[19M] Experiencing lower left abdominal pain

Patient Description

A 19-year-old male reports having lower left abdominal pain, described as pressure and slight random pains, for several days. The pain, rated a 4 out of 10 in severity, seems to be alleviated by walking and loosening pants when sitting down. The patient experienced an episode of constipation with associated straining that led to temporary bleeding, which resolved after taking a laxative. Since then, bowel movements have been brown and of regular consistency. The patient denies any fever, chills, nausea, vomiting, unintentional weight loss, or change in bowel habits. There is no family history of gastrointestinal diseases, and the patient is not currently on any medications apart from the laxative used recently. The patient has made dietary changes, such as eliminating juice and soda. There are no known drug allergies, no use of recreational drugs, alcohol, or tobacco, and no pre-existing conditions. The patient inquired about the life-threatening nature of these symptoms, which warrants further medical evaluation to rule out conditions such as diverticulitis or other causes of abdominal pain.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possible conditions:

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. IBS is a chronic condition that you'll need to manage long term.

  • Diverticulitis: This is a condition where small, bulging pouches (diverticula) in the digestive tract become inflamed or infected. Symptoms can include severe abdominal pain, fever, nausea and a marked change in your bowel habits.

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria or parasites. Symptoms can include abdominal pain, diarrhea, nausea, and vomiting.

  • Constipation: This is a common condition that affects people of all ages. It can mean that you're not passing stools regularly or you're unable to completely empty your bowel. Constipation can also cause your stools to be hard and lumpy, as well as unusually large or small.

Please note that these are just possibilities and not a definitive diagnosis. It's important to see a healthcare provider to get an accurate diagnosis.

What you can do

Here are some things you can do to help manage your symptoms:

  1. Keep a symptom diary: This can help you identify any patterns or triggers to your abdominal pain.

  2. Stay hydrated: Drink plenty of fluids, especially water. This can help prevent constipation and keep your digestive system functioning properly.

  3. Eat a balanced diet: Try to eat a variety of fruits, vegetables, lean proteins, and whole grains. Avoid foods that seem to trigger your symptoms.

  4. Exercise regularly: Physical activity can often help reduce abdominal pain and discomfort.

  5. Over-the-counter medications: There are several over-the-counter medications that can help manage abdominal pain and other digestive symptoms. Always follow the instructions on the label and consult a pharmacist if you have any questions.

What you should look out for

If your symptoms worsen or you start to experience any of the following, you should seek medical attention immediately:

  • Severe or worsening abdominal pain
  • Blood in your stool or black, tarry stools
  • High fever (over 101°F)
  • Vomiting or inability to keep fluids down
  • Unexplained weight loss
  • Severe or worsening constipation or diarrhea

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of lower left abdominal pain in young adults?

Common causes of lower left abdominal pain in young adults include conditions like irritable bowel syndrome (IBS), constipation, diverticulitis, and sometimes gastroenteritis. It's important to consult a healthcare provider for an accurate diagnosis.


How can constipation lead to temporary bleeding during bowel movements?

Constipation can lead to temporary bleeding during bowel movements due to straining, which can cause small tears in the anal tissue (anal fissures) or hemorrhoids. These conditions can result in minor bleeding that usually resolves with proper management.


What lifestyle changes can help manage symptoms of irritable bowel syndrome (IBS)?

Lifestyle changes that can help manage IBS symptoms include maintaining a balanced diet rich in fiber, staying hydrated, exercising regularly, managing stress, and avoiding foods that trigger symptoms. Keeping a symptom diary can also help identify specific triggers.


When should I seek medical attention for abdominal pain?

You should seek medical attention for abdominal pain if you experience severe or worsening pain, blood in your stool, high fever, vomiting, inability to keep fluids down, unexplained weight loss, or severe constipation or diarrhea. These could be signs of a more serious condition.


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