Pain in Lower Left Abdomen

The cause of Pain in Lower Left Abdomen can be varied and must be clarified in any case. The diagnosis and the urgency of action should be adapted to the severity of the symptoms. The acuter the symptoms are, the faster and more urgently patients should be examined. The pain can also be felt more as a burning sensation.

Pain in Lower Left Abdomen

One of the most common causes of Pain in Lower Left Abdomen is diverticulitis.

Under a diverticulitis means a flammable changed sac of the colon. Acute diverticulitis can cause severe burning or be pulling pelvic pain. Main localization is usually the Pain in Lower Left Abdomen.

In addition to the intestine, one of the ureters leads along the level of the left abdominal area. It can also happen that a kidney stone has lodged in a ureter and leads to discomfort there.

Over the upper middle of the stomach, the pancreas lays down. An inflammatory change of this organ usually leads to belt-shaped complaints. In some cases, however, patients may complain of Pain in Lower Left Abdomen.

With simultaneous nausea

When pelvic pain is associated with nausea, it is reasonable to suspect that a bowel condition is behind the condition. For example, it is important to rule out diverticulitis as a diagnosis of severe left-sided pelvic complaints, which are accompanied by nausea. Even a complete closure of the intestine ( ileus ) can cause both nausea and pelvic pain. Inflammatory bowel disease and infections with viruses or bacteria as well as tumors of the intestine may also be responsible for the symptoms.

When coughing

When coughing creates an overpressure within the abdomen, which may be responsible for the development of Pain in Lower Left Abdomen. Pain associated with coughing should be thought of as a breach of the intestine. But other diseases, such as pain in inflammation of the urinary tract such as cystitis can be exacerbated by coughing. Even a chronically inflamed prostate can cause more pain when coughing.

When moving

Lower abdominal complaints on the left side can also occur depending on the movement. The fact that the pain is movement-dependent, plus the nature of the pain, and possibly other symptoms, may facilitate the diagnosis of the causative disorder.

First, movement-related pain in the area of the Pain in Lower Left Abdomen should make one think of musculoskeletal disorders. Skeletal or muscular disorders can also cause lower abdominal pain in some cases and are usually motion dependent. The onset of pain when compared with physical activity to that as can stitch known phenomenon also cause Pain in Lower Left Abdomen on the left side.

Even with flatulence, it can lead to extremely unpleasant Pain in Lower Left Abdomen on the left side. Depending on the movement, it may be that these winds “stick” in the intestine and cause movement-related pain.

Pain in Lower Left Abdomen when walking

Pain in Lower Left Abdomen, which occur exclusively or intensively when walking, can be caused due to various diseases. A stretched back or pelvic musculature can be responsible for the complaints as well as organic causes. In some cases, “tight” winds in the intestine can trigger Pain in Lower Left Abdomen when walking. If the pain only occurs while walking, it can also be the occurrence of side punctures.

Pain pulls to the leg

If, in addition to the pelvic pain on the left side, they radiate into the leg, it is likely that it is a musculoskeletal disorder or a cause of the nervous system . Muscular tension of the back can affect nerves so that the pain radiates into the leg. Even with herniated discs, this phenomenon is often described. The likelihood of a herniated disc is especially increased when, in addition to the symptoms also paralyzes on the leg occur.

Pain in Lower Left Abdomen at the woman

In addition to those causes, which can be equally responsible in both man and woman for the occurrence of left-sided pelvic pain, some causes are specific to the female gender . Especially the female genitalia can cause pelvic pain which can be felt on the left side, among other things. Women who suffer from pelvic pain on the left side may, therefore, suffer from other causes including diseases of the ovaries, fallopian tubes or the uterus.

Probably the most common cause of lower abdominal pain in women is pain that occurs during menstrual bleeding. These pains can be stronger or weaker individually and are rarely a cause for concern. Reason for the occurrence of these complaints is the detachment of the built up during the cycle mucous membrane of the uterus, which is repelled at menstruation. Typical of this type of ailments are cramping or pulling pains in the abdomen, which can occur both on the right and left.

