Left Abdominal Pain: When to Seek Medical Attention - Gastroenterology and Hepatology

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Left abdominal pain can be a perplexing symptom, and understanding when to seek medical attention is crucial for proper diagnosis and treatment. Based on your description, it seems you are experiencing discomfort primarily in the left abdominal area, particularly near the navel, with some tenderness upon palpation. You also mentioned that your bowel habits have been mostly normal, with only a slight change in consistency, and you have not experienced any fever or significant loss of appetite.

Given these symptoms, there are several potential causes for left abdominal pain. Some common conditions that could lead to such discomfort include:
1. Gastrointestinal Issues: Conditions like irritable bowel syndrome (IBS), diverticulitis, or even constipation can manifest as localized abdominal pain. IBS, in particular, is known for causing cramping and discomfort in the abdomen, often related to bowel movements.

2. Musculoskeletal Pain: Sometimes, pain in the abdominal area can be referred from the muscles or ligaments in the back or sides. If you've been engaging in physical activity or have had any recent strain, this could be a possibility.

3. Urinary Tract Issues: Although you mentioned no significant urinary symptoms, conditions like a urinary tract infection (UTI) or kidney stones can cause referred pain to the abdominal area, particularly on the left side.

4. Reproductive Health Concerns: In females, left-sided abdominal pain could be related to ovarian issues, such as cysts or other gynecological conditions.
5. Autoimmune Conditions: Since you are taking non-steroidal anti-inflammatory drugs (NSAIDs) for an autoimmune condition, it’s worth considering that your underlying condition could be contributing to your symptoms.


When to Seek Medical Attention
You should consider seeking medical attention if:
- The pain worsens or becomes severe.

- You develop additional symptoms such as fever, vomiting, or significant changes in bowel habits (e.g., persistent diarrhea or constipation).

- You notice any swelling or a hard mass in your abdomen.

- The pain persists for more than a few days without improvement.

- You experience any urinary symptoms, such as burning during urination or changes in urine color.


Which Specialist to See
Initially, it would be appropriate to consult with a primary care physician or a family medicine doctor. They can perform a thorough examination, review your medical history, and may order diagnostic tests such as blood work, urinalysis, or imaging studies (like an ultrasound or CT scan) to help identify the cause of your pain.

If your primary care physician suspects a specific issue related to your gastrointestinal system, they may refer you to a gastroenterologist. If there are concerns about your reproductive health, a gynecologist may be the appropriate specialist.

Conclusion
In summary, while your symptoms may not currently indicate a severe condition, it is essential to monitor them closely. Given your history of autoimmune disease and the medications you are taking, it is wise to err on the side of caution. If your symptoms persist or worsen, do not hesitate to seek medical attention. Early intervention can often lead to better outcomes and relief from discomfort.