What Causes Acute Lower Left Abdominal Pain And Bloating?

Posted on Tue, 27 Dec 2016

Question: I have been soffering from LLQ pain plus bloating for a month now, i have done pelvis and abdomen ct scan (normal, some diverticulosis) transvaginal us found left ovary mildly enlarged compared to other, seen a gyno for that and reassured me ovary looked good and no sign of tumors.
Vaginal cultures normal, colonoscopy plus endoscopy normal, admitted to er for pain where they did blood work and white blood cells were mildly elevated and blood in urine was found but they said no uti. Pain is localized on lower abdomen exactly at level of appendix but on left side. Re did white blood cell test and is normal now. I feel so bloated and this pain is always there. I have seen a gastro,gyno, and general doctor and no one seems to know what is hoing on. My entire lower fascia is painful but left side way more.
What could this be?

Answered by Dr. Hari Charan Perigela (2 hours later)

Brief Answer:
It could be due to Diverticulosis.

Detailed Answer:
Hi
Pain in the left lower quadrant of the abdomen is usually due to Left sided Ureteric colic,Diverticulosis, Left sided twisted Ovarian cyst.
Though you had blood in the urine,CT scan was normal for Urinary tract.So,it could be due to Simple Urinary tract infection.
As per your description, left ovary is enlarged, but not twisted.So,it is excluded.
As your pain is associated with bloating, it is related to gut.As Descending colon and Sigmoid colon are present in the left lower quadrant of the abdomen, Diverticulosis in these areas could be the reason.Sometimes,they become inflamed leading to Diverticulitis causing pain.
You should consult a Surgical Gastroenterologist instead of Medical Gastroenterologist ,get examined clinically and proceed accordingly.
Till then, I prefer antispasmodic tablet containing Dicyclomine to my patients with similar complaints.
Hope I answered your query.If you have any questions, I will clarify further.
Wish you good health.
Regards

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Hari Charan Perigela (6 hours later)

Thanks for your answer, wouldnt the diverticulitiis have been seen on ct scan ? The dictor completly dismissed me on that one, he told me to do a Fodmap exclusion diet and to take probiotics. Could i still have the disease and not schow up on ct scan?

Answered by Dr. Hari Charan Perigela (17 minutes later)

Brief Answer:
It is diagnosed by Colonoscopy.

Detailed Answer:
Hi
Diverticulosis is usually diagnosed by Colonoscopy
rather than CT scan.
You can take Probiotic .
Get Colonoscopy as soon as possible .
Wish you good health.
Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj