Left lower abdominal pain?
I have a pressure sensation in my lower left abdomen that feels sore, somewhat close to the bladder area, but the right side does not have this sensation.
I have experienced this before, and it didn't hurt unless I pressed on it.
However, recently, when I press on it, it feels sore and painful just like before.
Niming, 10~19 year old female. Ask Date: 2015/08/08
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, left lower abdominal pain is often associated with issues related to the colon, with the most common causes being bloating, constipation, or functional disorders.
If there is blood in the stool, it is recommended to consult a gastroenterologist.
Additionally, if there are accompanying urinary symptoms, the possibility of urinary stones cannot be ruled out.
Sincerely, Dr.
Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2015/08/08
More Info
Left lower abdominal pain can be a complex issue with a variety of potential causes. Understanding the underlying reasons for this discomfort is crucial for effective management and treatment. Based on the symptoms you've described, it seems that the pain is localized near the bladder area, which could indicate several possibilities.
Potential Causes of Left Lower Abdominal Pain
1. Gastrointestinal Issues: Conditions such as diverticulitis, irritable bowel syndrome (IBS), or constipation can lead to localized pain in the lower abdomen. Diverticulitis, in particular, is characterized by inflammation or infection of small pouches that can form in the walls of the intestines, often causing pain on the left side.
2. Urinary Tract Problems: Since you mentioned that the pain is close to the bladder, urinary tract infections (UTIs) or bladder conditions could be contributing factors. Symptoms of a UTI often include pain during urination, frequent urination, and lower abdominal discomfort.
3. Musculoskeletal Issues: Sometimes, pain in the lower abdomen can be related to muscle strain or injury, especially if the pain is exacerbated by certain movements or pressure. This could be particularly relevant if you have engaged in physical activities that may have strained your abdominal muscles.
4. Reproductive System Conditions: In females, conditions such as ovarian cysts, endometriosis, or pelvic inflammatory disease (PID) can cause pain in the lower abdomen. These conditions often require gynecological evaluation for proper diagnosis and treatment.
5. Nerve-related Pain: Conditions such as hernias or nerve entrapment can also lead to localized pain. A history of previous surgeries or trauma in the area may increase the likelihood of such issues.
Recommended Actions
Given the complexity of abdominal pain, it is essential to approach this issue systematically:
1. Medical Evaluation: If the pain persists or worsens, it is advisable to consult a healthcare professional. A thorough evaluation, including a physical examination and possibly imaging studies (like an ultrasound or CT scan), may be necessary to determine the exact cause of your pain.
2. Symptom Tracking: Keeping a diary of your symptoms, including when the pain occurs, its intensity, and any associated symptoms (like changes in bowel habits or urinary symptoms), can provide valuable information to your healthcare provider.
3. Lifestyle Modifications: Depending on the underlying cause, dietary changes, hydration, and regular exercise may help alleviate symptoms. For instance, if constipation is an issue, increasing fiber intake and fluid consumption can be beneficial.
4. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, may help manage discomfort temporarily. However, it is essential to use these medications as directed and consult with a healthcare provider if you have any concerns.
5. Follow-up Care: If initial treatments do not provide relief, further investigation may be warranted. This could include referrals to specialists, such as a gastroenterologist or urologist, depending on the suspected underlying cause.
Conclusion
Left lower abdominal pain can arise from various sources, and understanding the specific cause is key to effective treatment. It is important to seek medical advice if the pain is persistent or severe, as early diagnosis can lead to better management and outcomes. Always prioritize your health and well-being by consulting with healthcare professionals who can provide personalized care based on your symptoms and medical history.
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