Also painful may be so-called ovarian cysts. These can occur in the context of illnesses or isolated. Usually, cysts do not cause pain. However, when they become so large that adjacent structures are affected, they can cause severe discomfort. Especially when the sport was being practiced shortly before the pain or other movements were carried out swinging, a stilted ovary should be considered. The lack of blood supply, which results from this disease, causes very severe Pain in Lower Left Abdomen.

Also painful may be the clinical picture of endometriosis. Here, the lining of the uterus is present in other parts of the body and causes discomfort.
An ectopic pregnancy is also a possible cause for the occurrence of left-sided pelvic complaints in women.
Inflammation of the female reproductive organs, as well as the presence of sexually transmitted diseases, should also be considered.

although not exclusively in women occurring, but statistically much more common, are bladder infections. These can sometimes lead to severe pain in Lower Left Abdomen. Especially when the urinary symptoms increase, it is important to think of cystitis.

If no other cause is found, the presence of a tumor in the Pain in Lower Left Abdomen is also a possible cause of Pain in Lower Left Abdomen.

During pregnancy

In addition to many other physical changes, lower abdominal complaints often occur during pregnancy. This pain can be caused by different causes, depending on the time of pregnancy. In most cases, these are no cause for concern and are harmless. This type of pain is usually caused by stretching of the uterus and reduced space of other surrounding organs. Later in pregnancy, even the child can trigger the pain through movements. So-called exercise labor in the last trimester is also among the possible causes.

Read more on this topic under the 3rd trimester

In some cases, however, pelvic pain can be an expression of various medical conditions that require medical attention. At the beginning of a pregnancy, the pain may be triggered by an abdominal cavity pregnancy, as this is usually noticeable by lower abdominal jokes. An abortion can also manifest as an abdominal pain and is usually accompanied by a hemorrhage. In addition to these pregnancy-specific causes, of course, other reasons for the pelvic pain may be responsible during pregnancy. If the pain is severe, accompanied by vaginal bleeding or other symptoms, the gynecologist should be consulted in any case.

Lower abdominal pain left at the man

Some diseases that occur specifically in men can be considered as a cause of left-sided pelvic pain. Here are especially diseases that affect the male reproductive organs to highlight as causes. Overall, however, lower abdominal complaints in men are much less likely to be due to diseases of the genital organs that is the case with women.

A possible cause of the occurrence of left-sided pelvic pain a so-called testicular torsion. Increased mobility of the testicle or an accident can cause a testicle to spin around its own axis and thus block the blood supply. Testicular torsion represents a urological emergency and should be treated as soon as possible to prevent the testicle from dying. In addition to Pain in Lower Left Abdomen and the groin, especially a swollen and dark-colored testicle is an indication of the presence of testicular torsion.

Also, diseases of the prostate can present reasons for the occurrence of abdominal discomfort. Especially in the elderly, there is often a so-called benign prostatic hyperplasia. This benign enlargement of the prostate gland may be responsible, among other things, for the lower abdominal complaints. Likewise, chronic inflammation of the prostate and cancer of the prostate can lead to discomfort in the lower abdomen.

As with women, unclear male abdominal discomfort should be considered to be a sexually transmitted disease. If symptoms such as burning or pain during urination occur in addition to the symptoms of lower abdominal pain is likely the probability that such a disease is the cause.

Read more about burning on urination

Also more common in men than women are pelvic pain, which occurs in the context of back pain there. The tense musculature of the back can simulate complaints in the lower abdomen via nerve channels. Therefore, this cause should be considered especially with simultaneous back pain.


To find out the cause of the pelvic pain, in addition to the questionnaire should be asked for:

  • Type and onset of pain and after
  • complaint frequency

An extensive physical examination should determine how painful the abdomen is ultimate, whether the pain is localized or moving in one place.

