[28F] Experiencing sharp localized pain in lower left abdomen

Patient Description

A 28-year-old female reports a sharp pain in a specific spot on the lower left abdomen for over a week, which is exacerbated by touch. The patient notes being gassy during bowel movements but denies any changes in bowel habits, stool characteristics, or urine color. There are no accompanying symptoms such as fever, chills, nausea, vomiting, rebound tenderness, or guarding. The pain does not appear to be related to the menstrual cycle or food intake. The patient's medical history is unremarkable, with no known chronic illnesses, allergies, or adverse reactions to medications. Current medications include birth control and biotin supplements. There has been no mention of recent injuries, surgeries, or changes in diet or activity.

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Arora's Assessment

What might be happening

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

  • Diverticulitis: This is an inflammation or infection of small pouches called diverticula that develop along the walls of the intestines. The formation of these pouches is known as diverticulosis. The sharp pain in the lower left abdomen is a common symptom of diverticulitis.

    • Treatment typically involves antibiotics to treat the infection, a temporary liquid diet to allow your colon to heal, and over-the-counter pain relievers. In severe cases, surgery may be required.
  • Ovarian Cyst: This is a fluid-filled sac that forms on or inside an ovary. Most ovarian cysts are harmless and go away without treatment in a few months. However, a large or persistent ovarian cyst, or one that is causing symptoms, might need to be surgically removed.

    • Treatment can range from monitoring the cyst to surgical removal. It depends on the size, what it looks like on ultrasound, whether it's causing symptoms, and whether you've been through menopause.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the second most common illness in the U.S. It causes diarrhea and vomiting.

    • Treatment usually involves replacing lost fluids and electrolytes to prevent dehydration. In some cases, over-the-counter medicines may help relieve your symptoms.
  • 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.

    • Treatment of IBS is aimed at relieving symptoms so that you can live as normally as possible. Mild signs and symptoms can often be controlled by managing stress and by making changes in your diet and lifestyle.

Please remember that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

Given the duration and specific location of your pain, it's important to seek medical attention. Your healthcare provider can perform a physical examination and possibly order tests such as blood tests, urine tests, or imaging studies to help determine the cause of your pain.

In the meantime, you can:

  1. Try to rest and avoid activities that make your pain worse.
  2. Stay hydrated, especially if you're feeling gassy.
  3. Avoid foods that make your symptoms worse.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe or worsening abdominal pain
  • Blood in your stool or dark, tarry stools
  • High fever (temperature over 100.4°F)
  • Persistent vomiting or inability to keep down fluids
  • Signs of dehydration, such as dry mouth, decreased urination, or dizziness when standing

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of diverticulitis?

Common symptoms of diverticulitis include sharp pain in the lower left abdomen, fever, nausea, and changes in bowel habits. The pain is often sudden and may worsen over time.


How can an ovarian cyst cause abdominal pain?

An ovarian cyst can cause abdominal pain if it becomes large, ruptures, or causes the ovary to twist (torsion). This pain is usually sharp and may be accompanied by bloating or a feeling of fullness.


What lifestyle changes can help manage IBS symptoms?

Lifestyle changes that can help manage IBS symptoms include eating a high-fiber diet, avoiding trigger foods, managing stress, and maintaining regular physical activity. Keeping a food diary can also help identify foods that worsen symptoms.


When should I seek immediate medical attention for abdominal pain?

You should seek immediate medical attention for abdominal pain if you experience severe or worsening pain, blood in your stool, high fever, persistent vomiting, or signs of dehydration such as dry mouth or dizziness.


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