[49M] Experiencing recurrent dull lower left abdominal pain

Patient Description

A 49-year-old male reports experiencing a dull, localized pain in the lower left abdomen that has been occurring on and off for several months. The pain intensity is described as a 4 out of 10. The patient notes that the pain subsides when not moving and sometimes after a bowel movement. The last bowel movement was described as soft and occurred a few hours prior to reporting. The patient denies any associated symptoms such as fever, chills, or changes in bowel habits, and there are no other symptoms reported alongside the abdominal pain.

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Arora's Assessment

What might be happening

Based on the information you have 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 symptoms of diverticulitis are often pain on the lower left side of the abdomen, fever, and sometimes an alteration of normal bowel movements.

    • Treatment for diverticulitis often includes antibiotics, a liquid diet to allow your colon to heal, and over-the-counter pain relievers. In severe cases, hospitalization or surgery may be required.
  • 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. IBS is a chronic condition that you will need to manage long term.

    • Treatment of IBS is usually focused on relieving symptoms. Lifestyle changes, including diet and managing stress, play a large role in controlling IBS.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Kidney stones can affect any part of your urinary tract. Pain location can shift as the stone moves through your urinary tract.

    • Treatment for kidney stones varies, depending on the type of stone and the cause. Small stones with minimal symptoms can be managed with drinking 2 to 3 quarts of water a day and over-the-counter pain relievers. For larger stones, additional treatment may be needed.

What you can do

  1. Try to identify any triggers for your pain. This could be certain foods or stressors. Avoiding these triggers may help reduce your symptoms.
  2. Stay hydrated and eat a balanced diet. This can help prevent constipation and promote overall digestive health.
  3. Over-the-counter pain relievers may help manage your pain. However, they should not be used as a long-term solution without consulting a doctor.
  4. Regular exercise can help stimulate normal bowel function and reduce stress.

What you should look out for

Reasons to seek immediate medical attention:

  • Severe pain that prevents you from sitting still or finding a comfortable position
  • Blood in your urine or stool
  • Persistent vomiting
  • Fever and chills
  • Unexplained weight loss

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. You should consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of diverticulitis?

Common symptoms of diverticulitis include pain in the lower left side of the abdomen, fever, nausea, and changes in bowel habits such as constipation or diarrhea.


How can I manage symptoms of Irritable Bowel Syndrome (IBS) at home?

Managing IBS at home can involve dietary changes like increasing fiber intake, avoiding trigger foods, staying hydrated, and managing stress through techniques such as exercise or meditation.


What are the signs that a kidney stone might require medical intervention?

Signs that a kidney stone might require medical intervention include severe pain that doesn't go away, blood in the urine, persistent nausea or vomiting, and difficulty urinating.


What lifestyle changes can help prevent abdominal pain related to digestive issues?

Lifestyle changes that can help prevent abdominal pain related to digestive issues include maintaining a balanced diet rich in fiber, staying hydrated, exercising regularly, and avoiding known food triggers and stressors.


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