For further clarification, an ultrasound can be performed, where you can see accumulations of fluid in the abdominal area and wall thickening of the intestine.

Especially pancreatitis can be diagnosed in this way. Furthermore, a blood test should definitely be carried out. Inflammation of any kind is characterized by a leukocyte increase and possibly a strong increase of the so-called C-reactive protein (CRP). Furthermore, parameters such as lipase and amylase should be determined.

Therapy of lower abdominal pain

If diverticulitis has proven to be the cause of the symptoms, an attempt can be made to begin antibiotic therapy.

Especially with subacute courses and less severe inflammations can be achieved by the conservative treatment improvement of the findings. If multiple inflammations have already occurred in the past, or if the inflammation is very severe, surgical removal of the affected part of the intestine must be performed.

The removal of kidney stones can be done by endoscopic salvage or stone rupture. The pancreatitis is treated with antibiotics.

The left side of abdominal pain

Abdominal pain on the left, or abdominal pain, which occur on the left side of the belly button and are of strong to strongest character, may, in addition to, inter alia, a stuck ureteral stone, and an avidity, also be a so-called diverticulitis.
The diverticulum is the term for intestinal sagging, which is actually harmless and usually unnoticed by the patient. However, these diverticula may become inflamed, resulting in the described pain typical for diverticulitis on the left side.

Generally, the pain can occur in any body position. For example, some patients complain of abdominal pain while sitting.
For abdominal pain on the left, there are many causes.


Causes Pain in Lower Left Abdomen

Pain in the left abdominal wall can have a variety of causes. To facilitate diagnosis, it is very important to more accurately characterize the left abdominal pain. Important information includes, among other things, the exact localization of the pain (upper or lower abdomen), a possible radiation (in the back, chest or legs), frequency, intensity and type (piercing, boring, dull) of the pain and whether with go along with other symptoms.

Pains in the left upper abdomen mostly speak for complaints of the stomach. This can happen if there is gastritis or if something intolerable has been eaten. These findings are obvious when the pain is dependent on eating, that is, always after or when eating (certain) meals or drinks. The same applies to diseases of the colon, which sometimes manifest in the left upper abdomen. Also pains in this area cause inflammation or diseases of the pancreas (pancreas) or the spleen. In rarer cases, certain can also be the heart Conditions that affect the left upper abdomen. For example, in the case of an atypical heart attack, the pain may radiate primarily (or even exclusively) to the left upper abdomen.

Pain in Lower Left Abdomen almost always speaks for pathological processes of the large intestine. First and foremost, diverticulitis is the reason most commonly found in the large intestine sigmoid colon. This is a disease in which protuberances have formed in the intestine, which then secondary to inflammatory processes, which can sometimes be very painful. These diverticula can form without apparent cause, as a result of long-standing constipation or in the context of genetic diseases. In addition, in case of pain in this area women always have complaints of adnexa ( ovaries and fallopian tubes) as a trigger. Also stuck stones in the kidney or the ureters can cause severe pain on the lower left side of the stomach, which are usually more likely to be in the area of the back or felt laterally.

However, as the pain rarely adheres to these rough guidelines, it is difficult to make a diagnosis of the abdominal pain solely through the location. Also, pain caused by diseases of the bladder, small intestine or uterus (or periodic pain ), can increasingly occur on the left side, although you would normally expect them more centrally. On the other hand, diverticulitis or gastritis may also be right-sided. That’s why with abdominal pain The left side mostly the exact anamnesis Although necessary and quite indicative, but a subsequent further diagnostics with aids such as an ultrasound device or, depending on the assumption, for example, stomach or colonoscopy useful.

localization of abdominal pain

Lower abdominal pain left

When patients complain of abdominal pain, it is particularly important to ask in which area the pain is occurring.
The approximate location of the pain is about to estimate which organs may trigger this pain. If the abdominal pain is indicated in the area of the Pain in Lower Left Abdomen, the cause may be, in principle, diseases of the intestine, but urological or gynecological diseases may also be responsible for this pain.

