Left Lower Abdominal Pain Near the Ovary: Causes and Solutions - Gastroenterology and Hepatology

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Left lower abdominal pain, particularly near the ovary, can be a complex issue with multiple potential causes. Given your description of the pain as sharp and electric-like, occurring multiple times a day, and the recent changes in your bowel habits, it is essential to consider both gynecological and gastrointestinal factors.

Firstly, the pain you are experiencing could be related to several gynecological conditions. Since you have a history of ovarian surgery, including the removal of an ovary, it is possible that adhesions (scar tissue) have formed post-surgery. Adhesions can cause pain by pulling on surrounding tissues and organs, leading to discomfort that may feel sharp or electric. Additionally, conditions like endometriosis, which can occur even after surgery, may also cause similar symptoms. Endometriosis involves the growth of endometrial-like tissue outside the uterus, which can lead to significant pain, especially during menstruation or ovulation.

On the gastrointestinal side, your symptoms of soft stools and changes in bowel habits suggest a possible functional gastrointestinal disorder, such as irritable bowel syndrome (IBS). IBS is characterized by abdominal pain and altered bowel habits, which can include diarrhea, constipation, or a mix of both. Stress, dietary changes, and other factors can exacerbate IBS symptoms, leading to discomfort and changes in stool consistency. The fact that you have experienced soft stools that sometimes appear undigested could indicate a malabsorption issue or a rapid transit time through the intestines, which is common in IBS.

Moreover, the sensation of pain radiating to the left lower abdomen could also be related to gastrointestinal issues such as diverticulitis or even inflammatory bowel disease (IBD), although these conditions typically present with more severe symptoms and systemic signs. It is crucial to rule out any potential infections or inflammatory processes in the pelvic region, which could also contribute to your symptoms.

Given that both gynecological and gastrointestinal evaluations have returned normal results, it may be beneficial to explore further diagnostic options. A pelvic ultrasound is a good start, but if pain persists, consider a referral to a specialist for a more comprehensive evaluation, such as a laparoscopy to directly visualize the pelvic organs and assess for adhesions or endometriosis. Additionally, a gastroenterologist may recommend further testing, such as a colonoscopy, to rule out any underlying gastrointestinal pathology.

In terms of management, addressing the pain may involve a multi-faceted approach. Over-the-counter pain relief medications, such as NSAIDs, may help alleviate discomfort. However, if the pain is severe and not responsive to typical analgesics, a pain management specialist may provide alternative options. For IBS, dietary modifications, including a low FODMAP diet, and medications aimed at managing bowel symptoms can be effective. Stress management techniques, such as cognitive-behavioral therapy or mindfulness practices, may also help reduce symptom severity.

In conclusion, your left lower abdominal pain and changes in bowel habits warrant a thorough investigation to determine the underlying cause. It is essential to maintain open communication with your healthcare providers and advocate for further testing if symptoms persist or worsen. A multidisciplinary approach involving gynecologists and gastroenterologists may provide the best pathway to relief and improved quality of life.