What’s Causing Pain in My Lower Left Abdomen?

Diverticulitis is one of the most common causes

我n many cases, persistent pain specific to the lower left side of the abdomen is caused bydiverticulitis.

Diverticula are small pouches created from pressure on weak spots in the colon. Diverticula are common, and even more so after age 50 . When a pouch tears, swelling and infection can cause diverticulitis.

Other symptoms include:

• fever
• nausea
• vomiting
• abdominal tenderness

Less commonly, constipation or diarrhea can be a sign of diverticulitis.

For mild diverticulitis, most people respond well to rest, a change in diet, and antibiotics. Some people need surgery if the condition is severe or continues to return.

Other common causes of lower abdominal pain

Here are some of the most common reasons for pain on either side of the lower abdomen.

Gas

Passing gasand burping are normal. Gas can be found throughout your digestive tract, from your stomach to your rectum. Gas is the normal result of swallowing anddigestion.

Gas can be caused by:

• swallowing more air than usual
• overeating
• smoking
• chewing gum
• being unable to fully digest some foods
• eatinggas-producing foods
• having a disruption of the bacteria in the colon

Gas usually isn’t serious. Talk with your doctor if it’s persistent or goes along with other symptoms, such as:

• vomiting
• diarrhea
• constipation
• unintentional weight loss
• heartburn
• blood in the stool

我ndigestion

我ndigestionusually happens after eating. Your stomach makes acid when you eat. This acid can irritate your esophagus, stomach, or bowel. The pain is usually in the upper part of the abdomen, but in rare cases it may also affect the lower abdomen.

我ndigestion is usually mild. Most people have had the discomfort, pain, or burning sensation that can go along with it.

Other symptoms include:

• heartburn
• feeling full or bloated
• belching or passing gas
• nausea

Speak with your doctor if indigestion continues or worsens.

Hernia

Aherniais the result of an internal organ or other body part pushing through the muscle or tissue surrounding it. A lump or bulge may appear with some hernias in the abdomen or groin.

Other symptoms may include:

• increasing size of the bulge
• increasing pain at the site
• pain when lifting
• a dull ache
• a feeling of fullness

Different symptoms go along with each type of hernia. For example,hiatal herniasdon’t produce a bulge.

The specific cause depends on the type of hernia. Hernias may cause serious problems, so see your doctor if you suspect that you may have one.

Kidney stones

Akidney stoneusually starts to cause problems when it moves around inside your kidney or into your ureter. The ureter is the tube that connects the kidney to the bladder.

The stone may then cause severe pain in the side and back, under your ribs. The pain may also come in waves and get better or worse from one moment to the next as the stone moves through your urinary tract.

You may also experience:

• urine that’s pink, red, brown, cloudy, or smelly
• 排尿疼痛或更经常发生
• nausea
• vomiting
• fever or chills

There’s no single cause of a kidney stone. Some things may increase your risk, like someone in your family having a stone. Talk with your doctor if you have symptoms that worry you.

Shingles

Ever hadchickenpox? If so, the varicella-zoster virus sits quietly in your body. The virus can show up again later as shingles. Your risk goes up as you age, usually after age 50 .

The shingles infection can cause a painful rash that looks like a stripe of blisters wrapping around one side of your body. Sometimes the rash shows up on the neck or face. Some people have pain but no rash.

Other symptoms include:

• burning, numbness, or tingling
• sensitivity to touch
• blisters that break open and form scabs
• itching

Theshingles vaccinecan help lower your chances of getting shingles. If you do get shingles, speak with your doctor. Starting treatment early can shorten the infection and lower your chances of having other problems.

Causes that only affect women

Some causes of lower left abdominal pain only affect women. These conditions may be more serious or need medical attention. Pain can also develop on the right side of the abdomen in these cases.

Menstrual cramps (dysmenorrhea)

Crampsusually occur before and during your menstrual period. Although the pain can range from a minor annoyance to something that interferes with your daily activities, menstrual cramps aren’t usually serious.

Speak with your doctor if:

• your cramps interfere with your daily activities
• your symptoms get worse over time
• you’re older than age 25 and your cramps have started to get more severe

Endometriosis

Withendometriosis, tissue similar to that which typically lines the inside of your uterus also grows outside the uterus. This can cause abdominal pain.

