Persistent Left Lower Abdomen Discomfort: When to Seek Medical Advice?

Q: Persistent Left Lower Abdomen Discomfort: When to Seek Medical Advice?

Mr. <br>Lin： Hello, if you are feeling unwell, it is advisable to seek medical attention immediately. <br>If there are any unclear points, feel free to ask again, and we can discuss and research further. <br>Online responses should only be used as a reference; if necessary, you s

There is a persistent dull ache in the lower left abdomen?

I would like to ask the doctor about a sensation I have been experiencing in my left lower abdomen and around the pubic bone.
It has been ongoing for a while; although it is not painful, it feels somewhat strange, almost like an itch.
I notice this sensation during ejaculation as well, and sometimes it extends to my epididymis.
I am concerned that it might be due to chronic inflammation.
I have read a lot of information and wonder if it could be related to seminal vesiculitis or epididymitis.
However, I am also worried that I might be overreacting and wasting resources by seeking medical attention.
Since this has been going on for several months and I didn't feel this way before, do you think I should get it checked out, doctor?

Mr. Lin, 20~29 year old female. Ask Date: 2016/02/20

Dr. Xu Weikai reply Urology

Mr.
Lin: Hello, if you are feeling unwell, it is advisable to seek medical attention immediately.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, you should visit a medical facility for treatment.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/20

More Info

Persistent discomfort in the left lower abdomen can be concerning, especially when it has lasted for several months. While it may not be painful, the sensation you describe—similar to itching or discomfort during ejaculation—could indicate an underlying issue that warrants further investigation.

Given your symptoms, there are several potential causes to consider. One possibility is a condition related to the reproductive system, such as epididymitis (inflammation of the epididymis) or seminal vesiculitis (inflammation of the seminal vesicles). Both conditions can cause discomfort in the lower abdomen and may present with sensations that radiate to the testicles or groin area. Chronic inflammation in these areas can lead to persistent discomfort, and it is important to rule out infections or other underlying issues.

Another possibility is a gastrointestinal issue. Conditions such as diverticulitis, irritable bowel syndrome (IBS), or even hernias can cause discomfort in the lower abdomen. If there are changes in bowel habits, such as constipation or diarrhea, it may be worth discussing these symptoms with a healthcare provider.

Additionally, musculoskeletal issues can also manifest as discomfort in the abdominal area. Strain or injury to the muscles or ligaments in the lower abdomen can lead to sensations that may feel unusual but are not necessarily indicative of a serious condition.

Given that your symptoms have persisted for several months, it is advisable to seek medical advice. While it is understandable to be concerned about wasting resources, it is better to err on the side of caution when it comes to your health. A healthcare provider can perform a thorough evaluation, which may include a physical examination, imaging studies (such as an ultrasound or CT scan), and possibly laboratory tests to assess for infection or inflammation.

In summary, while your symptoms may not seem severe, the duration and nature of the discomfort suggest that it would be prudent to seek medical evaluation. Early diagnosis and treatment can prevent potential complications and provide peace of mind. If you are concerned about specific conditions like epididymitis or seminal vesiculitis, be sure to mention these to your healthcare provider during your visit. They can guide you through the appropriate diagnostic process and help determine the best course of action for your situation.

Similar Q&A

Understanding Left Abdominal Pain: Causes and Recommended Tests

Hello, Doctor: I would like to ask about my left abdominal pain, which occurs intermittently and lasts for more than a week each time, only to suddenly stop. During the pain episodes, no pain relievers seem to work. Additionally, whenever I experience left abdominal pain, I also ...

Dr. Liao Yaopan reply Family Medicine
Hello, it is recommended that you consult a gastroenterologist for evaluation. Additionally, as a female, you may also need to seek advice from an obstetrician-gynecologist. Please note that online consultations are not equivalent to in-person medical visits and cannot provide ac...

Understanding Left Lower Abdominal Pain: When to Seek Surgical Advice

Hello Dr. Dong: I experience a dull pain in my lower left abdomen during activities, and I also feel soreness in my left lower back and left hip. However, when I press on my lower left abdomen, it doesn't hurt. This symptom has been present for about six months, but recently...

Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello; it is recommended that you first consult with a specialist in obstetrics and gynecology or internal medicine to investigate the cause of your pain. Once the underlying cause is identified, appropriate treatment options can be considered. Thank you!

Understanding Left Lower Abdominal Pain: Causes and When to Seek Help

Medical History: In late 2019, the patient was diagnosed with fulminant hepatitis and primary biliary cholangitis, and has been on medication since then. Early the following year, the patient underwent surgery for stage 1A endometrial cancer. Currently, the patient is experiencin...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Left lower abdominal pain should be considered in relation to intestinal adhesions, urinary tract issues, or reproductive system problems—such as pelvic inflammatory disease. Additionally, diverticulitis or enteritis of the colon are also possible causes. It is advisable t...

Understanding Left-Sided Abdominal Pain: When to Seek Medical Help

Hello doctor, I have been experiencing sudden pain on the left side of my body, specifically around the area near my navel at the four o'clock and five o'clock positions close to my leg, especially when I lie down at night. This pain has been ongoing for a week. What co...

Dr. Liao Yaopan reply Family Medicine
Hello, it is recommended to have an evaluation by a gastroenterologist. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about you.