Left Lower Abdominal Pain: When to See a Specialist - Gastroenterology and Hepatology

More Info

---

Hello! Thank you for sharing your concerns regarding your left lower abdominal pain and the associated symptoms. Given your history of endometriosis and the recent changes in your medication regimen, it’s understandable to be worried about the implications of your symptoms.

Firstly, it’s important to recognize that left lower abdominal pain can arise from a variety of causes, and in your case, it may be related to your endometriosis, gastrointestinal issues, or other underlying conditions. Endometriosis can lead to pain during menstruation and can also cause discomfort in the lower abdomen due to the presence of endometrial tissue outside the uterus. The fact that you experienced relief from your symptoms while on birth control pills suggests that hormonal regulation can significantly impact your pain levels.

The sudden onset of left lower abdominal pain, especially after experiencing rectal cramping, could indicate several possibilities. One potential cause could be related to your gastrointestinal tract, such as irritable bowel syndrome (IBS), diverticulitis, or even a gastrointestinal infection. The fact that you mentioned having regular bowel movements, but still experiencing pain, suggests that it may not be a straightforward case of constipation or diarrhea. However, the pain you describe, especially if it is sharp and localized, warrants further investigation.

Given your symptoms, it would be prudent to consult with a specialist. Since you have a history of endometriosis, starting with a gynecologist may be beneficial. They can assess whether your current symptoms are related to your endometriosis or if there are any new developments that need to be addressed. Additionally, they may recommend imaging studies, such as an ultrasound or MRI, to evaluate the pelvic organs for any abnormalities.

On the other hand, if your gynecologist rules out any gynecological issues, it would be wise to see a gastroenterologist. They can evaluate your gastrointestinal health and determine if there are any underlying conditions contributing to your abdominal pain. They may suggest tests such as a colonoscopy or CT scan to investigate further, especially if there are concerns about conditions like diverticulitis or colorectal cancer, particularly given your anxiety about the possibility of serious conditions.

In summary, I recommend the following steps:
1. Visit a Gynecologist: Since you have endometriosis, it’s essential to rule out any complications related to that condition. Discuss your symptoms, including the rectal cramping and abdominal pain, and follow their recommendations for imaging or further evaluation.

2. Consider a Gastroenterologist: If your gynecological evaluation does not reveal any issues, or if your symptoms persist, a gastroenterologist can help assess your digestive health. They can provide insights into whether your symptoms are related to gastrointestinal disorders.

3. Monitor Your Symptoms: Keep track of your symptoms, including the intensity of the pain, any changes in bowel habits, and any other associated symptoms like nausea or changes in appetite. This information will be valuable for your healthcare providers.

4. Stay Informed and Proactive: It’s essential to communicate openly with your healthcare providers about your concerns, especially regarding the possibility of serious conditions. Don’t hesitate to ask questions and seek clarity on your diagnosis and treatment options.

In conclusion, while your symptoms may be related to your endometriosis or gastrointestinal issues, it’s crucial to seek professional evaluation to determine the exact cause and appropriate treatment. Your health and well-being are paramount, and addressing these symptoms with the right specialists will help you find relief and peace of mind.