Sudden Left Abdominal Pain: Causes and Concerns - Gastroenterology and Hepatology

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Sudden pain in the left abdomen?


Hello, doctor.
I suddenly experienced abdominal pain.
Although it’s not very severe, it does hurt a bit when I press on it, and I feel some discomfort when I tense my abdomen.
While I was researching online, I noticed that the pain is less frequent, but it still occasionally feels like a dull ache.
I would like to ask if this indicates that I am ill, or could it just be gas since I can hear sounds in my gastrointestinal tract? Is it also possible that I am experiencing muscle soreness due to tension or poor posture? I am quite worried that it might be appendicitis.
Could you please help me understand?

Chen, 20~29 year old female. Ask Date: 2020/03/11

Dr. Yang Zhichao reply Gastroenterology and Hepatology


Hello Ms.
Chen, based on the location of your pain, it is possible that you have a fascia strain or intestinal inflammation.
We recommend that you consult with an internal medicine physician, family medicine physician, or gastroenterologist for evaluation.
Changhua Hospital cares about your health.

Reply Date: 2020/03/11

More Info


Sudden left abdominal pain can be concerning, and it’s understandable that you’re worried about what it might indicate. There are several potential causes for this type of pain, ranging from benign to more serious conditions. Let’s break down some of the possibilities and what you should consider.

1. Gastrointestinal Issues: One of the most common causes of abdominal pain is related to the gastrointestinal tract. This includes conditions such as gas buildup, constipation, or even gastritis. If you’ve been experiencing a sensation of gas or bloating, it’s possible that your pain could be attributed to these issues. The sound of gas moving through your intestines can often accompany these symptoms, and they can cause discomfort that feels like pain.

2. Muscle Strain: If you’ve been engaging in physical activity or have been in a position that puts strain on your abdominal muscles, it’s possible that you’re experiencing muscle soreness or strain. This type of pain can sometimes mimic internal pain, especially if the muscles are tight or overworked.

3. Referred Pain: Sometimes, pain in the abdomen can be referred from other areas of the body. For instance, issues with the kidneys or even the spine can manifest as abdominal pain. If you have any history of kidney stones or back problems, these could be contributing factors.

4. Appendicitis: While appendicitis typically presents with pain in the right lower abdomen, it can sometimes cause pain that is felt on the left side, especially if the appendix is located in an atypical position. If the pain becomes more severe, is accompanied by fever, nausea, or vomiting, it’s crucial to seek medical attention immediately.

5. Ovarian Issues: In females, left-sided abdominal pain could also be related to ovarian issues such as cysts or other gynecological conditions. If you are of reproductive age and experience pain that is cyclical or associated with your menstrual cycle, this could be a consideration.

6. Diverticulitis: This condition occurs when small pouches in the colon become inflamed or infected. It can cause significant pain, typically in the lower left abdomen, and may be accompanied by changes in bowel habits.

Given your description of the pain being intermittent and not severe, it may not be an emergency situation. However, it’s essential to monitor your symptoms closely. If the pain worsens, becomes persistent, or is accompanied by other symptoms such as fever, vomiting, or changes in bowel habits, you should seek medical attention promptly.

In the meantime, consider some self-care measures. If you suspect gas or bloating, gentle movements, walking, or even over-the-counter medications designed to relieve gas may help. Staying hydrated and maintaining a balanced diet can also support digestive health.

Lastly, anxiety can indeed exacerbate physical symptoms, including abdominal pain. If you find that stress or anxiety is a significant part of your life, addressing these through relaxation techniques, mindfulness, or talking to a professional may also alleviate some of your physical discomfort.

In conclusion, while your symptoms may not indicate a serious condition at this moment, it’s important to remain vigilant and consult with a healthcare provider if your symptoms change or worsen. They can perform a thorough evaluation and determine if any further testing is necessary to rule out more serious conditions.

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