[51F] Experiencing dull and constant left abdominal pain

Patient Description

A 51-year-old female has been experiencing a dull and constant burning sensation in the middle to lower left abdomen for the past two months, rating the pain as a 3 out of 10 in severity. The pain is somewhat alleviated by taking probiotics. The patient's bowel movements are normal, with no changes in bowel or urinary habits, and no presence of blood in the stool. There are no additional symptoms such as fever, chills, nausea, or vomiting. The patient is not on any prescribed medications but is taking vitamins and probiotics. She has no known drug allergies, no pre-existing conditions, and no chronic illnesses.

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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): This is a common disorder that affects the large intestine and can cause abdominal pain, bloating, gas, and changes in bowel habits. The pain you're experiencing in your left abdomen could be related to IBS, especially since you've mentioned that probiotics seem to help.

    • Treatment for IBS often includes dietary modifications, stress management, and certain medications prescribed by a doctor.
  • Diverticulitis: This condition occurs when small pouches in your digestive tract become inflamed or infected. It can cause severe abdominal pain, particularly on the left side. However, it's usually accompanied by other symptoms like fever, nausea, and changes in bowel habits, which you've not reported.

    • Treatment for diverticulitis can range from antibiotics and pain relievers to surgery in severe cases.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria, or parasites. It can cause abdominal pain and cramping, but it's usually accompanied by diarrhea and vomiting, which you've not reported.

    • Treatment for gastroenteritis usually involves rest, hydration, and over-the-counter remedies.

Please note that these are possibilities based on the information you've provided and are not a definitive diagnosis. You should consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Continue taking probiotics as they seem to help with your symptoms.
  2. Monitor your diet and try to identify any food triggers that may be causing or worsening your abdominal pain.
  3. Maintain a balanced diet rich in fiber to promote digestive health.
  4. Stay hydrated and engage in regular physical activity.
  5. Schedule an appointment with your healthcare provider to discuss your symptoms and possible treatment options.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your stool
  • Unexplained weight loss
  • Persistent or worsening symptoms
  • Fever, chills, or other signs of infection

Remember, I'm an AI and not a doctor. Always consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


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

Common symptoms of IBS include abdominal pain or cramping, bloating, gas, and changes in bowel habits such as diarrhea or constipation. Symptoms can vary widely among individuals.


How can probiotics help with abdominal pain?

Probiotics can help balance the gut microbiota, which may alleviate symptoms like abdominal pain and bloating in some individuals with IBS. They can promote a healthy digestive system and reduce inflammation.


What dietary changes can help manage IBS symptoms?

Dietary changes that can help manage IBS symptoms include increasing fiber intake, avoiding trigger foods such as caffeine, alcohol, and fatty foods, and following a low FODMAP diet. It's important to identify and avoid specific foods that trigger symptoms.


When should I seek medical attention for abdominal pain?

You should seek medical attention for abdominal pain if it is severe, persistent, or accompanied by symptoms such as blood in the stool, unexplained weight loss, fever, or chills. These could be signs of a more serious condition.


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