Left Abdominal Discomfort: Possible Causes and Next Steps

Q: Left Abdominal Discomfort: Possible Causes and Next Steps

Hello： If we analyze the organs located in the left lower abdomen of a male, the organs present include the colon, part of the small intestine, and the urinary tract. <br>Possible issues include： colitis, fecal impaction, urinary stones, cystitis, left inguinal hernia, referred p

Discomfort in the left abdomen?

Hello Doctor: Two months ago, I visited a gastroenterologist due to a pressure sensation in my lower left abdomen, which is not accompanied by significant pain.
I underwent X-rays and stool tests, and the physician indicated that there was nothing serious.
However, in recent days, I have been experiencing an increasing pressure sensation in my left abdomen, to the point where I need to sleep on my left side to alleviate the discomfort.
I am still confused about the cause of my symptoms.
Could you please help me understand the possible reasons? Which medical specialty should I consult for this unexplained condition, and what tests would be most appropriate? Thank you.

mā, 20~29 year old female. Ask Date: 2012/07/21

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If we analyze the organs located in the left lower abdomen of a male, the organs present include the colon, part of the small intestine, and the urinary tract.
Possible issues include: colitis, fecal impaction, urinary stones, cystitis, left inguinal hernia, referred pain from orchitis/epididymitis, referred pain from peptic ulcers, referred pain from pancreatitis, among others.
It is advisable to consult your original physician, inform them that the problem persists and is bothersome, and provide all medical history and any tests performed, as these are important bases for the physician's diagnosis.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2012/07/21

More Info

Hello! Thank you for reaching out with your concerns regarding the discomfort in your left abdomen. Based on your description, it seems you are experiencing a persistent feeling of pressure in the left lower abdomen, which has been increasing over the past few days. You have previously consulted a gastroenterologist, underwent X-rays and stool tests, and were told that there was nothing significant to worry about. However, your symptoms have not improved, and you are now seeking further understanding of potential causes and the appropriate next steps.

There are several possible explanations for the sensations you are experiencing in your left abdomen. Here are some considerations:
1. Gastrointestinal Issues: Conditions such as irritable bowel syndrome (IBS), diverticulitis, or even constipation can lead to sensations of pressure or discomfort in the abdomen. IBS is particularly known for causing abdominal discomfort that can vary in intensity and is often associated with changes in bowel habits. Diverticulitis, which involves inflammation of small pouches that can form in the colon, may also present with similar symptoms.

2. Musculoskeletal Causes: Sometimes, discomfort in the abdomen can be related to musculoskeletal issues, such as muscle strain or tension in the abdominal wall. This can occur due to physical activity, poor posture, or even sleeping positions, which might explain why you feel the need to sleep on your left side to alleviate the pressure.

3. Organ-Related Issues: Although your previous tests did not indicate any significant problems, conditions affecting the organs in the left lower quadrant, such as the left kidney, colon, or reproductive organs (in females), could potentially cause discomfort. For instance, kidney stones or infections can lead to pressure sensations, as can conditions affecting the colon.

4. Psychosomatic Factors: Stress and anxiety can manifest as physical symptoms, including abdominal discomfort. If you have been experiencing stress, it could contribute to the sensations you are feeling.

Given that your symptoms have persisted and worsened, it would be prudent to seek further evaluation. Here are some recommendations for next steps:
- Consult a Gastroenterologist Again: Since your symptoms are primarily abdominal, revisiting a gastroenterologist would be beneficial. They may suggest additional tests such as a CT scan or an abdominal ultrasound to get a clearer picture of what might be happening internally.

- Consider a Urologist: If there is any suspicion of kidney-related issues, a urologist could provide insights and conduct tests such as a renal ultrasound or urinalysis.

- Musculoskeletal Assessment: If the discomfort seems to be related to muscle strain, a physical therapist or an orthopedic specialist could evaluate your posture and provide exercises to alleviate tension.

- Psychological Evaluation: If stress or anxiety is suspected to be a contributing factor, speaking with a mental health professional could be beneficial.

In summary, while your initial tests did not reveal any significant issues, the persistence and worsening of your symptoms warrant further investigation. It is essential to communicate openly with your healthcare provider about the changes in your symptoms and any concerns you may have. They can guide you through the appropriate diagnostic process to identify the underlying cause of your discomfort and recommend suitable treatment options. Wishing you the best in your journey toward understanding and alleviating your symptoms!

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