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Pain lower left abdomen blood in stool: Diverticulitis & Diverticulosis: Symptoms, Diagnosis, & Treatment


Pain in lower left abdomen: 14 possible causes

There are several possible causes of lower left abdomen pain. Some causes are more common and benign, while others can be serious and require medical attention.


Diverticulitis can cause lower left abdominal pain. Diverticulitis occurs when diverticula, which are small pouches in the intestinal wall, become infected and inflamed.

Diverticula form in weak areas of the large intestine, usually in the lower section — the sigmoid colon. They do not always cause symptoms or any problems. Many adults have diverticula, and it is more common in older adults.

In some cases, diverticula may cause some pain or cramping in the lower abdomen. If diverticula become inflamed, it can develop into diverticulitis.

Diverticulitis can cause pain in the lower left side of the abdomen, which may feel sudden and severe, but can also start off mild and get worse over several days. Other symptoms include:

  • constipation or diarrhea
  • fever and chills
  • nausea or vomiting
  • occasionally, blood in stools

Diverticulitis can cause serious complications without treatment, so people should consult a doctor if they have any of the above symptoms.

Celiac disease

Celiac disease is a chronic condition that occurs in the digestive tract when a person cannot digest gluten. Gluten is a protein found in wheat and is present in several foods and healthcare products.

When a person has celiac disease, eating gluten triggers their immune system to attack portions of the intestine, causing a range of digestive problems. Without treatment, celiac disease can cause long-term damage to the small intestine.

Symptoms of celiac disease may include:

  • pain in the abdomen
  • pressure and gas
  • bloating
  • fatigue
  • weight loss
  • diarrhea

Children with undiagnosed celiac disease may also experience malnourishment and growth impediments as a result of the condition. People with celiac disease should avoid gluten to prevent symptoms.

A person should speak with a doctor if they think they may have celiac disease.


It is natural to have gas in the digestive tract and occasional symptoms of gas. Swallowing air more frequently or eating certain foods may increase gas symptoms, such as:

  • burping or belching
  • passing gas
  • bloating or swelling in the abdomen

Typically, gas is not anything to worry about and will pass out of the body through either the mouth or anus. Causes of gas include:

  • digesting foods that are prone to releasing gas
  • swallowing air
  • smoking
  • chewing gum
  • overeating
  • undigested foods
  • certain bacteria in the stomach
  • health conditions, such as irritable bowel syndrome (IBS)

People should speak with a doctor if symptoms of gas are bothering them, they have a sudden change in symptoms, or they have additional symptoms, including abdominal pain and:

  • constipation
  • diarrhea
  • constipation
  • unexplained weight loss

Lactose intolerance

A person who is lactose intolerant has trouble digesting milk and milk-based products, such as cheese and yogurt. This is because they lack sufficient amounts of an enzyme called lactase. Lactase breaks down the lactose in milk, which consists of the simple sugars glucose and galactose.

People with lactose intolerance are unable to digest all the lactose from food and drink. Unabsorbed lactose passes into the colon, where bacteria break it down to create gas and fluid. This increase in fluid and gas can cause symptoms such as:

  • pain in the abdomen
  • loose stool or diarrhea
  • bloating
  • gas
  • nausea

Inflammatory bowel disease

Crohn’s disease and ulcerative colitis are chronic conditions that can cause painful inflammation anywhere in the digestive tract. The umbrella term for both conditions is inflammatory bowel disease (IBD).

Crohn’s disease is most common in the small intestine, and ulcerative colitis occurs in the large intestine.

There is no clear cause of IBD, but it occurs due to a weakened immune system. Genetics may also play a role. Symptoms of IBD include:

  • pain in the abdomen
  • persistent diarrhea
  • blood in the stool
  • fatigue
  • weight loss


Indigestion is a group of symptoms that affect the gastrointestinal (GI) system. Indigestion can cause abdominal pain, but this usually occurs in the upper part of the abdomen.

