Gastrointestinal Issues: Concerns About Abdominal Pain and Testing

Intestinal issues?

Due to prolonged gas retention, I have been experiencing diarrhea and a dull pain in my lower left abdomen for the past 3-4 months.
Sometimes there is tenderness when I press on my abdomen, but the pain is specifically in the lower left area.
The fecal occult blood test was negative.
I would like to ask if, when I did the shallow blood test at night and stored it in the refrigerator overnight, the stool that was attached to the upper spiral part of the groove had dissolved.
Would this affect my results? Also, could my symptoms possibly indicate cancer? I am only 26 years old...

Li Jiacheng, 20~29 year old female. Ask Date: 2019/01/10

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Based on the symptoms of abdominal pain and bowel movements, it appears to be a gastrointestinal dysfunction.
The fecal occult blood test will not be affected.
If the symptoms persist, please consult a gastroenterologist.

Reply Date: 2019/01/10

More Info

When it comes to gastrointestinal issues, particularly those involving abdominal pain, it is essential to approach the situation with a comprehensive understanding of potential causes and the appropriate diagnostic measures. Your symptoms of persistent left lower abdominal pain, along with a history of gas, diarrhea, and the recent experience of stool adhering to the upper part of the colon during testing, warrant a thorough evaluation.

Firstly, the left lower quadrant of the abdomen is primarily associated with the sigmoid colon and, in women, the left ovary and fallopian tube. Pain in this area can arise from a variety of conditions, including but not limited to diverticulitis, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even gynecological issues in females. Given your age of 26, while the likelihood of colorectal cancer is relatively low, it is not entirely out of the question, especially if there are concerning symptoms such as significant changes in bowel habits, unexplained weight loss, or persistent abdominal pain.

Regarding your concern about the stool sample being affected by the storage conditions, it is crucial to follow the laboratory's instructions for sample collection and storage. Typically, stool samples should be kept at a stable temperature and sent for analysis as soon as possible. If the stool has been compromised (e.g., if it has dissolved or been altered significantly), it could potentially affect the results of certain tests, such as those looking for blood or pathogens. It would be advisable to discuss this with your healthcare provider, who may recommend repeating the test if there are concerns about the integrity of the sample.

In terms of diagnostic testing, several options may be considered based on your symptoms. A colonoscopy is a valuable tool for visualizing the interior of the colon and can help identify any abnormalities such as polyps, inflammation, or tumors. Additionally, imaging studies like a CT scan can provide insight into the structures of the abdomen and help rule out conditions such as appendicitis or diverticulitis.

Given your symptoms and the potential for various underlying conditions, it is essential to maintain open communication with your healthcare provider. They can help interpret your symptoms in the context of your medical history and perform a physical examination to assess for tenderness, masses, or other signs that may indicate a specific condition.

Furthermore, lifestyle factors such as diet, stress, and hydration can significantly impact gastrointestinal health. Keeping a food diary to track what you eat and any associated symptoms may provide valuable information for your healthcare provider. Additionally, managing stress through relaxation techniques or counseling may help alleviate some gastrointestinal symptoms, particularly if they are related to conditions like IBS.

In conclusion, while your symptoms may be concerning, it is essential to approach them systematically. Engaging in thorough discussions with your healthcare provider, considering appropriate diagnostic tests, and being mindful of lifestyle factors can help you navigate your gastrointestinal health effectively. Remember, early intervention and accurate diagnosis are key to managing any potential health issues.

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