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

Q: Left Lower Abdominal Pain: Causes and Remedies

Hello： The location of the pelvic cavity, if there is a habit of constipation, it may be caused by retained stool that has not been fully expelled. <br>Any stool that appears granular or in dry, cracked strips is considered a sign of constipation. <br>Additionally, attention shou

Left lower abdominal pain?

I am 26 years old and have recently experienced mild constipation.
It's not a complete lack of bowel movements, but sometimes the amount is very small.
Since Tuesday, I have felt a dull ache in my lower left abdomen near the hip bone, which is painful when pressed.
A gentle massage provides some relief, but the discomfort returns after a while.
The next day, the pain shifted to the area near the pubic bone, close to the groin, and again, massaging it offers temporary relief.
I also experience pain when lifting my legs, bending over, or straining.
However, I eventually had a bowel movement, and the amount was quite significant, which provided some relief, but the dull ache persists, and pressing on the area is still painful.
My menstrual period is expected in about four days, and I experienced some bleeding during ovulation this month.
Other than that, I have no additional symptoms.
Thank you, doctor.

Gan, 20~29 year old female. Ask Date: 2022/04/15

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: The location of the pelvic cavity, if there is a habit of constipation, it may be caused by retained stool that has not been fully expelled.
Any stool that appears granular or in dry, cracked strips is considered a sign of constipation.
Additionally, attention should be paid to issues with the left ovary; if there is persistent pain, it is recommended to consult a gastroenterologist and a gynecologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2022/04/15

More Info

Left lower abdominal pain can be a complex issue with various potential causes, especially in a 26-year-old individual experiencing mild constipation and discomfort in the area. Based on the symptoms you've described, there are several possibilities to consider.

1. Gastrointestinal Issues: Given your recent experience with mild constipation, it's possible that your left lower abdominal pain is related to gastrointestinal issues. Constipation can lead to increased pressure in the intestines, causing discomfort and pain. The sensation of pain that eases with pressure or massage suggests that it may be related to the bowel. Conditions such as irritable bowel syndrome (IBS) could also be a factor, particularly if you experience changes in bowel habits alongside abdominal discomfort.

2. Musculoskeletal Pain: The pain you feel when bending, lifting, or moving could also be musculoskeletal in nature. Strain or tension in the abdominal muscles or ligaments can cause localized pain that may feel worse with certain movements. This type of pain often improves with rest or gentle stretching.

3. Gynecological Factors: Given your age and the mention of menstrual cycles, gynecological issues should also be considered. Conditions such as ovarian cysts, endometriosis, or pelvic inflammatory disease can cause left-sided abdominal pain, especially if the pain correlates with your menstrual cycle. The occurrence of spotting during ovulation could also indicate that your symptoms may be related to ovulatory pain (mittelschmerz), which is typically mild but can vary in intensity.

4. Urinary Tract Issues: Pain near the groin area can sometimes be associated with urinary tract issues, such as a urinary tract infection (UTI) or kidney stones. Although you haven't mentioned urinary symptoms, it's worth considering if the pain persists or worsens.

5. Referred Pain: Sometimes, pain in the abdominal area can be referred from other areas, such as the back or hips. If you have any underlying conditions affecting these areas, it could manifest as abdominal pain.

Recommendations:
- Dietary Adjustments: Since you mentioned mild constipation, consider increasing your fiber intake through fruits, vegetables, and whole grains. Staying hydrated is also crucial for maintaining regular bowel movements.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort. However, consult with a healthcare provider before starting any medication.

- Monitor Symptoms: Keep track of your symptoms, including the timing of your menstrual cycle, any changes in bowel habits, and the nature of the pain. This information can be helpful for your healthcare provider.

- Consult a Healthcare Provider: If the pain persists, worsens, or is accompanied by other symptoms such as fever, severe nausea, or changes in bowel habits, it is essential to seek medical attention. A healthcare provider may recommend imaging studies, such as an ultrasound or CT scan, to rule out any serious underlying conditions.

In conclusion, while there are several potential causes for your left lower abdominal pain, it is essential to consider both gastrointestinal and gynecological factors, especially given your age and symptoms. Monitoring your symptoms and consulting with a healthcare provider will be crucial in determining the underlying cause and appropriate treatment.

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