Left Lower Abdominal Pain: Causes and Concerns - Internal Medicine

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Dear Xiao Wen,
Thank you for reaching out with your concerns regarding the recurring left lower abdominal pain you have been experiencing. It’s understandable to feel anxious when faced with unexplained pain, especially when it affects your daily life and well-being. Let's delve into the potential causes of your symptoms and the relationship between anxiety and physical pain.

Firstly, left lower abdominal pain can arise from a variety of conditions. Some common causes include:
1. Gastrointestinal Issues: Conditions such as diverticulitis, irritable bowel syndrome (IBS), or constipation can lead to localized pain in the lower abdomen. Given that you mentioned a change in your bowel habits (not wanting to have a bowel movement when in pain), this could suggest a gastrointestinal issue. Diverticulitis, for instance, occurs when small pouches in the colon become inflamed or infected, often leading to pain in the lower left abdomen.

2. Musculoskeletal Problems: Strains or injuries to the abdominal muscles can also cause pain in this area. If you have engaged in physical activities that involve twisting or heavy lifting, this could lead to muscle strain.

3. Reproductive Health: In women, conditions such as ovarian cysts, endometriosis, or pelvic inflammatory disease can cause pain in the lower abdomen. If you are of reproductive age, it may be worth discussing these possibilities with your healthcare provider.

4. Urinary Tract Issues: Conditions like urinary tract infections (UTIs) or kidney stones can also manifest as lower abdominal pain. Although you mentioned normal urination, it’s still important to rule out any urinary issues.

5. Psychosomatic Factors: Anxiety and stress can manifest physically, leading to muscle tension and pain. Chronic anxiety can exacerbate the perception of pain, making it feel more intense or prolonged.
Given the recurring nature of your pain and its impact on your bowel habits, it is essential to consult with a healthcare professional who can perform a thorough evaluation. This may include a physical examination, imaging studies (like an ultrasound or CT scan), and possibly lab tests to assess for infections or other underlying conditions.

In the meantime, managing your anxiety may also help alleviate some of the pain. Techniques such as mindfulness, deep breathing exercises, and regular physical activity can be beneficial. If you find that your anxiety is significantly impacting your quality of life, consider speaking with a mental health professional who can provide support and coping strategies.

In summary, while there are several potential causes for your left lower abdominal pain, it is crucial to seek medical advice to determine the underlying issue. Addressing both the physical and emotional aspects of your health can lead to a more comprehensive approach to your well-being. Please take care, and I hope you find relief soon.

Best regards,
Doctor Q&A Teams