In most cases, indigestion is mild and does not cause complications. Symptoms of indigestion include:

  • a burning sensation
  • slight pain or discomfort in the abdomen
  • heartburn
  • bloating
  • gas
  • uncomfortable fullness after eating a meal

People may wish to try over-the-counter (OTC) indigestion relief medications.

If people have other symptoms alongside indigestion, it may indicate a more serious condition. People will need to see a doctor if indigestion lasts longer than 2 weeks, or if they also experience:

  • black, tarry stools
  • blood in vomit or persistent vomiting
  • unexplained weight loss
  • severe or constant pain in the abdomen
  • difficulty swallowing
  • pain in the chest, jaw, neck, or arm
  • shortness of breath
  • sweating
  • jaundice


The same virus that causes chickenpox causes shingles. Once a person has had chickenpox, the virus stays dormant in the body for the rest of their life. Sometimes, the virus can reactivate, causing pain and a rash that may wrap around one side of the abdomen.

Symptoms of shingles include:

  • pain
  • itching
  • tenderness on the skin
  • rash
  • fluid-filled blisters

A person may feel tenderness and itchiness on one area of the skin before the rash appears. They may also experience a fever, chills, headache, or upset stomach. Shingles pain may vary from mild to severe.

Doctors usually prescribeantiviral medications for shingles, such as valacyclovir and acyclovir. Additionally, oatmeal baths or cool cloths for the skin may help ease discomfort.

Vaccines are available to help reduce the risk of a person developing shingles later in life.


IBS is a chronic gastrointestinal disorder. Symptoms of IBS may include:

  • abdominal pain
  • changes in bowel movements
  • constipation or diarrhea
  • gas
  • bloating

Changes to the nerves and muscles relating to the gut cause IBS. Stress and anxiety may worsen IBS, so relaxation and regular exercise can help. People may also manage IBS with dietary changes, increasing dissolvable fiber intake, and avoiding foods that trigger symptoms.


A hernia occurs when an organ or other body part pushes through the abdominal wall. A bulge may appear in the midsection or near the groin.

Different types of hernias can occur, and they vary according to the underlying cause. If people have symptoms of a hernia, they will need to see a doctor to find out what type of hernia it is and what treatment they may require.

Symptoms of a hernia can include:

  • a bulge in the abdomen or groin
  • pain or aching in the hernia area
  • pressure at the site of the hernia
  • increasing discomfort when straining the abdomen
Inguinal hernia

An inguinal hernia usually occurs in the groin area. They are more common in males but can affect females too.

Inguinal hernias can cause complications without treatment, so it is important to see a doctor for a diagnosis as soon as possible. People will usually need surgery to repair an inguinal hernia.


Constipation occurs when a person cannot pass a stool, passes hard stools, or passes stools fewer than 3 times a week.

It may occur due to a lack of exercise, fiber, or fluids. Certain medications or IBS can also cause constipation. A person may treat constipation by improving their diet, doing regular exercise, and increasing fluid intake.

Symptoms of constipation include:

  • abdominal pain
  • straining or pain when passing stool
  • dry, hard stools
  • having fewer than three bowel movements in a week
  • bloating or discomfort
  • feeling sluggish

Kidney stones

Most kidney stones occur due to calcium buildup and can form in either the right or left kidney.

A person may develop a kidney stone and not realize they have it until the stone causes problems, such as blocking part of the kidney or causing severe pain as it passes.

Typical symptoms of kidney stones include:

  • abdominal pain or ache
  • pain when urinating
  • nausea or vomiting
  • blood in the urine
  • fever and chills
  • severe lower back pain on one side

Intestinal obstruction

When a blockage occurs in the intestine, food cannot pass through the digestive tract as normal. This results in an obstruction that needs immediate medical attention. Hernias and medical conditions affecting the intestines can lead to intestinal obstruction.

