Unexplained Sensation in the Lower Left Abdomen: Possible Causes and Next Steps

Q: Unexplained Sensation in the Lower Left Abdomen: Possible Causes and Next Steps

Hello： If a physician has diagnosed and conducted multiple tests with no issues found, it may be considered whether intestinal gas is the cause. <br>Sometimes, the angles of the intestines can be significantly curved, making it easier to experience bloating or constipation, which

There is a foreign body sensation in the left lower abdomen?

Hello Dr.
Chen, for the past two months, I have been experiencing an unexplained foreign body sensation in my lower left abdomen (located in the front abdominal area, about one and a half finger widths to the left of the navel, and then slightly downward, just above the pelvic bone).
This sensation occurs whenever I walk or move my body; essentially, any movement in that area triggers the feeling, as if something is lodged there.
It happens whether I am standing or lying flat.
For instance, when I lie on my bed and exhale, the contraction of my abdomen causes a sensation when it touches that area.
I have bowel movements twice a day, and the amount is substantial, so I don't believe I have a constipation issue.
The foreign body sensation persists regardless of whether I have a bowel movement and has lasted for over two months.
There is no history of trauma.
I visited a hospital during this time, where I underwent X-rays, a urinary tract imaging study, and even a colonoscopy, all of which returned normal results.
The doctor mentioned that the organs in that area are the intestines, but since the colonoscopy was normal and other urinary tract examinations did not reveal any stones, the doctor concluded it might be neuropathic pain and advised no further treatment or follow-up.
However, since the sensation of a foreign body is still very pronounced, I feel as though something is stuck there.
I would like to seek a second opinion from a different physician regarding what other conditions might be possible given my symptoms, or what direction I should take for further examination.
Should I just ignore it? (I consulted a gastroenterologist because I feel the affected area is related to the intestines; I apologize if I have approached the wrong specialty.)

A-Zhi, 30~39 year old female. Ask Date: 2014/08/19

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: If a physician has diagnosed and conducted multiple tests with no issues found, it may be considered whether intestinal gas is the cause.
Sometimes, the angles of the intestines can be significantly curved, making it easier to experience bloating or constipation, which can trigger symptoms.
Therefore, avoiding bloating and constipation is a primary concern.
Wishing you peace and health.
Sincerely, Dr.
Chi-Feng Chen, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2014/08/19

More Info

The sensation you are experiencing in your lower left abdomen can be quite distressing, especially since it has persisted for over two months. Given the detailed description of your symptoms and the diagnostic tests you have already undergone, it is important to consider a few potential causes and next steps.

Firstly, it is reassuring that you have undergone several diagnostic tests, including X-rays, urinary tract imaging, and a colonoscopy, all of which returned normal results. This significantly reduces the likelihood of serious conditions such as tumors, obstructions, or significant gastrointestinal diseases. However, the persistent sensation you describe—similar to having something lodged in that area—suggests that there may be other factors at play.

One possibility is that the sensation could be related to nerve irritation or neuropathy. The abdominal area is richly innervated, and conditions such as nerve entrapment or irritation can lead to abnormal sensations, including the feeling of pressure or a foreign body. This aligns with the previous assessment you received, which suggested that the issue might be neurological in nature.
Another consideration is the possibility of muscular or fascial issues. Sometimes, tightness or spasms in the abdominal muscles or the fascia surrounding the organs can create sensations that feel like something is stuck. This can be exacerbated by movement, as you noted that the sensation occurs with physical activity. Engaging in physical therapy or exercises aimed at relaxing the abdominal muscles may provide relief.

Additionally, gastrointestinal issues, although less likely given your normal colonoscopy, cannot be entirely ruled out. Conditions such as irritable bowel syndrome (IBS) or functional gastrointestinal disorders can sometimes present with unusual sensations without clear pathological findings. These conditions often require a multidisciplinary approach, including dietary modifications and possibly medications to manage symptoms.

Given that your symptoms have persisted and are causing you concern, it would be prudent to follow up with a healthcare provider. Here are some recommended next steps:
1. Consult a Gastroenterologist: Since you have already seen one, consider a follow-up appointment to discuss your ongoing symptoms. They may suggest additional tests, such as an abdominal ultrasound or MRI, to further evaluate the soft tissues and organs in that area.

2. Neurological Evaluation: If you have not yet seen a neurologist, it may be beneficial to do so. They can assess for any nerve-related issues that might be causing your symptoms.

3. Physical Therapy: Engaging in physical therapy focused on the abdominal region may help alleviate any muscular tension or spasms contributing to your sensation.

4. Symptom Diary: Keeping a diary of your symptoms, including when they occur, their intensity, and any associated activities or dietary factors, can provide valuable information to your healthcare providers.

5. Consider Psychological Factors: Sometimes, chronic pain or discomfort can have psychological components, especially if it is associated with anxiety or stress. A mental health professional can help if you feel that anxiety is exacerbating your symptoms.

In conclusion, while your symptoms are concerning, the absence of serious findings in your previous tests is a positive sign. However, given the persistence of your discomfort, further evaluation is warranted. Engaging with specialists and considering a holistic approach to your symptoms may lead to a better understanding and management of your condition.

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