[59F] Experiencing sharp lower left abdominal pain

Patient Description

A 59-year-old female presents with sharp, constant pain in the lower left abdomen that has persisted for 24 hours and worsens with movement. The pain is severe, rated 8/10, with no relief found. The patient reports soft stools and nausea but no diarrhea, vomiting, blood, or mucus in stools. There is rebound tenderness in the abdomen. The patient has a history of pockets in the intestines identified during a colonoscopy two months ago but no previous episodes of diverticulitis. She had a total hysterectomy in the past and currently takes Lexapro 20mg for 10 years, Gabapentin 300mg three times daily, and Tramadol 50mg twice daily for back nerve pain. The patient has allergies to sulpha, steroids, and codeine. No other symptoms were reported, and there is no history of gastrointestinal or gynecological conditions in the family.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • 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. Given your history of pockets in your intestines, this could be a possible cause of your symptoms. The typical treatment for diverticulitis includes antibiotics and a liquid diet to allow your colon to heal. In severe cases, surgery may be required.

  • Gastroenteritis: 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 involves rest, hydration, and antibiotics if the cause is bacterial.

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation. Treatment typically involves long-term management of diet, lifestyle changes, and stress.

Please note that this is not an exhaustive list of all possible conditions, and these conditions may coexist. It's also possible that you may be experiencing something not listed here.

What you can do

Given the severity of your pain, it's important that you seek medical attention as soon as possible. In the meantime, here are some things you can do:

  1. Rest and stay hydrated. Drink plenty of fluids, but avoid alcohol, caffeine, and anything that might irritate your stomach.
  2. Try to eat small, light meals. If your stomach will tolerate it, try foods like rice, bananas, and applesauce.
  3. Avoid any activities that worsen your pain.

What you should look out for

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

  • Your pain becomes more severe or spreads to your back.
  • You have a high fever (over 101°F).
  • You start vomiting persistently.
  • Your abdomen becomes hard or you can't move your bowels, especially if you're also vomiting.

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 who can evaluate your symptoms in person.

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10 mo ago

People Also Ask


What is diverticulitis and how is it treated?

Diverticulitis is an inflammation or infection of small pouches called diverticula that develop along the walls of the intestines. Treatment typically includes antibiotics and a liquid diet to allow the colon to heal. In severe cases, surgery may be required.


Can diverticulitis cause severe abdominal pain and nausea?

Yes, diverticulitis can cause severe abdominal pain, often in the lower left abdomen, and may be accompanied by nausea. The pain is usually constant and can worsen with movement.


What are the common symptoms of gastroenteritis?

Common symptoms of gastroenteritis include diarrhea, abdominal pain, vomiting, headache, fever, and chills. It is usually caused by a virus, bacteria, or parasites.


How can I differentiate between diverticulitis and irritable bowel syndrome (IBS)?

Diverticulitis often presents with localized pain, usually in the lower left abdomen, and may include fever and nausea. IBS, on the other hand, is a chronic condition characterized by cramping, abdominal pain, bloating, gas, and changes in bowel habits like diarrhea or constipation. A healthcare professional can help differentiate between the two based on symptoms and diagnostic tests.


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