Hi, Thanks for the query. Usually lower abdominal pain on the left side can be caused by: - Renal problems like stones etc. As you are not having any problem in micturition etc, this possibility is less. -Pelvic inflammatory disease, ovarian cysts or masses etc. - Intestinal problems like colitis etc. - Sometimes referred pain from some other site can occur. The spots on liver you mentioned may be indicating fatty liver. In early stages that may not cause severe symptoms. You once consult gynecologist, get examined. And go for ultrasound. If she recommends once go for liver function tests and complete blood picture. By this the possible cause for your problem can be identified and treated. Take care.