Left Lower Abdominal Pain and Increased Bowel Movements - Internal Medicine

More Info

---

Left lower abdominal pain accompanied by increased bowel movements and pain during defecation can be indicative of several underlying conditions. Given the symptoms you've described, it's essential to consider both gastrointestinal and potential musculoskeletal issues.

One possible cause of your symptoms is irritable bowel syndrome (IBS), which is a common gastrointestinal disorder characterized by abdominal pain, bloating, and changes in bowel habits, including diarrhea or constipation. Stress and dietary factors often exacerbate IBS symptoms. If your pain is intermittent and associated with changes in bowel habits, this could be a plausible explanation.

Another potential cause could be diverticulitis, especially since you mentioned a history of diverticular disease. Diverticulitis occurs when diverticula (small pouches that can form in the walls of the colon) become inflamed or infected, leading to localized pain, often in the lower left abdomen, along with changes in bowel habits. This condition can also cause pain during bowel movements due to inflammation in the area.

Additionally, hemorrhoids or anal fissures could be contributing to the pain during defecation. Hemorrhoids are swollen veins in the lower rectum or anus that can cause discomfort, especially during bowel movements. Anal fissures, which are small tears in the lining of the anus, can also result in significant pain during and after defecation. If you notice blood in your stool or on toilet paper, this could further suggest these conditions.

In some cases, musculoskeletal issues such as a strained muscle in the abdominal area or lower back can mimic abdominal pain. This is particularly relevant if the pain is exacerbated by certain movements or positions.
Given your symptoms, it is crucial to monitor any additional signs such as fever, significant changes in bowel habits, or the presence of blood in your stool, as these could indicate a more serious condition requiring immediate medical attention.
To address your concerns, I recommend the following steps:
1. Dietary Modifications: Keeping a food diary may help identify any dietary triggers that could be contributing to your symptoms. Increasing fiber intake can help regulate bowel movements and reduce strain during defecation.

2. Hydration: Ensure you are well-hydrated, as this can help soften stools and reduce pain during bowel movements.

3. Medical Evaluation: It is advisable to consult with a healthcare provider for a thorough evaluation. They may recommend diagnostic tests such as a colonoscopy, imaging studies, or laboratory tests to rule out conditions like diverticulitis, IBS, or other gastrointestinal disorders.

4. Pain Management: Over-the-counter pain relief medications may help alleviate discomfort, but it is essential to consult with a healthcare provider before starting any new medication.

5. Stress Management: Since stress can exacerbate gastrointestinal symptoms, consider incorporating stress-reducing techniques such as mindfulness, yoga, or regular exercise into your routine.

In conclusion, while there are several potential causes for your left lower abdominal pain and increased bowel movements, a thorough evaluation by a healthcare professional is necessary to determine the exact cause and appropriate treatment. Early intervention can help manage symptoms effectively and improve your quality of life.