[53M] Experiencing lower left side abdominal pain with associated symptoms

Patient Description

A 53-year-old male reports a two-month history of dull, cramp-like pain in the lower left side of the abdomen. The pain was initially sharp but has since become dull and persistent. The patient also experiences fatigue, particularly in the morning, and dry mouth that comes and goes. There has been a fluctuation in weight between 185 and 190 pounds, but no severe or sudden weight loss. The patient has a history of hemorrhoids and has noticed blood in the stool, although not in recent weeks. Tobacco use is reported daily. No current medications, known allergies, or adverse reactions to medications. No pre-existing conditions or chronic illnesses have been reported, and there is no family history of gastrointestinal diseases.

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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 signs and symptoms of diverticulitis include pain, which can be constant and persist for several days, nausea, and changes in bowel movements. The pain is usually most severe in the lower left side of the abdomen.

    • Treatment typically involves antibiotics to treat the infection, and a temporary switch to a clear liquid diet to let the bowel rest.
  • 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. IBS is a chronic condition that you'll need to manage long term.

    • Treatment of IBS typically involves long-term strategies that include diet and lifestyle adjustments, as well as stress management.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and highly infectious. Symptoms include diarrhea, abdominal pain, vomiting, headache, fever and chills.

    • Treatment usually consists of self-care measures, such as drinking fluids to stay hydrated and rest.

Please note that these are only possible diagnoses. You should consult a healthcare professional for a proper diagnosis and treatment.

What you can do

  1. You should seek medical attention to get a proper diagnosis and treatment.
  2. In the meantime, try to stay hydrated and eat a balanced diet. Avoid foods that seem to trigger your symptoms.
  3. Try to manage your stress levels as stress can exacerbate many digestive issues.
  4. Keep track of your symptoms, as this can help your healthcare provider make a diagnosis.

What you should look out for

Reasons to seek immediate medical attention include:

  • Severe pain or discomfort in the abdomen
  • Blood in your stool or dark, tarry stools
  • High fever (over 101°F)
  • Signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness or lightheadedness
  • Persistent vomiting, inability to keep liquids down

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

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9 mo ago


People Also Ask


What are the common symptoms of diverticulitis?

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


How can lifestyle changes help manage Irritable Bowel Syndrome (IBS)?

Lifestyle changes for managing IBS include adopting a high-fiber diet, avoiding trigger foods, staying hydrated, exercising regularly, and managing stress through techniques like meditation or yoga.


What are the signs that I should seek immediate medical attention for abdominal pain?

You should seek immediate medical attention if you experience severe abdominal pain, blood in your stool, high fever, signs of dehydration, or persistent vomiting.


How does tobacco use affect gastrointestinal health?

Tobacco use can negatively affect gastrointestinal health by increasing the risk of conditions like acid reflux, peptic ulcers, and potentially exacerbating symptoms of IBS and other digestive disorders.

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