Left Lower Abdominal Pain and Back Discomfort: Causes and Solutions - Internal Medicine

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Hello! It sounds like you’ve been dealing with quite a bit of discomfort for the past 20 days, and I understand how frustrating it can be when the cause of pain remains elusive despite medical evaluations. Based on your description of left lower abdominal pain that radiates to your back and even to the right lower abdomen, there are several potential causes to consider.

Firstly, it’s important to recognize that abdominal pain can arise from various sources, including gastrointestinal, musculoskeletal, and even gynecological issues. Since you mentioned that you have already undergone some tests, including urine analysis, and were prescribed anti-inflammatory medications, it seems that your healthcare provider is considering both muscular and possibly gastrointestinal origins for your pain.

1. Musculoskeletal Issues: Given that you have received muscle relaxants, it’s possible that your pain could be related to muscle strain or injury, especially if you have been engaging in activities that require bending or lifting. Poor posture, such as slouching or hunching over, can also contribute to muscle tension and pain in the lower back and abdomen. If this is the case, physical therapy might be beneficial to strengthen the core muscles and improve posture.

2. Gastrointestinal Conditions: The left lower abdomen is home to several organs, including parts of the intestines. Conditions such as diverticulitis, irritable bowel syndrome (IBS), or even small bowel obstruction could cause pain in this area. If you suspect that your symptoms might be related to your gastrointestinal tract, a consultation with a gastroenterologist would be appropriate. They may recommend further imaging studies, such as a CT scan or an abdominal ultrasound, to evaluate for any underlying conditions.

3. Referred Pain: Sometimes, pain in the abdomen can be referred from other areas, such as the kidneys or even the spine. While your urine tests were normal, it might still be worth discussing with your doctor the possibility of further imaging to rule out any kidney stones or other renal issues.

4. Gynecological Issues: If you are female, it’s also important to consider gynecological causes of lower abdominal pain, such as ovarian cysts or endometriosis. If you haven’t already, a visit to a gynecologist may be warranted to rule out these conditions.

5. Anxiety and Pain Perception: You mentioned experiencing anxiety, which can sometimes amplify the perception of pain. Chronic pain can lead to a cycle of anxiety and discomfort, making it essential to address both the physical and psychological aspects of your health.

In summary, I recommend that you follow up with your primary care physician or a specialist in gastroenterology or orthopedics, depending on which symptoms are most prominent. They can help guide you through the next steps, which may include further imaging studies or referrals to other specialists. It’s crucial to communicate all your symptoms clearly, including any changes in pain patterns, to ensure a comprehensive evaluation.
Remember to take care of yourself, and don’t hesitate to seek further medical advice if your symptoms persist or worsen. Pain can be complex, and sometimes it takes time to pinpoint the exact cause. Good luck, and I hope you find relief soon!