp.
Last Saturday, I noticed blood in my stool, which appeared before and after the bowel movement, and the blood was bright red.
Over the past few days, the amount of blood has gradually decreased, and today (Wednesday) there was no blood during my bowel movement.
However, the pain and bloating in my left abdomen persist.
Should I seek immediate medical evaluation, or can I wait and observe for a while longer?

Niming, 20~29 year old female. Ask Date: 2017/12/20

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Please check if there is any retained stool.
If necessary, you can consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/12/20

More Info


Left abdominal pain accompanied by bloating and changes in bowel habits, such as the presence of blood in the stool, is a concerning symptom that warrants careful consideration. Given your description, it is crucial to understand the potential implications of these symptoms and when to seek medical attention.

Firstly, the presence of fresh red blood in your stool can indicate several conditions, ranging from benign to more serious issues. Common causes of bright red blood in the stool include hemorrhoids, anal fissures, diverticular disease, or colorectal polyps. However, it can also be a sign of more serious conditions such as inflammatory bowel disease (IBD), colorectal cancer, or gastrointestinal bleeding from other sources. The fact that you experienced bleeding before and after bowel movements, along with ongoing left abdominal pain and bloating, suggests that a thorough evaluation is necessary.

The ongoing left abdominal pain and bloating, especially after eating, could indicate gastrointestinal issues such as irritable bowel syndrome (IBS), food intolerances, or even more serious conditions like diverticulitis or bowel obstruction. The fact that you have experienced these symptoms consistently, along with the recent episode of rectal bleeding, raises the need for further investigation.

In general, if you experience any of the following symptoms, it is advisable to seek medical attention promptly:
1. Persistent or Severe Pain: If your left abdominal pain becomes severe or does not improve, it is essential to consult a healthcare provider.


2. Blood in Stool: Even if the bleeding has decreased, the presence of blood in your stool should not be ignored. It is crucial to determine the source of the bleeding.

3. Changes in Bowel Habits: Any significant changes in your bowel habits, such as diarrhea, constipation, or changes in the consistency of your stool, warrant further investigation.

4. Accompanying Symptoms: If you experience additional symptoms such as fever, weight loss, or significant changes in appetite, these could indicate a more serious underlying condition.

5. Duration of Symptoms: If your symptoms persist for more than a few days without improvement, it is advisable to seek medical evaluation.

Given your current symptoms, it would be prudent to schedule an appointment with a healthcare provider, preferably a gastroenterologist. They may recommend diagnostic tests such as a colonoscopy, which is essential for visualizing the colon and identifying any abnormalities. Blood tests may also be performed to assess for anemia or signs of infection or inflammation.

In the meantime, it may be beneficial to keep a symptom diary, noting when the pain occurs, any foods that seem to trigger symptoms, and the characteristics of your bowel movements. This information can be invaluable for your healthcare provider in diagnosing your condition.

In conclusion, while some gastrointestinal symptoms can be benign, the combination of left abdominal pain, bloating, and rectal bleeding should not be taken lightly. Seeking medical attention is the best course of action to ensure that any serious conditions are ruled out and to receive appropriate treatment for your symptoms. Your health is paramount, and timely intervention can lead to better outcomes.

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