[60F] Experiencing sharp left-sided abdominal and lower back pain

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

• Diverticulitis: This condition occurs when small pouches (diverticula) that have formed in the wall of the colon become inflamed or infected. This often causes severe abdominal pain, particularly on the left side. It can also cause nausea and changes in bowel habits.

  • Treatment typically involves antibiotics and a temporary liquid diet to allow the colon to heal. In severe cases, surgery may be required.

• Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in the back and side, below the ribs, and radiate to the lower abdomen and groin. The pain may come in waves and fluctuate in intensity.

  • Treatment for kidney stones varies depending on the size of the stone and its location. Small stones with minimal symptoms can be managed with pain medication and drinking lots of water to flush out the stone. Larger stones may require more invasive treatments.

• Colitis flare-up: As you have a history of colitis, it's possible your symptoms could be due to a flare-up of this condition. Colitis can cause abdominal pain, cramping, and changes in bowel habits.

  • Treatment for a colitis flare-up typically involves medications to reduce inflammation and manage symptoms.

What you can do

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

1. Rest and stay hydrated. Drink plenty of fluids, but avoid alcohol and caffeine as they can worsen dehydration.
2. Try a low-residue diet. This type of diet limits high-fiber foods, like whole-grain breads and cereals, nuts, seeds, raw or dried fruits, and vegetables. It may help reduce abdominal pain and loose stools.
3. Over-the-counter pain relievers like acetaminophen may help with the pain, but avoid NSAIDs like ibuprofen, as they can worsen gastrointestinal issues.

What you should look out for

Seek immediate medical attention if you experience:

• Severe pain that prevents you from sitting still or finding a comfortable position
• Blood in your stool or dark, tarry stools
• High fever (over 101°F)
• Persistent vomiting
• Signs of shock, such as cold, sweaty skin; rapid breathing; dizziness or fainting

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.