Also important in this context is the patient survey, which is to find out since when the pain is present, whether they occur only when pressing on the outside or are also present without contact.

As the ureters are located in the area of the left but also the right Pain in Lower Left Abdomen, urinary tract infections can also trigger abdominal Pain in Lower Left Abdomen. Often pain is also reported on both sides, but also one-sided. Especially in women with the Pain in Lower Left Abdomen, you should always examine the urine, which can tell immediately whether it is a urinary tract infection, or whether the urine is free of bacteria. A urinary tract infection that causes discomfort must be treated with antibiotics.

Since there are large parts of the large intestine in the area of the Pain in Lower Left Abdomen, it must always be assumed that there is inflammation of the bowel if the left-sided pelvic pain is indicated.
The so-called diverticulosis is bulges of the large intestine that can be present in any human without causing any discomfort.
However, if these outgrowths start to ignite, one also speaks of diverticulitis, it can lead to lower abdominal pain.

An ultrasound examination and especially the blood testcan give indications as to whether the cause of the pelvic pain is diverticulitis on the left. Mild courses of this disease can be treated with antibiotics, severe or chronic courses usually have to be treated surgically. In such an operation, the inflamed parts of the intestine are cut out and the healthy ends reassembled. In this procedure, other parts of the intestine can also be examined to see if there are any more bulges that are also potentially able to inflame.
In addition to intestinal diseases and urological infections must always gynecological diseases, such as ectopic inflammation, which can also trigger lower abdominal pain on the left.

For mild, rarely occurring pain without further symptoms, bloating is often responsible. They appear more after eating from flatulent foods such as beans, peas or various types of cabbage and usually disappear quickly. If you have diarrhea, nausea or fever, you may also have a gastrointestinal infection or food intolerance. Also, muscle aches after a bruise or sports often occur in the Pain in Lower Left Abdomen.

Upper Pain in Lower Left Abdomen

In the left upper abdomen are the spleen and parts of the large and small intestine. In addition, the heart, lungs, stomach and left kidney are directly adjacent to the left upper abdomen. Many diseases of all these organs can cause pain there.

If the pain is only entertaining and occurs without concomitant symptoms, causes such as flatulence or food intolerance are common. If diarrhea or fever is added, a gastrointestinal infection can be the cause of the pain. Furthermore, in the context of various viral infections such as ” glandular fever “, the spleen may swell and cause pain in the left upper abdomen.
Pain due to these causes are harmless and improve relatively quickly.

Signs of more dangerous illnesses include sudden, very severe or frequently recurring pain, colicky pain, a concomitant shortness of breath, chest pain, very strong diarrhea and blood in the stool. If any of these symptoms occur, a doctor should be consulted as soon as possible.
Important, serious illnesses here are the heart attack, which can cause pain in the left upper abdomen, in particular in women and the elderly, in addition to chest pain, pneumonia and inflammation or a stone of the left kidney.

In addition to the aforementioned disorders, injuries can also cause pain in the left upper abdomen. As a rule, there is then a pressure pain. This lasts for bruises or rib injuries even up to several weeks.

Read more on this topic under Upper abdominal pain on the left side

Abdominal pain right

Abdominal pain, which is mainly located on the right side next to the navel, could an appendicitis point ( appendicitis ).
This is not, as always assumed, an inflammation of the entire cecum, but rather the appendix ( appendix ), which becomes inflamed and cause very severe pain can. The symptoms (abdominal pain right) can occur suddenly or slowly and then increase. Patients with appendicitis often complain about a poor general condition, nausea, and possibly fever.
They can hardly walk, the squatting of the legs is painful, the tummy sensitive to pressure. The more harmless form can manifest itself in so-called appendicitis, which is very similar to appendicitis but does not become stronger in its course and usually also leads to no fever and poor general health.
In addition to appendicitis, however, there are even more complaints that can trigger abdominal pain right.