People with conditions such as IBD or colon cancer or who have had abdominal surgery may be more at risk of intestinal obstruction.

A person will need to contact a doctor straight away if they have these symptoms of intestinal obstruction:

  • severe abdominal pain
  • inability to pass stool
  • swollen abdomen
  • vomiting
  • loud noises from the stomach

Ectopic pregnancy

An ectopic pregnancy can occur if a fertilized egg grows outside the uterus, usually in a fallopian tube. As the pregnancy progresses, this can cause the fallopian tube to burst, which can be life threatening.

Symptoms of ectopic pregnancy include:

  • mild pain or cramping in the abdomen or pelvis
  • lower back pain
  • abnormal vaginal bleeding

These symptoms can develop into severe abdominal or pelvic pain, shoulder pain, and dizziness. Ectopic pregnancy is an emergency, and people will require immediate medical attention.

Learn more about female anatomy here.


Endometriosis is a common condition that can affect females. Endometriosis occurs when tissue, which is similar to the lining of the uterus, grows outside the uterus. Endometriosis may occur due to menstrual cycle problems, genetic factors, or problems with the immune system.

The main symptom of endometriosis is pain, which can include:

  • painful menstrual cramps
  • abdominal pain
  • pain in the lower back and pelvis
  • pain during or after sex
  • during periods, painful bowel movements, or pain when urinating

People may also have bleeding between periods, stomach issues, and difficulty with fertility. Hormone treatments, and in severe cases surgery, can help manage endometriosis symptoms.

To diagnose persistent or severe abdominal pain, a doctor can use a variety of techniques to explore the possible causes and identify a course of treatment. These include:

  • computerized tomography (CT) scans
  • ultrasound imaging
  • magnetic resonance imaging (MRI) scans
  • physical examination
  • endoscopy, in which a doctor inserts a tube with an attached light and camera down the throat and into the stomach, producing an image of the lower abdomen

Identifying certain abdominal problems may require repeat visits and close follow-ups.

Once a primary care physician makes a diagnosis, they may refer the individual to a specialist, such as a gastroenterologist, who will be able to provide more focused care.

The type of treatment will depend on the condition causing the pain. A person should speak with a doctor to determine suitable treatment for their condition.

Lower abdominal pain due to an infection, such as diverticulitis, will often require medications and resting as treatment.

Other, more structural, problems, such as a hernia or an intestinal blockage, may require surgery.

Treatment for constipation and gas often includes basic dietary adjustments and, in severe cases, laxatives. For more chronic lower abdominal pain, such as the pain in IBS or IBD, more careful, long-term dietary management can help to manage symptoms.

Treatment for food intolerances, such as lactose intolerance, often involves excluding that food from the diet.

People should speak with a doctor about any abdominal pain that is persistent or severe or if they have concerns about any symptoms. People will also need to see a doctor if they have:

  • blood in stools
  • persistent diarrhea, constipation, or change in bowel movements
  • unexplained weight loss

A doctor will need to examine chronic or persistent pain to find out the underlying cause and develop a treatment plan.

In many cases, a person is not likely to experience any lasting effects from abdominal pain.

If the abdominal pain is due to a chronic condition, such as Crohn’s disease or celiac disease, a doctor can help a person develop a treatment plan to improve their symptoms in the long term.

People may experience lower left abdominal pain for a range of reasons. Some causes can be temporary, but in some cases, the pain may be a sign of a chronic condition. People should speak with a doctor about any persistent or severe symptoms.

Treatments will depend on the underlying cause but may include lifestyle changes, medications, or surgery.

Lower Abdominal Pain: Common Causes and Treatment

Diverticulitis, hernias, endometriosis, and testicular torsion are just a few possible causes of lower abdominal pain. Get medical help if your pain comes on suddenly or is accompanied by symptoms such as fever or vomiting.

