[72M] Experiencing severe sharp left middle abdominal pain

Patient Description

A 72-year-old male has been experiencing severe sharp pain in the left middle abdomen for the past 6 months. The pain, which is rated an 8 out of 10 in severity, is exacerbated when lying down and is alleviated somewhat by sitting up. Bowel movements occur daily and are described as very loose. The patient reports no associated fever, chills, or other symptoms. There is no known history of allergies or adverse reactions to medications, and the patient is unable to provide a list of current medications. No pre-existing conditions or chronic illnesses have been reported.

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Arora's Assessment

What might be happening

Based on the information provided, here are some possible causes for your symptoms:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and can lead to symptoms such as abdominal pain and loose stools. Treatment usually involves rest, hydration, and over-the-counter remedies.
  • Diverticulitis: This is a condition where small, bulging pouches (diverticula) that can form in your digestive system become inflamed or infected. This condition can cause severe abdominal pain, particularly on the left side. Treatment typically involves antibiotics, pain relievers, and a temporary change to a liquid diet. In severe or recurring cases, surgery may be necessary.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause abdominal pain, bloating, gas, and diarrhea or constipation. Treatment typically involves changes to diet and lifestyle, as well as managing stress.
  • Pancreatitis: This is inflammation of the pancreas, which can cause severe abdominal pain that is often worse when lying down and better when leaning forward or sitting up. Treatment usually involves hospitalization for intravenous (IV) fluids, antibiotics, and medication to relieve pain.

Please note that these are only possibilities, and it's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Try to identify any triggers for your abdominal pain. This could include certain foods, stress, or other factors.
  2. Maintain a balanced diet and stay hydrated, particularly if you're experiencing loose stools.
  3. Over-the-counter pain relievers may help to manage your pain, but it's important to use these as directed and not exceed the recommended dosage.
  4. If you're experiencing severe pain, or if your symptoms worsen or persist, seek immediate medical attention.

What you should look out for

  • If your pain becomes severe or unbearable
  • If you notice blood in your stool
  • If you develop additional symptoms such as vomiting, fever, or unexplained weight loss
  • If your symptoms persist or worsen over time

Remember, it's important to 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 diverticulitis?

Common symptoms of diverticulitis include severe abdominal pain, particularly on the left side, fever, nausea, and changes in bowel habits such as constipation or diarrhea.


How can pancreatitis be managed or treated?

Pancreatitis is typically managed with hospitalization for intravenous (IV) fluids, pain relief medications, and sometimes antibiotics. In severe cases, additional treatments or surgery may be necessary.


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

Lifestyle changes for managing IBS include adopting a high-fiber diet, avoiding trigger foods, managing stress through relaxation techniques, and regular physical activity.


What should I do if I experience severe abdominal pain?

If you experience severe abdominal pain, it's important to seek immediate medical attention, especially if the pain is accompanied by symptoms like fever, vomiting, or blood in the stool.


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