Pain in the left middle abdomen

The left middle abdomen contains the small and large intestine and the left kidney. In women, the left fallopian tube and ovary are also nearby. Diseases on these organs are possible causes of pain in the middle abdomen left.

Infections of the small or large intestine, which are usually caused by viruses and heal without medical treatment within a few days, are among the most frequent triggers of the pain.
Other common and harmless diseases of the intestinal tract are flatulence and irritable bowel syndrome. They usually occur with no concomitant symptoms and can usually be treated by simple treatment methods such as dietary changes or taking probiotics.

Heavier illnesses, which can cause stomach pain in the center-left and must be clarified by a doctor, are inflammations of the female genitalia, which occur frequently after sexual intercourse. Also in need of clarification are running in pain waves kidney stones or inflammation of the urinary tract, which also cause flank pain or pain when urinating.
Frequently, intestinal ruptures near the navel are also the cause of abdominal pain. They can cause pain around the belly button and, if left untreated, can lead to the death of intestinal components.

Abdominal pain under the ribs

Abdominal pains to the left of the navel located just below the ribs often have a cause that is not found in the abdomen. Possible reasons for the emergence of abdominal pain under the ribs are pneumonia or a heart attack. Reason for pain perception in the abdominal cavity is the close proximity of the lower lung sections, the apex of the heart and the upper abdomen. In addition, bacterial or viral infections of the gastrointestinal tract and diseases of the colon can lead to abdominal pain left below the ribs.

Other causes of such pain localization are inflammatory processes in the left kidney and spleen diseases.

Since the distinction between intra-abdominal (found in the abdominal cavity) and intrathoracic (found in the chest) reasons for the development of abdominal pain left under the ribs is so difficult, the affected patients should observe possible concomitant symptoms. In addition to the pain in the left upper abdomen, a heart attack is often accompanied by pain in the chest, feeling sick, cold sweats, panic (fear of death), and discomfort in the left shoulder. Infectious diseases of the gastrointestinal tract, however, usually cause concomitant symptoms such as nausea, vomiting, and diarrhea.

In case of persistent abdominal pain left under the ribs should urgently consult a doctor and initiate appropriate treatment.

Abdominal pain around the belly button

Abdominal pain on the left or right next to the navel can be the first indication of incipient appendicitis. Typically, one associates abdominal Pain in Lower Left Abdomen with acute inflammation of the cecum.
In fact, the discomfort usually begins in the area around the belly button.

Only a few hours later, the symptoms felt by the affected patients migrate to the right Pain in Lower Left Abdomen. At this time, the inflammatory processes have spread very widely. Abdominal pain on the left side of the navel caused by acute appendicitis is usually associated with other symptoms. Typically, the affected patient’s experience marked nausea and vomiting. The actual pain symptoms are very strong in the case of appendicitis. Often, those affected can barely walk and take a restraint. In addition, it may happen in the course of this disease that the 

Inflamed intestinal parts burst and spread to the peritoneum pustular inflammation ). At least at this time is urgent. Peritonitis must be treated promptly surgically. A typical indication of the presence of peritonitis caused by appendicitis is the so-called ” shaking pain“.

In addition, Pain in Lower Left Abdomen around the navel can be caused by an umbilical hernia . In this disease, portions of the abdominal viscera pass through a weak spot in the abdominal wall (in this case the navel) to the outside.

In addition, inflammatory processes within the stomach (such as gastritis ) can lead to abdominal pain left around the navel.

In addition, abdominal pains to the left of the navel in some cases provide an initial indication of the presence of severe gastrointestinal disease. Most diseases that lead to such symptoms are less harmless, as they can take a chronic course. Above all inflammatory processes in the area of the pancreas ( pancreatitis ) and the so-called ” irritable bowel syndrome ” ( Crohn’s disease ) require urgent medical clarification.

