[46F] Experiencing sudden severe left lower abdominal pain

What might be happening

Based on the information you've provided, here are a few possibilities:

• Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral, bacterial, or parasitic infection. Symptoms can include diarrhea, abdominal pain, and gas.

  • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if a bacterial infection is suspected.

• Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

  • Treatment typically involves long-term management of diet, lifestyle and stress. Medications and counseling might be recommended.

• Diverticulitis: This is an inflammation or infection of small pouches called diverticula that develop along the walls of the intestines. The formation of the pouches themselves is a condition known as diverticulosis.

  • Treatment typically involves antibiotics, pain relievers, and a change in diet. In severe cases, surgery may be required.

• Gynecological issues: Given your history of pelvic radiation, there could be complications related to your reproductive organs, such as ovarian cysts or endometriosis. These conditions can cause severe abdominal pain.

  • Treatment can range from pain relief medication to hormonal treatments and surgery.

Please note that these are possible conditions and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

1. Rest and stay hydrated. Dehydration can worsen symptoms of diarrhea and abdominal pain.
2. Over-the-counter pain relievers may help with the pain, but avoid NSAIDs like ibuprofen as they can upset your stomach.
3. Try to identify any foods that may be triggering these symptoms and avoid them.
4. Keep a symptom diary. Note down when your symptoms occur, what you're eating, and any other relevant factors. This can help your healthcare provider diagnose your condition.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Severe pain that lasts more than a few hours
• Bloody or black stools
• High fever (over 101°F)
• Vomiting that prevents you from keeping down liquids
• Signs of dehydration, such as not peeing for 8 hours, extreme thirst, very dry mouth and throat, or feeling dizzy when you stand up.

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