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What Causes Left Sided Lower Abdominal Pain?

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Posted on Mon, 23 Oct 2017
Question: I am having pain on left side lower abdomen and around to back for over a month, no issues with going to bathroom, occasional upset stomach. almost feels like a cramp
doctor
Answered by Dr. Ramesh Kumar (15 minutes later)
Brief Answer:
Several possibilities can be there like diverticulitis etc.

Detailed Answer:
Hello,
Thanks for choosing HealthcareMagic for your query.
I've gone through your details and I appreciate your concerns.

As per your query probably your symptoms are due to Diverticulitis.

Diverticulitis is one of the most common causes of lower abdominal recurrent pain.Diverticula are small, bulging pouches that can form in the lining of your digestive system. They are found most often in the lower part of the large intestine. In diverticulitis, one or more of the pouches become inflamed or infected.

For acute phase of your recurrent diverticulitis antibiotic therapy is required but once the acute phase settles down. Severe and drastic lifestyle modificatory changes have to be followed by the patient for many months to avoid recurrent attacks.

Please get a stool culture and sensitivity test done along with an ultrasound abdomen.
Therapy with antibiotics like Cefixime and Metronidazole for 14 days would be started thereafter.

Please also let me know--
Your diet plan?(food habits).
Do you eat junk foods?
Any history of hard or tight stools?
A feeling of incomplete evacuation?
Any history of smoking and alcohol?
How much water do you drink in a day?


Awaiting...


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Ramesh Kumar (27 hours later)
Diet Plan is mainly restaurant food as Im a single male and don't really cook at home.
hard or tight stools -- yes
a feeling of incomplete evacuation - yes
no smoking and yes to alcohol, some daily
water per day - a couple glasses

what other possible problems could this be, possible kidney stones as was suggested by a doctor in August
doctor
Answered by Dr. Ramesh Kumar (4 hours later)
Brief Answer:
Follow up answer.

Detailed Answer:
Hi again dear friend,
As suspected by me improper and unhealthy diet is the cause of diverticulitis in your case.
Hard and tight stools is suggestive of mild to moderate degree of constipation.When ever a person constipates food starts to stagnate in intestines and is acted upon by a lot of harmful bacteria's causing incomplete fermentation of food and production of large amount of toxic gases and products which causes infection.

So initially start antibiotic course for Diverticulitis and after thatdrastic change in life style is required to cure constipation. Not exercising enough, not drinking enough water and delaying a bowel movement can worsen constipation symptoms.The most important factor in curing constipation is a natural and simple diet. This should consist of unrefined food such as whole grain cereals, XXXXXXX honey and lentils; green leafy vegetables, like spinach, beans, lettuce, celery, asparagus, carrot. Adding some fat to meals or increasing the size of a meal such as breakfast can help create the urge to defecate. Individuals suffering from constipation should increase the amount of plant foods they consume to get more fiber in their diet. Constipation can be treated by changing diets.
Secondly human gastrointestinal tract is colonized by 1013-14 bacteria of 400 different species and subspecies.They are responsible for proper digestion of food.Depletion of this flora due to surgery can lead to severe constipation and digestive problems.
Intestinal flora are types of microorganisms known as probiotics that live normally as part of the intestinal tract. These organisms have several functions that help the body.The most plentiful and important bacteria in the small intestine is the Lactobacillus species. Lactobacillus helps ferment indigestible carbohydrates. It also helps to stimulate the digestive process and aid the absorption of nutrients,as well as increase the motility of the gastro intestinal tract.I would suggest her to start taking probiotics regularly.Probiotics are live bacteria and yeasts that are good for digestion.As her gut flora will improve her constipation would be relieved and well formed stools will pass.

Apart from this other recommendations are-
-Linseed: is extremely useful in difficult cases of constipation. One teaspoon of linseed with warm water should be taken at night for bulk and lubrication.
-Proper chewing: The diet alone is not enough. Food should be properly chewed-each morsel for at least 20 times.
-Taking a short walk is a good way to get some light exercise. Walking time should be gradually increased until it reaches 20 minutes.

- Avoiding alcohol and caffeine is also important as these substances contribute to dehydration.
-Use fish oil and castor oil-Fish oil is believed to encourage healthy digestion and castor oil produces a laxative effect when ingested
-Fruits and vegetables, which contain high amounts of fiber, aid in alleviating symptoms of constipation,Whole-grain bread, XXXXXXX oatmeal, beans and lentils can also relieve the problem so use it Instead of highly processed rice, eat brown rice, millet or bulgur.
-Eat 2 cups of fruit 3 cups of vegetables and about 35 grams of fiber per day
fruits: Generally all fruits, except banana and XXXXXXX fruit, are beneficial in the treatment of constipation.
Pears are beneficial in the treatment of constipation.
Guava fruit when eaten with seeds, gives roughage to the diet and helps in the normal evacuation of the bowels.
Grapes: have also proved highly beneficial in overcoming constipation. The grapes have the cellulose; natural sugar and organic acid make them a natural laxative fruit. Not only they clean the bowel, but also tones up the stomach and intestines to relieve the chronic constipation
All these things will increase the bulk of your stool,Will soften it and will clear your ileum of the compacted faecal material.
-While sitting on the toilet, support the feet on a small stool in order to achieve a normal position that aids in bowel movement.
start taking laxative,initially start following all these advices then gradually taper the doses of laxatives she is on.
Take Fybogel husk-Fybogel sachets and Fybogel Hi-Fibre sachets both contain the active ingredient ispaghula husk, which is a type of medicine called a bulk-forming laxative. Ispaghula is a type of fibre. It swells when it comes into contact with fluid in the gut and thus increases the volume of the faeces.It increases the bulk in your stool, an effect that helps to cause movement of the intestines. It also works by increasing the amount of water in the stool, making the stool softer and easier to pass. Psyllium, one type of bulk-forming laxative.

Proper treatment and life style modification is very important.

Its not due to kidney stones.

Thanks.


Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2805 Questions

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What Causes Left Sided Lower Abdominal Pain?

Brief Answer: Several possibilities can be there like diverticulitis etc. Detailed Answer: Hello, Thanks for choosing HealthcareMagic for your query. I've gone through your details and I appreciate your concerns. As per your query probably your symptoms are due to Diverticulitis. Diverticulitis is one of the most common causes of lower abdominal recurrent pain.Diverticula are small, bulging pouches that can form in the lining of your digestive system. They are found most often in the lower part of the large intestine. In diverticulitis, one or more of the pouches become inflamed or infected. For acute phase of your recurrent diverticulitis antibiotic therapy is required but once the acute phase settles down. Severe and drastic lifestyle modificatory changes have to be followed by the patient for many months to avoid recurrent attacks. Please get a stool culture and sensitivity test done along with an ultrasound abdomen. Therapy with antibiotics like Cefixime and Metronidazole for 14 days would be started thereafter. Please also let me know-- Your diet plan?(food habits). Do you eat junk foods? Any history of hard or tight stools? A feeling of incomplete evacuation? Any history of smoking and alcohol? How much water do you drink in a day? Awaiting...