[27M] Experiencing left lower abdominal pain

Patient Description

A 27-year-old male presents with left lower abdominal pain since yesterday, described as bloating and gassy, with sharpness upon applying pressure. Pain severity is rated 4-5/10. Relief is temporarily achieved post bowel movement. Stools are runny, which is a consistent pattern post-gallbladder removal in 2019. No radiation of pain, fever, chills, nausea, vomiting, blood in stool, unexplained weight loss, or changes in bowel habits are reported. No known family history of gastrointestinal diseases, and no use of recreational drugs, alcohol, or tobacco. The patient is not on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Irritable Bowel Syndrome (IBS): A common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation.

    • Treatment typically involves long-term management of diet, lifestyle and stress. More-severe symptoms can be treated with medication and counseling.
  • Diverticulitis: A condition where small, bulging pouches (diverticula) in the digestive tract become inflamed or infected. This condition is more common in people over 40, but it's not impossible in younger individuals.

    • Treatment typically involves antibiotics, pain relievers, and a temporary liquid diet until inflammation subsides. In severe cases, surgery may be required.
  • Gastroenteritis: An inflammation of the digestive tract, often caused by a virus or bacteria. This condition is usually accompanied by diarrhea, vomiting, and fever, which you have not reported.

    • Treatment typically involves rest, hydration, and over-the-counter remedies.

What you can do

  1. Keep a symptom diary: Note down what you eat and when you experience symptoms to see if there's a pattern or trigger.
  2. Stay hydrated: Drink plenty of fluids, especially if you're having diarrhea.
  3. Try over-the-counter remedies: Antacids can help with gas and bloating.
  4. Eat smaller, more frequent meals instead of three large meals.
  5. Try a low FODMAP diet: This diet involves limiting foods that contain certain carbohydrates that are hard to digest. It's often recommended for people with IBS.

What you should look out for

Reasons to see a doctor more urgently:

  • If you notice blood in your stool or vomit
  • If you develop a fever (temperature over >100.4°F) or chills
  • If your symptoms worsen or persist for more than a few days
  • If you experience unexplained weight loss

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional who can evaluate your symptoms in person.

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10 mo ago

People Also Ask


What are the common symptoms of Irritable Bowel Syndrome (IBS)?

Common symptoms of IBS include cramping, abdominal pain, bloating, gas, and diarrhea or constipation. Symptoms can vary in intensity and may be triggered by certain foods or stress.


How can I manage symptoms of IBS through diet and lifestyle changes?

Managing IBS often involves dietary changes such as following a low FODMAP diet, eating smaller and more frequent meals, and avoiding trigger foods. Stress management and regular exercise can also help alleviate symptoms.


What are the signs that I should see a doctor for abdominal pain?

You should see a doctor if you experience blood in your stool or vomit, develop a fever or chills, if your symptoms worsen or persist for more than a few days, or if you experience unexplained weight loss.


How does gallbladder removal affect digestion and bowel movements?

After gallbladder removal, some people experience changes in digestion, such as diarrhea or runny stools, because bile flows more continuously into the intestine, which can affect digestion and absorption of fats.


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