Some other symptoms are:

• painful menstrual crampsthat may get worse with time
• pain with sex
• painful bowel movements or urination
• heavy menstrual periods
• spotting between periods

The cause of endometriosis is unknown. Speak with your doctor to monitor your condition.

Ovarian cyst

Anovarian cystis a sac filled with fluid inside or on the surface of an ovary.

Most cysts don’t produce symptoms and go away without treatment in a few months. Alarge cystcan cause discomfort. It may also press on your bladder and cause you to urinate more often.

Acyst that ruptures(breaks open) can cause some serious problems, such as severe pain or internal bleeding.

See your doctor or get medical help right away if you’re experiencing:

• sudden, severe abdominal pain
• pain with fever or vomiting
• signs ofshock, such as cold and clammy skin, rapid breathing, lightheadedness, or weakness

Ovarian torsion

Large ovarian cysts may cause the ovary to change position in the body. This raises the risk ofovarian torsion, a painful twisting of the ovary that can cut off blood supply. The fallopian tubes may also be affected.

Ovarian torsion is more likely to happen with pregnancy or the use of hormones to promote ovulation.

Ovarian torsion isn’t common. When it does happen, it’s usually during the reproductive years.

See your doctor if you feel a sudden, severe pain in your abdomen with vomiting. Surgery is often needed to untwist the ovary or remove it.

Ectopic pregnancy

Withectopic pregnancy, a fertilized egg implants itself before it reaches the uterus. This usually happens inside the fallopian tubes connecting the ovary to the uterus. You may or may not have symptoms with an ectopic pregnancy.

我n addition to abdominal pain, symptoms can include:

• a missed period and other pregnancy signs
• vaginal bleeding
• watery discharge
• discomfort with urination or bowel movements
• shoulder pain at the tip

See your doctor if you have these symptoms and you believe you may be pregnant, even if your pregnancy test is negative and it’s still very early.

An ectopic pregnancy thatruptures(breaks open) is serious and needs surgery to repair the fallopian tube. Get medical help right away if you’re:

• feeling sick or dizzy
• feeling faint
• looking very pale

Pelvic inflammatory disease (PID)

PIDis an infection of the female reproductive system. It’s commonly caused bysexually transmitted infections (STIs), such aschlamydiaandgonorrhea, but other types of infections can also lead to PID.

You may or may not have symptoms with PID.

我n addition to abdominal pain, symptoms can include:

• fever
• vaginal discharge with a bad odor
• pain or bleeding with sex
• a burning sensation with urination
• bleeding between periods

Speak with your doctor if you think you or your partner have been exposed to an STI or if you have any genital symptoms, such as an unusual sore or discharge.

Causes that only affect men

Some causes of lower left abdominal pain only affect men. These conditions may be more serious or need medical attention. Pain can also develop on the right side of the abdomen in these cases.

我nguinal hernia

Aninguinal herniais the result of fat or a portion of the small intestine pushing through a weak area in the lower abdomen. This type of hernia can also occur in women, but is much less common than in men.

Some symptoms are:

• a small bulge on the side of the groin that may get larger over time and usually goes away when you lie down
• pain in the groin that gets worse when straining, lifting, coughing, or during physical activity
• weakness, heaviness, burning, or aching in the groin
• a swollen or enlarged scrotum

这种类型的疝可以导致严重的问题。通用电气t medical help right away if you have:

• extreme tenderness or redness at the bulge site
• sudden pain that gets worse and continues
• problems passing gas or having a bowel movement
• nausea and vomiting
• fever

Testicular torsion

我ntesticular torsion, the testicle rotates. This lowers blood flow to the testicles and causes severe pain and swelling. The cause of this condition is unknown. Testicular torsion can happen at any age, but it most often occurs inboys under 18.

Some symptoms include:

• sudden, severe scrotum pain and swelling
• abdominal pain
• nausea
• vomiting
• painful urination
• fever

Testicular torsion is very serious. Get medical help right away if you have sudden or severe pain in your testicles.

我f the pain goes away on its own, you still need to see your doctor right away. Surgery may prevent damage to the testicle.

When to speak with your doctor

Are you worried about your abdominal pain? Has it lasted more than a few days? If you answered yes to both questions, it’s time to call your doctor.

Until then, pay attention to your pain and see if anything eases it. The bottom line? Listen to your body and speak with your doctor sooner rather than later if the pain persists.