Lower Abdominal Pain: Is It Diverticulitis Again? - Gastroenterology and Hepatology

Lower abdominal pain, diverticulosis?

Hello Doctor: After lunch this afternoon, I felt discomfort in the lower left area of my abdomen near the navel (as shown in the image).
By evening, I experienced intermittent pain.
I previously had diverticulitis, but after taking antibiotics, my condition improved significantly, and I did not return for a follow-up.
I would like to ask if this discomfort is also related to diverticulitis (the inflammation was located near the cecum, but a CT scan indicated diverticulosis).
If so, should I return for a follow-up and arrange for a colonoscopy? Or could the pain be due to incomplete bowel movements? During the holiday period, the hospital is not conducting consultations, so I wanted to inquire about my condition.
Image link: https://ibb.co/BtJBFpS

Zhe Zhe, 20~29 year old female. Ask Date: 2022/04/04

Dr. Chen Shidian reply Gastroenterology and Hepatology

It is not possible to rule out the possibility; it is still recommended to seek medical attention for confirmation.

Reply Date: 2022/04/04

More Info

Lower abdominal pain can be a complex issue, and your concern about whether it might be related to diverticulitis is valid, especially given your history of diverticular disease. Diverticulitis occurs when diverticula, which are small pouches that can form in the walls of the colon, become inflamed or infected. This condition can lead to symptoms such as abdominal pain, particularly in the lower left quadrant, changes in bowel habits, fever, and sometimes nausea or vomiting.

Based on your description, the pain you are experiencing in the lower left abdomen after eating and using the restroom could indeed be indicative of diverticulitis, especially since you have a prior diagnosis. The pain that intensifies in the evening and is described as cramp-like can be consistent with the symptoms of diverticulitis. However, it is also important to consider other potential causes of lower abdominal pain, such as constipation, irritable bowel syndrome (IBS), or even other gastrointestinal issues.

Given your history of diverticulitis, it would be prudent to consult with a healthcare provider, particularly if the pain persists or worsens. A follow-up appointment may be necessary to evaluate your symptoms further. Diagnostic imaging, such as a CT scan, can help confirm whether diverticulitis is present again or if there are other underlying issues. Additionally, a colonoscopy might be recommended to assess the condition of your colon and rule out any complications.

In terms of your concern about incomplete bowel movements leading to pain, constipation can indeed cause discomfort in the lower abdomen. If stool is hard or difficult to pass, it can lead to cramping and pain. Ensuring adequate hydration, a high-fiber diet, and possibly the use of stool softeners or laxatives under the guidance of a healthcare provider can help alleviate these symptoms.

In summary, while your symptoms could suggest a recurrence of diverticulitis, it is essential to have a thorough evaluation by a healthcare professional. They can provide a proper diagnosis and recommend an appropriate treatment plan. If you experience severe pain, fever, or any other concerning symptoms, seek medical attention promptly.

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