The lower left side of your abdomen is home to the last part of your colon, and for those who have them, the left ovary. Minor pain in this area is usually nothing to worry about. It may clear up on its own in a day or so.

If your lower abdominal pain is related to an accident or injury, or you feel pressure or pain in your chest, call 911 or your local emergency services.

Ask someone to help you get to an urgent care facility or an emergency room if you have:

  • fever
  • severe tenderness in the affected area
  • swelling of the abdomen
  • bloody stools
  • persistent nausea or vomiting
  • unexplained weight loss
  • skin that looks yellow (jaundice)

Read on to learn more about lower left abdominal pain, several causes and treatments, and when to speak with a doctor.

A note on sex and gender

We use the terms “female” and “male” in this article to reflect the anatomy and chromosomes of sex assigned at birth.

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In many cases, persistent pain specific to the lower left side of the abdomen is caused by diverticulitis.

Diverticula are small pouches created from pressure on weak spots in the colon. Diverticula are common and even more so after age 65. When a pouch tears, swelling and infection might cause diverticulitis.

Other symptoms may include:

  • fever
  • nausea or vomiting
  • diarrhea or constipation
  • abdominal tenderness

Treatment for diverticulitis depends on the severity of your symptoms. For mild diverticulitis, a doctor might recommend rest, a change in diet, and antibiotics. If the condition is severe or continues to return, surgery might be needed.


Passing gas and burping are normal digestion processes. Gas is found throughout your digestive tract, from your stomach to your rectum. Too much gas may cause pain, bloating, and discomfort.

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

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


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

Common symptoms of indigestion include:

  • heartburn
  • burning sensation in the stomach
  • feeling full or bloated
  • belching or passing gas
  • nausea

Speak with a doctor if indigestion continues or worsens.


A hernia is the result of an internal organ pushing through the muscle or tissue surrounding it. This may cause a lump or bulge to appear in the lower abdomen, groin, or upper thigh areas.

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 accompany each type of hernia. For example, hiatal hernias do not produce a bulge.

The specific cause depends on the type of hernia, but they do not disappear on their own. Speak with a doctor if you suspect you have one, as untreated hernias may cause serious problems.

Inguinal hernia

An inguinal hernia is the result of fat or a portion of the small intestine pushing through a weak area in the lower abdomen. This type of hernia is more common in males, but it can also occur in females.

Symptoms include:

  • a bulge in the pubic or groin area that may get larger over time and usually goes away when lying down
  • pain that worsens when straining, lifting, coughing, or during physical activity
  • weakness, heaviness, burning, or aching in the groin
  • a swollen or enlarged scrotum

This type of hernia might cause serious problems. Get 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

Kidney stones

A kidney stone is a solid mass of crystals that develops in your urinary tract. It causes pain when it moves inside your kidney or into your ureter, which is the tube that connects the kidney to the bladder.

You may experience severe pain on one side of your abdomen or back, under your ribs. This may come in sporadic waves as the stone moves through your urinary tract.

You may also experience:

  • urine that’s pink, red, brown, cloudy, or smelly
  • painful or more frequent urination
  • nausea or vomiting
  • fever or chills

There’s no single cause for kidney stones, but estimates suggest that 10% of the U.S. population will have them at least once in their life.


Shingles is a skin rash caused by varicella-zoster virus, which is the same virus that causes chickenpox. Once you’ve contracted it, the varicella-zoster virus remains dormant in your body. It may then reappear as shingles, usually after age 50.

The most common symptom is a painful rash around one side of your body. It looks like a stripe of blisters. The rash sometimes appears on the neck or face. You may also experience pain without a rash.

Other symptoms include:

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

The shingles vaccine can help lower your chances of developing shingles. If you have shingles, speak with a doctor right away. Early treatment may help ease symptoms and minimize the chances of other problems.

Menstrual cramps (dysmenorrhea)

Cramps usually occur before and during your menstrual period. Although the pain may vary, menstrual cramps aren’t usually serious.

