Severe Left Lower Abdominal Pain: Causes and Solutions Explained

Severe pain in the lower left abdomen?

Dear Deputy Director,
I would like to ask you about my condition.
I often experience acute abdominal diarrhea in my lower left abdomen after eating a full meal.
At times, the pain is so severe that I suddenly find it difficult to breathe, and I feel like I can't get enough air.
I also experience tinnitus and visual disturbances, often leading to difficulty walking and falling.
I break out in cold sweats, and my clothes become completely soaked.
My muscles ache intensely, followed by a feeling of complete weakness, as if I'm about to faint or go into shock.
Afterward, I experience abdominal pain and have difficulty passing stool, which only happens after extreme discomfort.
Once I finally have a bowel movement, which is watery, the dizziness, shortness of breath, and overall weakness gradually subside, but I still have persistent cramping in my lower abdomen.
This situation can last for 2 to 3 days.
I have been experiencing these symptoms since I was a teenager, and I initially thought it would resolve on its own.
However, as I have aged, the pain has escalated to the point where I struggle to breathe, feel weak, sweat profusely, and even vomit, sometimes leading to fainting.
I am very concerned that this may affect my ability to work in the future or even lead to shock or death.
Could you please inform me about what might be causing these symptoms and how I can address them? I would greatly appreciate your guidance.
Thank you very much.

Xiu, 50~59 year old female. Ask Date: 2023/05/29

Dr. Chen Shidian reply Gastroenterology and Hepatology

It is recommended to first perform a fecal occult blood test to rule out serious intestinal lesions.
Additionally, an antispasmodic can be taken before meals.
Local heat application can be used to alleviate symptoms during episodes of pain.

Reply Date: 2023/05/29

More Info

Severe left lower abdominal pain can be a complex issue, especially when accompanied by symptoms such as acute diarrhea, difficulty breathing, dizziness, and muscle pain. Your description suggests a significant gastrointestinal disturbance, possibly linked to a condition that has persisted since your teenage years.
First, let’s explore some potential causes of your symptoms. Given the severity of your pain and the associated symptoms, it is crucial to consider several gastrointestinal disorders. One possibility is Irritable Bowel Syndrome (IBS), which can cause abdominal pain, changes in bowel habits (such as diarrhea), and discomfort after eating. IBS is often triggered by certain foods, stress, or hormonal changes, and it can lead to episodes of severe pain and urgency to defecate.

Another potential cause could be gastroenteritis, which is an inflammation of the stomach and intestines often caused by infections (viral or bacterial). This can lead to symptoms like severe abdominal pain, diarrhea, and systemic symptoms such as sweating and dizziness.
Additionally, diverticulitis could be a consideration, especially if you have a history of diverticulosis. This condition occurs when diverticula (small pouches that can form in the walls of the colon) become inflamed or infected, leading to severe pain, changes in bowel habits, and sometimes systemic symptoms.

Your symptoms of feeling faint, experiencing cold sweats, and having difficulty breathing could indicate a more severe reaction, possibly related to the pain or the body's response to dehydration from diarrhea. This could lead to a condition known as vasovagal syncope, where a sudden drop in heart rate and blood pressure leads to fainting, often triggered by severe pain or stress.

Given that these symptoms have been ongoing for many years and have worsened over time, it is essential to seek a thorough evaluation by a healthcare professional. Here are some steps you can take:
1. Consult a Gastroenterologist: A specialist can perform a detailed evaluation, including a thorough history, physical examination, and possibly imaging studies or endoscopy to assess your gastrointestinal tract.

2. Keep a Symptom Diary: Documenting your symptoms, including when they occur, their severity, dietary habits, and any potential triggers, can provide valuable information to your healthcare provider.

3. Dietary Modifications: Consider working with a dietitian to identify any food intolerances or triggers that may exacerbate your symptoms. A low-FODMAP diet is often recommended for individuals with IBS.

4. Hydration and Electrolyte Balance: Given the severity of your diarrhea, maintaining hydration is crucial. Oral rehydration solutions can help replenish lost fluids and electrolytes.

5. Medication Review: Discuss with your doctor any medications you are currently taking, as some can exacerbate gastrointestinal symptoms.

6. Emergency Care: If you experience severe symptoms such as fainting, inability to breathe, or persistent severe pain, seek emergency medical attention immediately.

In conclusion, while your symptoms are concerning and warrant further investigation, many gastrointestinal conditions can be managed effectively with the right approach. Early intervention and appropriate management can significantly improve your quality of life and prevent complications. Please prioritize seeking medical advice to address these troubling symptoms.

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