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Acute pain, bloating, pressure in abdomen. Cause?

Resolved question:
I would like help in understanding what is the cause and next step of a medical condition i'm experiencing. The symptoms are as follows; - accute pain in lower left abdominel area - area is bloated/ feel pressure - first noticed on Monday evening..gotten worse each day - Currently- very painful when i move...low to faint pain while stationary. Can still work No other serious symptoms of note; - No fever - pass normal bowel movements - urine is normal - no blood - all other body systems functioning as normal; respiratory, heart rate, digestion, nervous, etc. What is the cause of this bloating/pain in my lower abdominal and what should i do about it?

Submitted: 4 Days
Category: Gastroenterologist, Medical

Expert:  Dr. Ratnakar Kini replied 4 Days.

Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
I would like to have some more information before I can give my opinion.


2. Any other medical illness like diabetes and thyroid issues
3.Is there increased flatulence, increased belching?
4. Are you on any medications?
5. What is your weight and BMI?
Get back to me with these information and I will give my opinion.
Regards.
Dr.R.K.

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Patient replied :


Thank you very much for getting back to me. I'm happy to report that i am feeling better today, althought certainly not 100%. So it would still be fantastic to get an insight into what was going on so that i can prevent this issue in the future. I will answer your questions below, then add some additional insights that i gather over the last 12 hours.
I would like to have some more information before I can give my opinion.
2. Any other medical illness like diabetes and thyroid issues No issues
3.Is there increased flatulence, increased belching? No increased gas..although i have been peeing more frequently
4. Are you on any medications?
None
5. What is your weight and BMI? I am 5'11 with a BMI of 24 but am in athletic shape.
Some additional Observations;

  • The area of concern is specifically located at the lower left abdominel area about 1 inch upward diagonal from top of left hip bone.
  • The area is relieved of some pain by placing light pressure
  • The area feels acute pain with heavy pressure
  • The bloating is decreasing- yesterday it appeared that my entire lower left side was filled like a ballon. Today it is halfway to normal.

Please let me know if you need any additional information. I'm looking forward to trying to figure out what happened. Thank you


Expert:  Dr. Ratnakar Kini replied 3 Days.

Hi,
Thanks for the additional information.
Tenderness in the left lower quadrant most often is due to diverticulitis.
A CT scan would help to confirm the diagnosis. A colonoscopy after the acute episode would show diverticula which are small pouches in the colon.
Muscle pain is the next possible cause as you have mentioned pain is more when you move.
A course of ciprofloxacin and metronidazole along with Tylenol would provide relief.
Regards,
Dr.R.K.

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