Left Lower Abdominal Pain During Exercise: Causes and Concerns

Q: Left Lower Abdominal Pain During Exercise: Causes and Concerns

Hello： If we do not consider issues related to the abdominal wall muscles, the organs in the left lower abdomen include the colon and the urinary system. <br>Additionally, it is important to rule out the possibility of a hernia. <br>You may consult a gastroenterologist and a urol

Pain in the lower left abdomen during walking or exercise, along with occasional sensations of gas moving through the lower left abdomen, raises concerns about potential underlying issues. However, it is important to consult a healthcare professional for a thorough evaluation to rule out any serious conditions, including tumors?

The pain in the lower left abdomen is more pronounced during exercise, while walking does not seem to aggravate it.
There has been a history of bleeding that resembled hemorrhoids or anal fissures, and after consulting a doctor, it was suggested that an anal fissure is more likely.
Regarding the lower left abdominal pain, the doctor indicated that it could be due to muscle spasms from lack of exercise.
Indeed, I have been relatively inactive, but the symptoms have been intermittent for quite some time, at least over six months.
During this period, I occasionally feel gas moving through the lower left abdomen.
I hope to receive a detailed assessment and recommendations.

Mr. Zhou, 10~19 year old female. Ask Date: 2020/12/29

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If we do not consider issues related to the abdominal wall muscles, the organs in the left lower abdomen include the colon and the urinary system.
Additionally, it is important to rule out the possibility of a hernia.
You may consult a gastroenterologist and a urologist to determine the cause.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2020/12/29

More Info

Left lower abdominal pain during exercise can be a concerning symptom, especially when it has persisted for over six months. Given your description, there are several potential causes to consider, and it is essential to approach this systematically.

Possible Causes
1. Muscle Strain or Spasm: Since you mentioned that the pain is more pronounced during exercise, it could be related to muscle strain or spasms in the abdominal region. This is particularly likely if you have not been regularly active, as sudden increases in physical activity can lead to muscle fatigue and discomfort.

2. Hernia: Although your previous doctor ruled out a hernia, it is worth noting that certain types of hernias, such as an inguinal or sports hernia, can cause localized pain during physical activity. These conditions may not always present with visible bulges but can still lead to significant discomfort.

3. Gastrointestinal Issues: The sensation of gas moving through your left lower abdomen could indicate gastrointestinal issues, such as irritable bowel syndrome (IBS) or diverticulitis. These conditions can cause cramping and discomfort, particularly during physical activity when the intestines are more active.

4. Referred Pain: Sometimes, pain in the lower abdomen can be referred from other areas, such as the kidneys or even the pelvic region. Given your history of rectal bleeding and the diagnosis of anal fissures, it is possible that there is a connection between these symptoms and your abdominal pain.

5. Nerve Entrapment or Neuropathy: Nerve issues, such as entrapment of the ilioinguinal or genitofemoral nerves, can lead to pain in the lower abdomen, especially during movements that engage the core or involve twisting.

Recommendations
1. Consult a Specialist: Given the complexity of your symptoms, it would be prudent to consult a gastroenterologist for a thorough evaluation of your gastrointestinal health. They may recommend imaging studies or endoscopic procedures to rule out any underlying conditions.

2. Physical Therapy: Engaging in physical therapy could help strengthen your abdominal muscles and improve flexibility, potentially alleviating the pain associated with muscle strain or spasms. A physical therapist can also provide you with tailored exercises that gradually increase your activity level without exacerbating your symptoms.

3. Gradual Increase in Activity: If you are returning to exercise after a long period of inactivity, it is essential to start slowly. Gradually increasing the intensity and duration of your workouts can help your body adapt and reduce the risk of injury.

4. Monitor Symptoms: Keep a detailed log of your symptoms, including when they occur, their intensity, and any associated activities or dietary factors. This information can be invaluable for your healthcare provider in diagnosing the issue.

5. Dietary Considerations: If gastrointestinal issues are suspected, consider keeping a food diary to identify any potential triggers for your symptoms. A diet low in irritants and high in fiber may help alleviate some discomfort.

6. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, may help manage discomfort during exercise. However, consult with your healthcare provider before starting any medication regimen.

Conclusion
In summary, left lower abdominal pain during exercise can stem from various causes, including muscle strain, gastrointestinal issues, or nerve entrapment. Given the duration and nature of your symptoms, a comprehensive evaluation by a specialist is warranted. By taking a proactive approach to your health and addressing these concerns with appropriate medical guidance, you can work towards alleviating your symptoms and improving your overall well-being.

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