Left lower abdominal foreign body sensation and pain?
Hello Doctor, about three years ago, I started feeling a foreign sensation in my lower left abdomen near the thigh, which I can feel when I lift my thigh.
Over the past few years, I have seen three different gynecologists, and they all performed abdominal ultrasounds, stating that everything was normal.
Later, after noticing blood in my stool, I underwent a colonoscopy with a gastroenterologist, which also showed no issues.
However, the foreign sensation persists.
In April of this year, I visited a gynecologist again, described my symptoms, and mentioned that tapping a specific point on my left buttock causes a sensation that radiates to my lower left abdomen.
The doctor suggested it might be gas.
In June, feeling uneasy, I went to a gastroenterologist for a CT scan, which also showed no abnormalities, only noting that excessive stool in the right side of the intestine was pushing organs to the left.
When I asked the doctor, they said this condition should not cause a foreign sensation.
I initially suspected it might be ovulation pain since the foreign sensation in my lower left abdomen seems more pronounced during ovulation, but it remains noticeable even after ovulation, although less intense (without pain).
This sensation occurs almost daily.
This month, I've experienced significant emotional fluctuations, and when I feel emotionally unwell, I also notice a dull pain in my pelvic area.
Recently, it seems to be around my ovulation period, and I’m unsure if my emotions are affecting this, but the sensation in my lower left abdomen feels more pronounced than during previous ovulation periods; it’s not sharp pain but rather a continuous ache, and the foreign sensation is quite evident.
Over these four years, I have only experienced this sensation on the left side.
Although it’s not very painful, I am still concerned, especially since I recently learned that a relative has been diagnosed with ovarian cancer.
I would like to ask the doctor: Given that I had an abdominal ultrasound in April and a CT scan in June, is there still a concern for hidden diseases? Should I go for another gynecological examination? If so, should I request a pelvic exam or suggest other specialized tests?
Niming, 20~29 year old female. Ask Date: 2022/08/19
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it seems there are no issues related to tumors or inflammation.
There are many factors that can contribute to pelvic pain, making it difficult to obtain a definitive diagnosis.
I recommend that if your symptoms persist or worsen, you should consult a physician for further evaluation.
Thank you! Wishing you safety and health, Dr.
Zhang.
Reply Date: 2022/08/19
More Info
Persistent left lower abdominal discomfort can be a complex issue, especially when previous examinations, including ultrasounds and CT scans, have not revealed any significant abnormalities. Your symptoms, including the sensation of an "object" in the left lower abdomen, changes during the menstrual cycle, and emotional fluctuations, warrant a thorough investigation to rule out any underlying gynecological or gastrointestinal conditions.
Firstly, it’s important to understand that the left lower abdomen houses various organs, including the left ovary, fallopian tube, parts of the colon, and other structures. Given your history of right ovarian cyst removal, it’s crucial to monitor the remaining left ovary for any abnormalities. Although ultrasounds have indicated normal findings, they may not always detect smaller cysts or other issues, especially if they are functional or transient.
The sensation of an "object" or fullness in the abdomen can sometimes be attributed to gastrointestinal issues, such as gas or constipation, which can create pressure in the pelvic region. However, since you mentioned that a colonoscopy did not reveal any significant findings, it may be less likely that your symptoms are solely gastrointestinal in nature.
Your mention of the discomfort being more pronounced during ovulation suggests that hormonal fluctuations could be influencing your symptoms. Conditions such as endometriosis, where endometrial tissue grows outside the uterus, can cause cyclical pain and discomfort, particularly during ovulation and menstruation. Endometriosis can sometimes be challenging to diagnose, as it may not always show up on imaging studies. A laparoscopy is often considered the gold standard for diagnosis, allowing direct visualization of the pelvic organs and potential endometrial implants.
Additionally, the emotional component you described could also play a role in your symptoms. Stress and anxiety can exacerbate physical discomfort, particularly in the pelvic region. The brain-gut connection is well-documented, and emotional distress can lead to increased sensitivity to pain and discomfort in the abdomen.
Given your concerns about ovarian cancer, especially in light of your family history, it is understandable to seek further evaluation. While your previous imaging studies have not indicated any alarming findings, it may be prudent to revisit your gynecologist for a more comprehensive evaluation. You might consider requesting a transvaginal ultrasound, which can provide a more detailed view of the ovaries and surrounding structures compared to abdominal ultrasound. Additionally, discussing the possibility of a laparoscopy with your gynecologist could be beneficial if endometriosis or other conditions are suspected.
In summary, while your previous evaluations have not indicated any significant issues, your persistent symptoms warrant further investigation. It is advisable to consult with your gynecologist again, express your ongoing concerns, and discuss the possibility of more specialized tests. Keeping a symptom diary, noting when the discomfort occurs, its intensity, and any associated symptoms, can also provide valuable information for your healthcare provider. Remember, it’s essential to advocate for your health and seek clarity on any lingering concerns.
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