Speak with a doctor if:

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


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

Some other symptoms are:

  • painful menstrual cramps that may worsen with time
  • pain with sex
  • painful bowel movements or urination
  • heavy menstrual periods
  • spotting between periods

The cause of endometriosis is unknown. If you develop endometriosis, work with a doctor to monitor your condition.

Ovarian cyst

An ovarian cyst is 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. However, a large cyst may cause discomfort, press on your bladder, and cause you to urinate more often.

A cyst that ruptures (breaks open) might cause some serious problems, such as severe pain or internal bleeding.

Seek immediate medical help if you’re experiencing:

  • sudden, severe abdominal pain
  • pain with fever or vomiting
  • signs of shock, 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 of ovarian torsion, a painful twisting of the ovary that can cut off blood supply. The fallopian tubes may also be affected.

Ovarian torsion is not common. When it does happen, it’s usually during the reproductive years, with pregnancy or hormonal use to promote ovulation.

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

Ectopic pregnancy

With ectopic pregnancy, a fertilized egg implants itself before reaching the uterus. This usually happens inside the fallopian tubes connecting the ovary to the uterus.

You may not always feel symptoms. But in addition to abdominal pain, you may also experience:

  • nausea and breast soreness
  • a missed period and other pregnancy signs
  • vaginal bleeding or watery discharge
  • discomfort with urination or bowel movements
  • pain in the shoulder, abdomen, neck, or pelvis

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

An ectopic pregnancy that ruptures (breaks open) is serious. Surgery is required 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)

PID is an infection of the female reproductive system. It’s commonly caused by sexually transmitted infections (STIs), such as chlamydia and gonorrhea, but other types of infections can also lead to PID.

In addition to abdominal pain, symptoms may include:

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

Speak with a doctor if you think you have been exposed to an STI or if you have any genital symptoms like an unusual sore.

Testicular torsion

In testicular torsion, the testicle rotates, which lowers blood flow to the testicles and causes severe pain and swelling. There are different causes of this rotation. The condition most commonly occurs in males after birth and between ages 12 and 18 ears.

Some symptoms include:

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

Testicular torsion is very serious. If you experience sudden or severe testicular pain, get medical emergency assistance even if the pain subsides. Surgery may be needed to help prevent damage to the testicle.

What organ is in the lower left abdomen?

The organs in the lower left quadrant of the abdomen include:

  • parts of the small intestine
  • the distal descending and sigmoid colon
  • the ureter of the left kidney
  • parts of the reproductive organ system
  • for some, the left ovary and the uterine tube

When should I worry about lower left side pain?

Mild lower left abdominal pain is common and will often go away on its own. However, get medical help if the onset of pain is sharp, sudden, and severe or if you develop other symptoms such as:

  • fever
  • nausea
  • dizziness
  • vomiting
  • diarrhea or constipation
  • bloody stools and urine
  • unexplained weight loss
  • signs of shock, such as cold and clammy skin, rapid breathing, lightheadedness, or weakness

Why does my lower left abdomen hurt when I take a deep breath?

Lower left abdominal pain that arises after taking a deep breath may be caused by:

  • a hernia
  • kidney stones
  • testicular or ovarian torsion
  • diverticulitis
  • a diaphragm injury

Get medical attention if your pain worsens or you develop other symptoms such as fever, nausea, or vomiting.

Lower left abdominal pain may come and go. It isn’t something to generally worry about.

However, if the pain is sudden and sharp or is accompanied by other symptoms such as fever, nausea, or vomiting, it’s important to get medical attention right away.

