Abdominal Pain: Causes, Symptoms, and Recommended Tests

Abdominal pain

I have been experiencing frequent pain near my abdomen and on the left side, along with a feeling of bloating.
At night, when I lie down to sleep, my stomach also hurts.
My bowel movements have been somewhat loose, and I feel nauseous.
This has been going on for about two weeks.
What could be the cause of this, and what tests should I undergo?

Mary, 30~39 year old female. Ask Date: 2004/08/15

Dr. Su Baojia reply Gastroenterology and Hepatology

Your symptoms are more indicative of colitis; you should consult a gastroenterologist for appropriate treatment to improve your condition.

Reply Date: 2004/08/15

More Info

Understanding abdominal pain can be quite complex, as it can arise from a multitude of causes, ranging from benign to serious conditions. Based on your symptoms of persistent pain near the abdomen, particularly on the left side, along with feelings of bloating, nausea, and changes in bowel habits (loose stools), there are several potential causes to consider.

Possible Causes of Your Symptoms
1. Gastrointestinal Issues: Conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD) like Crohn's disease or ulcerative colitis, or even infections can lead to abdominal pain, bloating, and changes in bowel habits. The presence of nausea may also suggest a gastrointestinal disturbance.

2. Diverticulitis: This is an inflammation or infection of small pouches that can form in the walls of the colon. Symptoms often include left-sided abdominal pain, fever, and changes in bowel habits.

3. Gastritis or Peptic Ulcers: Inflammation of the stomach lining or ulcers can cause pain, especially after eating, and may be associated with nausea.

4. Kidney Issues: Conditions such as kidney stones or infections can cause referred pain to the abdomen and may also lead to gastrointestinal symptoms.

5. Gynecological Issues: In women, conditions such as ovarian cysts or endometriosis can cause localized pain and may also affect bowel habits.

Recommended Tests
Given the duration and nature of your symptoms, it is crucial to seek medical evaluation. Here are some recommended tests that your healthcare provider may consider:
1. Blood Tests: A complete blood count (CBC) can help identify signs of infection or inflammation. Liver function tests and kidney function tests may also be warranted.

2. Urinalysis: This can help rule out urinary tract infections or kidney issues.

3. Abdominal Ultrasound: This imaging test can help visualize organs in the abdomen and detect issues such as gallstones, kidney stones, or abnormalities in the reproductive organs.

4. CT Scan of the Abdomen: If initial tests are inconclusive, a CT scan can provide a more detailed view of the abdominal organs and help identify conditions like diverticulitis or tumors.

5. Endoscopy or Colonoscopy: If gastrointestinal issues are suspected, these procedures allow direct visualization of the gastrointestinal tract and can help diagnose conditions like ulcers or IBD.

Conclusion
Your symptoms warrant a thorough evaluation by a healthcare professional. It is essential to communicate all your symptoms clearly, including the duration, intensity, and any factors that worsen or alleviate the pain. Early diagnosis and treatment can significantly improve outcomes, especially if a serious condition is present. Do not hesitate to seek medical attention, as timely intervention is key in managing abdominal pain effectively.

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