[56M] Experiencing left lower quadrant abdominal pain with associated symptoms

Patient Description

A 56-year-old male presents with a three-day history of left lower quadrant abdominal pain, rated 8/10 in severity, described as aching and worsening with palpation. Accompanying symptoms include a low-grade fever, nausea, mild diarrhea, and pain upon deep palpation to the left side. The patient has not found any measures that alleviate the pain. Bowel movements are reported as normal, and the diarrhea is characterized as loose, having started two days ago. The patient also reports experiencing fever and chills.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Diverticulitis: This condition occurs when small pouches (diverticula) that have formed in the wall of the colon become inflamed or infected. The most common symptom is abdominal pain, usually on the left side. You might also experience fever, nausea, and a change in your bowel habits such as increased frequency or constipation.

    • Treatment typically involves antibiotics to treat the infection, a temporary liquid diet to allow your colon to heal, and over-the-counter pain relievers. In severe cases, hospitalization or surgery may be required.
  • Gastroenteritis: Often called the stomach flu, this is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms include diarrhea, abdominal pain, vomiting, headache, fever and chills.

    • Treatment usually consists of rest and rehydration. Over-the-counter medication may help control your symptoms.
  • 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 focuses on relieving symptoms so that you can live as normally as possible. This may involve diet changes, medication, and managing stress.

What you can do

You should seek immediate medical attention given the severity of your symptoms. In the meantime, here are some things you can do:

  1. Stay hydrated: Make sure to drink plenty of fluids to replace those lost through diarrhea. Water is good, but adding broth or drinks with electrolytes can be beneficial.

  2. Rest: Your body needs energy to fight off the virus. Getting extra sleep can help.

  3. Use over-the-counter medication: Medication like loperamide (Imodium) can help control diarrhea.

What you should look out for

Seek immediate medical help if you:

  • Have severe abdominal or rectal pain
  • Have blood in your stool or black, tarry stools
  • Have high fever (above 101.3 F)
  • Have signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness or lightheadedness, or dark-colored urine
  • Have had diarrhea for more than two days

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's really important you seek care from a healthcare professional who can properly diagnose and treat your condition.

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10 mo ago

People Also Ask


What are the common symptoms of diverticulitis?

Common symptoms of diverticulitis include left lower quadrant abdominal pain, fever, nausea, and changes in bowel habits such as increased frequency or constipation.


How can I differentiate between gastroenteritis and diverticulitis?

Gastroenteritis often presents with symptoms like diarrhea, vomiting, and fever, whereas diverticulitis typically involves localized abdominal pain, particularly on the left side, and may not always include diarrhea or vomiting.


What dietary changes can help manage symptoms of IBS?

Dietary changes for managing IBS symptoms may include increasing fiber intake, avoiding trigger foods such as caffeine and fatty foods, and eating smaller, more frequent meals. It's also important to stay hydrated and manage stress.


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 high fever, blood in stool, signs of dehydration, or if diarrhea lasts more than two days.


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