Left Lower Abdominal Pain: Causes and Solutions - Gastroenterology and Hepatology

Q: Left Lower Abdominal Pain: Causes and Solutions

Hello： After passing formed stool, you experienced a feeling of diarrhea during your second trip to the restroom, resulting in unformed stool. <br>This may indicate softer stools with higher water content or increased fiber intake. <br>Please pay attention to your diet for any ir

Abnormalities in the left lower abdomen?

Hello, doctor! I have been experiencing a dull pain and slight bloating in my lower left abdomen for the past year.
However, the pain is not constant.
After observing my symptoms over the past two weeks, I noticed that they usually occur during changes in posture, when I am very hungry, or after eating a large meal.
Typically, after the pain subsides, I feel discomfort in my stomach and tend to have diarrhea, but I feel better after that.
The symptoms have been recurring.
Recently, my bowel habits have mostly involved passing formed stools, but during my second trip to the bathroom, I experience a sensation of diarrhea, and the stools are unformed.

Barry, 20~29 year old female. Ask Date: 2021/07/08

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: After passing formed stool, you experienced a feeling of diarrhea during your second trip to the restroom, resulting in unformed stool.
This may indicate softer stools with higher water content or increased fiber intake.
Please pay attention to your diet for any irritants or foods and beverages that may promote bowel motility.
Additionally, consider whether you are experiencing significant stress, as irritable bowel syndrome cannot be ruled out.
It is advisable to consult a gastroenterologist for evaluation.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2021/07/08

More Info

Left lower abdominal pain can be a complex issue with various potential causes, and understanding these can help in identifying the right course of action. Based on your description, it seems that your symptoms are intermittent and associated with changes in posture, hunger, and eating. Additionally, the presence of diarrhea after experiencing pain suggests a possible gastrointestinal issue.

Potential Causes
1. Gastrointestinal Disorders: Conditions such as Irritable Bowel Syndrome (IBS) could explain the alternating patterns of constipation and diarrhea, as well as the abdominal discomfort. IBS is characterized by a functional disturbance of the bowel, leading to symptoms like cramping, bloating, and changes in bowel habits.
2. Diverticulitis: This condition occurs when small pouches (diverticula) in the colon become inflamed or infected. Symptoms can include localized pain, especially in the lower abdomen, along with changes in bowel habits.
3. Musculoskeletal Issues: Sometimes, pain in the lower abdomen can be referred pain from the muscles or ligaments in the pelvic area. If you notice that certain movements or positions exacerbate the pain, it could be related to muscle strain or other musculoskeletal problems.

4. Gynecological Issues: In females, left lower abdominal pain can also be related to gynecological conditions such as ovarian cysts or endometriosis. These conditions can cause pain that varies with the menstrual cycle and may be associated with gastrointestinal symptoms.

5. Urinary Tract Issues: Conditions affecting the urinary tract, such as a urinary tract infection or kidney stones, can also present as lower abdominal pain. If there are any urinary symptoms (like burning during urination or increased frequency), this could be a consideration.

Recommended Actions
Given the complexity of your symptoms, it is essential to take a systematic approach to diagnosis and management:
1. Consult a Healthcare Provider: Since your symptoms have persisted for a year, it is crucial to consult a healthcare provider who can perform a thorough evaluation. This may include a physical examination, a detailed medical history, and possibly imaging studies or lab tests.

2. Keep a Symptom Diary: Documenting your symptoms, including when they occur, their intensity, and any associated factors (like food intake or physical activity) can provide valuable information to your healthcare provider.

3. Dietary Modifications: Consider keeping a food diary to identify any potential food triggers that may exacerbate your symptoms. Some individuals with IBS find relief by following a low-FODMAP diet, which reduces certain carbohydrates that can cause bloating and discomfort.

4. Stress Management: Stress can significantly impact gastrointestinal function. Techniques such as mindfulness, yoga, or cognitive-behavioral therapy may help alleviate symptoms.

5. Follow-Up Testing: If initial evaluations do not yield a clear diagnosis, further testing such as a colonoscopy or imaging studies may be warranted to rule out conditions like diverticulitis or other structural abnormalities.

Conclusion
Left lower abdominal pain can arise from various causes, and understanding the underlying issue is key to effective management. Given the chronic nature of your symptoms, a comprehensive evaluation by a healthcare professional is essential. They can guide you through the necessary tests and treatments to help alleviate your discomfort and improve your quality of life. Remember, early intervention is often crucial in managing gastrointestinal and related conditions effectively.

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