Pain in the intestines on the right and left in the lower abdomen

Make an appointment with a Gastroenterologist and find out the causes of pain in the lower abdomen

Nagornykh Irina Aleksandrovna


33 years Medical experience
and work experienceHigh level specialist

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Pain in the intestines on the right and left lower abdomen

Can be caused by various reasons. This symptom is typical for people who have gastroenterological, gynecological and urological diseases. Pain in the intestines on the right and left in the lower abdomen indicates pathologies in the small pelvis. At the first complaints, the patient should contact a medical expert. In the private clinic “KDS Clinic” specialists will conduct an initial examination, give a consultation and refer you for a diagnostic examination. We will help to determine the cause of the disease and select an individual treatment program

Severe pain inside the abdomen

This is a clear sign of diseases that affect the large or small intestine. The spasm process leads to the accumulation of lactic acid in the body, which irritates the nerve endings and causes a feeling of pain

Severe pain in the intestines

This is the result of malnutrition, a side effect after taking medications, or an inflammatory process. Inflammatory processes in the intestines are accompanied by pain syndromes, nausea, bloating, colic and bad stools

Causes of pain in the intestines on the right and left lower abdomen

Specialists identify several causes that could cause pain in the intestines on the left and right lower abdomen.

  1. Problems of the small intestine

    If the patient feels severe pain in the right lower abdomen, these symptoms indicate problems in the small intestine. They can be caused by a violation of metabolic processes, microflora, malnutrition, prolonged use of medications, alcohol. Pain may indicate the presence of the development of dangerous diseases – enteritis, cancer, celiac disease, dyskinesia, ischemia, dysbacteriosis, the appearance of neoplasms, ulcers, polyps, cracks

  2. Overeating

    If a few minutes after eating any food, a person begins to belch, sharp pains in the intestines in the lower abdomen, these symptoms indicate a weakness in the digestive process. Stomach pain and gastrointestinal disorders are associated with low acidity. The human body lacks gastric juice. As a result, food is not properly digested in the body, which eventually begins to ferment and cause pain

  3. Irritable bowel syndrome

    Irritable bowel syndrome is characterized by severe acute pain in the lower abdomen, the patient has no appetite. This disease is accompanied by disorders of the gastrointestinal tract, diarrhea and constipation, diarrhea, flatulence. Sometimes the patient notices weakness, an increase in the size of the abdomen, bloating and discomfort in the intestinal region

  4. This can cause congestion in girls who are prone to developing varicose veins

    Pain in the intestines may appear with reduced vascular tone and observed weakness of the connective tissue. The patient begins to experience pain, pain during emptying, an increase in the size of hemorrhoids, disorders of the gastrointestinal tract

  5. Pancreatitis

    The next cause, which is characterized by pain in the intestines in the lower abdomen and nausea, is pancreatitis. With pancreatitis, the patient has severe cutting pains in the upper abdomen. In some cases, the size of the abdomen increases. Disorders of the gastrointestinal tract, including constipation, accompany pancreatitis

  6. Severe stress

    Cutting pain in the lower abdomen may be associated with problems of the nervous system. Nervous tension causes the body to develop nonspecific ulcerative colitis. The pain syndrome disappears in a few days. If a person does not feel improvement, the disease passes into the chronic stage

  7. Pregnancy

    In pregnant women, the size of the uterus increases. This process can affect the appearance of pain in the intestines in the lower abdomen. An enlarged uterus presses on the walls of the intestines, which can be accompanied by severe cutting pains, nausea, vomiting and flatulence

  8. Diverticulitis

    The disease is accompanied by painful sensations in the intestines in the lower abdomen. Diverticulitis appears with inflammatory processes in the areas of protrusion of the colon. Painful sensations occur when stagnation of feces, food in these areas

  9. The appearance of neoplasms

    The appearance of tumors in the human body is accompanied by severe pain in the lower abdomen on the left and right. Pain syndrome increases with changes in the size of the neoplasm

  10. Pain in the intestines on the right and left lower abdomen in women

    Associated with the genital tract. During menstruation, blood flow to the pelvis increases, so this process is accompanied by pain syndrome

