[30F] Experiencing lower left abdominal pain with associated symptoms

Patient Description

A 30-year-old female presents with a dull pain in the lower left abdomen, which sharpens upon coughing or movement but is not severe. The pain has been present for five days and initially started in the middle of the lower abdomen before moving to the left side. The patient reports that the pain is not similar to normal cramping or ovulation pain and has not tried any remedies for relief. Additionally, the patient experiences achiness in the neck and shoulders described as dull and stiff, which started today. The patient also reports cold extremities and has not been able to take her temperature, but notes muscle stiffness and a cold sensation. Bowel movements were described as mushy and orange in the morning, returning to normal by the evening on the previous day. The patient rates her abdominal pain as a 1 at rest and between 2 to 3 when moving. There is no mention of recent travel, changes in diet, or other symptoms that could suggest a gastrointestinal infection.

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Arora's Assessment

What might be happening

Based on the information provided, here are some possible explanations for your symptoms:

  • Muscular Strain: The achiness in your neck and shoulders could be due to muscular strain, possibly from poor posture or overuse. This can also cause cold extremities due to muscle tension restricting blood flow.

    • Treatment typically involves rest, heat therapy, and over-the-counter pain relievers. Physical therapy or massage may also be beneficial.
  • Gastrointestinal Issues: The pain in your lower left abdomen could be related to your digestive system. Conditions like irritable bowel syndrome, diverticulitis, or constipation can cause such symptoms.

    • Treatment would depend on the specific condition but may include dietary changes, medication, or in some cases, surgery.
  • Gynecological Conditions: Given your sex and age, certain gynecological conditions such as ovarian cysts or endometriosis could potentially cause lower abdominal pain.

    • Treatment can range from watchful waiting to hormonal therapies or surgery, depending on the condition and its severity.

What you can do

You should seek medical attention to get a proper diagnosis and treatment. In the meantime, here are some things you could do:

  1. Try over-the-counter pain relievers for your neck and shoulder pain. Remember to follow the instructions on the package.
  2. Apply a warm compress to your neck and shoulders to help relax the muscles.
  3. Try to rest and avoid any activities that exacerbate your abdominal pain.
  4. Keep a symptom diary noting when your abdominal pain occurs, its severity, and any potential triggers (like certain foods or activities).

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Fever or chills
  • Vomiting or inability to keep down food or liquids
  • Blood in your stool
  • Sudden or severe pain in your neck or shoulders

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

People Also Ask


What could cause dull pain in the lower left abdomen that sharpens with movement?

Dull pain in the lower left abdomen that sharpens with movement could be due to gastrointestinal issues like irritable bowel syndrome or diverticulitis, or gynecological conditions such as ovarian cysts. It's important to consult a healthcare provider for a proper diagnosis.


Why might someone experience achiness in the neck and shoulders along with cold extremities?

Achiness in the neck and shoulders along with cold extremities could be due to muscular strain, which might restrict blood flow and cause a cold sensation. Poor posture or overuse are common causes of muscular strain.


What could cause mushy and orange bowel movements that return to normal later?

Mushy and orange bowel movements can be caused by dietary changes, malabsorption, or gastrointestinal disturbances. If the issue resolves quickly, it may not be serious, but persistent changes should be evaluated by a healthcare provider.


When should someone with abdominal pain seek immediate medical attention?

Immediate medical attention should be sought if there is severe abdominal pain, fever, chills, vomiting, inability to keep down food or liquids, blood in the stool, or sudden severe pain in the neck or shoulders.


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