Left Abdominal Pain and Frequent Urination During Running - Internal Medicine

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Understanding left abdominal pain during running and frequent urination can be complex, as these symptoms may arise from various underlying conditions. Based on your description, it appears that you are experiencing two primary issues: left abdominal pain, particularly during physical activity, and frequent urination, especially after consuming certain beverages.


Left Abdominal Pain
The pain you feel on the left side of your abdomen, particularly during running, could be attributed to several factors. One possibility is a muscular strain or injury, especially if you are engaging in activities that involve sudden movements or increased physical exertion. The fact that pressing on the area alleviates the pain suggests that it may be related to the muscles or soft tissues rather than an internal organ issue.

Another potential cause could be related to the gastrointestinal system. Conditions such as diverticulitis, which involves inflammation of small pouches that can form in the walls of the colon, may cause localized pain. However, this typically presents with additional symptoms such as changes in bowel habits or fever.

Additionally, since you mentioned that the pain is located near the kidney area, it is important to consider renal issues. Kidney stones or infections can cause pain in this region, but they often present with other symptoms such as blood in the urine, fever, or severe discomfort that does not improve with rest.


Frequent Urination
Frequent urination, particularly after consuming high-sugar beverages, may indicate a few different conditions. One common cause is diabetes mellitus, where high blood sugar levels lead to increased urination as the body attempts to eliminate excess glucose. If you notice that your thirst increases alongside urination, this could be a sign to investigate further.

Another possibility is a urinary tract infection (UTI), which can cause increased urgency and frequency of urination. However, UTIs often come with additional symptoms such as burning during urination, cloudy urine, or pelvic pain.


Recommendations for Evaluation
Given the combination of symptoms you are experiencing, it would be prudent to consult a healthcare professional for a thorough evaluation. Here are some steps you can take:
1. Primary Care Physician (PCP): Start with a visit to your primary care physician. They can perform an initial assessment, including a physical examination and a review of your medical history. They may also order basic laboratory tests, such as a urinalysis and blood tests, to check for signs of infection, diabetes, or kidney function.

2. Urology Specialist: If your PCP suspects a urinary issue, they may refer you to a urologist. This specialist can conduct further tests, such as imaging studies (ultrasound or CT scan) to assess the kidneys and urinary tract.

3. Gastroenterology Consultation: If gastrointestinal issues are suspected, a referral to a gastroenterologist may be necessary. They can evaluate for conditions like diverticulitis or other abdominal issues that could be causing your pain.

4. Musculoskeletal Assessment: If the pain is determined to be muscular, a physical therapist or orthopedic specialist may provide guidance on exercises and stretches to strengthen the abdominal muscles and prevent future injuries.


Conclusion
In summary, your symptoms of left abdominal pain during running and frequent urination warrant a comprehensive evaluation to determine the underlying cause. It is essential to address these issues promptly, as they can significantly impact your quality of life and physical activity. By consulting with the appropriate specialists, you can receive targeted treatment and management strategies to alleviate your symptoms and improve your overall health.