  11. Problems with the genitourinary system

    Stitching pains in the lower abdomen on the left and right indicate problems with the kidneys and bladder. The patient should visit a urologist and take tests

  12. Duodenal ulcer

    With a duodenal ulcer, the patient is disturbed by severe acute pain in the intestines in the lower abdomen. They are accompanied by vomiting and upset

Treatment of pain in the intestines on the right and left lower abdomen

To determine the cause of severe pain in the intestines on the left and right lower abdomen, the patient should visit a doctor. After the initial examination and consultation, the patient will be sent for testing. A general analysis of blood, urine and feces will show the internal indicators of the body, demonstrate the presence of any abnormalities in the systems of the human body.

For more accurate results, the patient is referred for bacteriological examination of feces, for colonoscopy and for endoscopic examination. After receiving the test results, the attending physician prescribes treatment to the patient. A medical expert prescribes medication, homeopathic or surgical intervention in advanced cases.

If necessary, to obtain information about the state of the internal organs, the doctor directs the patient to undergo computed tomography or ultrasound. These diagnostic studies are not recommended for pregnant women, nursing mothers, children under sixteen years of age. Health professionals do not recommend these procedures for certain populations. The use of radiation and contrast fluid can adversely affect healthy organs.

Physicians Gastroenterologists

Nagornykh Irina Alexandrovna


Work experience: 33


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If the stomach hurts

Abdominal pain is an extremely common symptom and is familiar to everyone. Pain in the abdomen occurs due to irritation of the sensitive endings of the membrane of the internal organs. It is very important to timely diagnose diseases that threaten life and require urgent surgical intervention. In clinical practice, these conditions are referred to as “acute abdomen”. The nature of the pain can be the result of a wide variety of diseases. The nature of abdominal pain is largely determined by the cause of the pain.

Nature of abdominal pain

Possible causes of abdominal pain

What to do?

Sharp pains in the abdomen

Acute abdominal pain: acute intestinal infection, poisoning, appendicitis, intestinal obstruction

Call an ambulance as soon as possible.

It is strictly forbidden to take laxatives

Do not give food and drink!

Sharp, cutting, intolerable pain in the side

Acute pain in the right side of the abdomen:

If the pain radiates up to the shoulder or neck – acute cholecystitis or hepatic colic.

If the pain radiates down the abdomen, into the genital area – renal colic.

If severe pain is located at the bottom, acute appendicitis is possible

Sharp, twisting pains in the abdomen that subside after defecation and are accompanied by diarrhea (without blood) – irritable bowel syndrome

Periodic right or left abdominal pain associated with bloody diarrhea –


Crohn’s or ulcerative colitis

Acute pain in the left side of the abdomen: renal colic, infarction or rupture of the spleen

Drawing or dull pain in lower abdomen

Drawing pains in the lower abdomen on the right or left in women: salpingo-oophoritis, ectopic pregnancy inflammation of the fallopian tubes or ovaries (drawing pains in the lower abdomen (in the center) radiating to the genitals in men and women: cystitis, urethritis.

Drawing pains in the lower abdomen in men: prostatitis, vesiculitis (inflammation of the seminal vesicles).

Call an ambulance as soon as possible.

It is strictly forbidden to take laxatives

Do not give food and drink!

Pain in the lower back and abdomen

Acute or dull pain in the lower back and abdomen in men and women: pyelonephritis, glomerulonephritis, kidney tumors, urolithiasis.

Constant pain in the epigastric region, which radiates to the shoulders and shoulder blades and has a girdle character,

repeated vomiting without relief, abdomen swollen and tense)

Constant pain in the epigastric region – acute pancreatitis (inflammation of the pancreas)

Pain comes on suddenly, “like a stab in the stomach”

Pain, “like a stab in the stomach” – perforated ulcer of the stomach, duodenum

It is strictly forbidden to take laxatives

Do not give food and drink!

Call an ambulance as soon as possible.

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