Left Lower Abdomen Discomfort Near the Bladder - Urology

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Hello, doctor.
I would like to ask about a sensation I occasionally feel in the left lower abdomen, around the bladder area.
It feels slightly acidic and disappears quickly, occurring about three to four times a day, though the frequency varies; sometimes I don't experience it at all in a day, while other times it happens more frequently.
I had similar symptoms about two months ago, but they resolved quickly.
During that time, I felt anxious about my health and suspected various issues.
After undergoing several tests that showed no problems, I stopped worrying, and the symptoms did not return.
Could this be a case of psychological factors affecting my physiology, or could there be another underlying condition?

You Ren Yi Wen De Ren, 30~39 year old female. Ask Date: 2013/01/22

Dr. Xu Weikai reply Urology


If you have any questions: Hello, do you have a hernia, varicocele, infection, or kidney stones? If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan, who cares about you.

Reply Date: 2013/01/22

More Info


Understanding discomfort in the left lower abdomen, particularly near the bladder, can be complex and multifaceted. Your description of experiencing occasional discomfort that lasts briefly and varies in frequency suggests that there could be several underlying factors at play.
Firstly, it’s important to consider the anatomy of the area in question. The left lower abdomen houses various structures, including parts of the intestines, the left ureter, and in females, the left ovary and fallopian tube. Discomfort in this area can arise from gastrointestinal issues, urinary tract problems, or even gynecological conditions in women.
Given that you mentioned the discomfort occurs near the bladder, urinary tract issues could be a potential cause. Conditions such as urinary tract infections (UTIs), bladder irritations, or even kidney stones can lead to discomfort in this region. However, since you have undergone various medical evaluations and found no significant issues, these may be less likely.

Another possibility is gastrointestinal disturbances. Conditions such as irritable bowel syndrome (IBS), constipation, or even gas can lead to transient discomfort in the lower abdomen. Stress and anxiety can exacerbate these symptoms, leading to a cycle where psychological factors influence physical sensations.
You mentioned that your symptoms seemed to improve when you were less anxious, which suggests that psychological factors may indeed play a role. Anxiety can manifest physically, leading to sensations like discomfort or pain in various parts of the body, including the abdomen. This phenomenon is often referred to as psychosomatic symptoms, where emotional distress translates into physical symptoms.
It’s also worth considering the possibility of muscle tension or strain in the abdominal area, which can occur due to stress or anxiety. This tension can lead to discomfort that may feel like a sharp or fleeting pain.
In terms of further evaluation, if the discomfort persists or worsens, it would be prudent to consult with a healthcare provider. They may recommend additional tests such as an ultrasound, CT scan, or further blood tests to rule out any underlying conditions. Keeping a symptom diary could also be beneficial, noting the frequency, duration, and any associated activities or stressors, which can help your healthcare provider in diagnosing the issue.

In summary, while your symptoms may be influenced by psychological factors, it’s essential to remain vigilant and consult with a healthcare professional if the discomfort continues. They can provide a comprehensive evaluation and determine if any further investigation or treatment is necessary. Remember, it’s always better to err on the side of caution when it comes to health concerns.

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