Left Lower Abdominal Pain and HPV Concerns - Gastroenterology and Hepatology

Abdominal pain and other issues?

Hello Doctor: I would like to describe my situation and ask some questions.
First, I often experience dull pain in my lower left abdomen.
I have previously been treated for HPV in the rectal area, and I have also used water to cleanse impacted stool multiple times.
I would like to ask: 1.
Is it possible that HPV could be introduced into the colon through water irrigation, leading to a colon infection with HPV or other diseases? 2.
The dull pain in my lower left abdomen often occurs when I bend my body or sit down (it happens regularly, but sometimes the pain can be sudden with certain movements).
What could be the possible causes?

Xiu Xiu, 20~29 year old female. Ask Date: 2016/02/18

Dr. Yang Zhichao reply Gastroenterology and Hepatology

Dear Mr.
Hsiu-Hsiu, HPV infection is not the only possibility; it is also possible that retained stool is causing discomfort.
If you are concerned about HPV infection, you may consider scheduling a colonoscopy to check for any ulcers.
Thank you for your inquiry.
Changhua Hospital cares about your health.

Reply Date: 2016/02/18

More Info

Understanding left lower abdominal pain can be complex, especially when considering previous medical history such as HPV (Human Papillomavirus) infection and treatment. Let's break down your concerns into two main parts: the relationship between HPV and your gastrointestinal symptoms, and the potential causes of your left lower abdominal pain.

1. HPV and Gastrointestinal Concerns
HPV is primarily known for its association with cervical cancer and other anogenital cancers, but it can also affect the anal region. However, HPV does not typically cause infections in the gastrointestinal tract, including the colon. The virus is transmitted through direct skin-to-skin contact, and while it can lead to lesions in the anal area, it does not spread through water or cleaning methods such as using water to flush out the rectum. Therefore, it is highly unlikely that using water to clean the rectum would introduce HPV into the colon or cause a gastrointestinal infection.

If you have concerns about HPV-related complications, it is essential to follow up with your healthcare provider for regular screenings and evaluations, especially if you have a history of anal lesions.

2. Causes of Left Lower Abdominal Pain
The left lower abdominal pain you are experiencing can arise from various causes, and it is essential to consider both gastrointestinal and gynecological factors. Here are some potential reasons for your symptoms:
- Musculoskeletal Issues: Pain that occurs with certain movements or positions may be related to musculoskeletal strain. This could involve the muscles or ligaments in the abdominal or pelvic area, especially if you have been bending or sitting for extended periods.

- Gastrointestinal Problems: Conditions such as diverticulitis, irritable bowel syndrome (IBS), or constipation can lead to localized pain in the left lower abdomen. If you have been experiencing changes in bowel habits or discomfort after eating, it may be worth discussing these symptoms with a gastroenterologist.

- Gynecological Factors: Given your history, it is also crucial to consider gynecological issues such as ovarian cysts, endometriosis, or pelvic inflammatory disease (PID). These conditions can cause pain that may be exacerbated by certain movements or positions.

- Nerve Irritation: Sometimes, nerve irritation in the lower back or pelvis can manifest as abdominal pain. This could be due to posture or previous injuries.

Recommendations
1. Consult a Specialist: Given the complexity of your symptoms, it would be beneficial to consult both a gynecologist and a gastroenterologist. They can perform a thorough evaluation, including physical examinations and imaging studies if necessary.

2. Keep a Symptom Diary: Documenting when the pain occurs, its intensity, and any associated symptoms (like changes in bowel habits or menstrual cycle irregularities) can help your doctors make a more accurate diagnosis.

3. Consider Lifestyle Factors: Evaluate your diet, hydration, and physical activity levels. Sometimes, dietary changes can alleviate gastrointestinal discomfort, while regular exercise can help with musculoskeletal pain.

4. Follow-Up on HPV: Ensure you are up to date with your HPV vaccinations and screenings, as this is crucial for monitoring your health and preventing potential complications.

In summary, while HPV is unlikely to be the cause of your gastrointestinal symptoms, your left lower abdominal pain may stem from various factors. A comprehensive evaluation by healthcare professionals will help identify the underlying cause and guide appropriate treatment.

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