In addition to diseases of the digestive tract, the causes responsible for the abdominal pain left around the navel can also be found elsewhere. For example, an impending heart attack myocardial infarction ) manifests itself in some cases as a hard, tense abdominal wall accompanied by abdominal pain around the left navel.

Women who suffer from persistent abdominal pain around the navel can also have a gynecological problem. In particular, inflammatory processes in the uterus or the ovaries can cause such painful symptoms.

In general, it can be assumed that abdominal pain located on the left or right side of the navel is serious.
The affected patients should definitely visit a specialist in a timely manner and have the causative disease clarified. In many cases, abdominal pain on the left around the navel requires surgical treatment.

Other symptoms

Abdominal pain left and back pain

If back pain is also indicated for left-sided abdominal pain, the foresight and the involvement of the triggering organs must be broadened. It is also important to find out whether it is isolated abdominal pain with isolated back pain or whether both pains is related. Often also a pull in the belly is described. A typical description would be that the abdominal pain is located on the left side and then radiates into the back area. This can be present in diseases such as the pancreas. But this sometimes also belt-shaped abdominal pain indicated

, which then radiate in the back. In any case, one should check the liver values and the pancreas values in the blood picture.

Another major disease, which may be the combination of left abdominal pain and back pain, is a discharge of the urinary tract.
The urinary tract infection, in which bacteria can cause inflammation of the urinary bladder and the ureter, should be mentioned here.
If a urinary tract infection is not treated early, it can lead to an ascending urinary tract infection. The germs then rise up the ureters and so can the calyx systems of the kidney and the renal pelvis to reach. If this also leads to an infection here, in addition to characteristic laboratory chemical urine changes, pain in the area of the back can always occur.
If the pain is indicated in combination with left-sided pelvic pain and left-sided back pain, a single-sided urinary tract infection must always be considered, which then urgently needs to be treated with antibiotics.
To get clues to this condition, the abdomen should be scanned to see at what pressure level the pain is reported.
This should be combined with tapping the back. While the abdominal exam is performed on a recumbent patient, the backbeat should be performed on a standing patient.
If a moderate to even severe abdominal pain is indicated and back pain when tapping the back, it is essential to perform an ultrasound of the kidneys to see if the renal pelvis is flammable.
Here one would then speak of a pyelonephritis, which must be an urgently treated antibiotic.
In addition to urological diseases, orthopedic diseases can always trigger a combination of the two types of pain, abdominal pain and back pain on the left ( tension in the back muscles ).

Abdominal pain left and nausea

Abdominal pain with nausea

There may be various causes for the onset of abdominal pain on the left side accompanied by severe nausea and/or vomiting . Especially bacterial and viral infections of the gastrointestinal tract can cause right or left abdominal pain in affected patients. Also, the onset of nausea, vomiting, and diarrhea is one of the typical symptoms of an infectious gastrointestinal disease. Especially abdominal pain and nausea often occur together.

In order to be able to detect the actual problem, both the exact localization of the abdominal pain and all the symptoms associated with the pain must be observed.

Abdominal pain in the upper abdomen, for example, may indicate a disorder of the stomach . Especially the gastritis is one of the typical diseases that can lead to abdominal pain and nausea. The reasons for the occurrence of gastritis may be very different. Both acidic foods and drinks, as well as the regular consumption of alcohol,  play a crucial role in the development of gastritis. In addition, mental health problems such as stress, anxiety, and depression can occur lead to gastric mucosal inflammation with abdominal pain left. Due to the impairments of gastric function caused by the inflammatory processes, many of the affected patients also experience marked nausea.

Other causes of the development of abdominal pain on the left side associated with nausea are diseases of the left kidney , the colon or the spleen. In addition to inflammatory processes in the pancreas ( pancreatic lead) abdominal pain left of the navel.

If the abdominal pain felt by the affected patient predominantly occurs on the left side of the lower abdomen, this is often due to a disease of the large intestine. A typical example of such a disease is the so-called ” diverticulitis “. Diverticulitis is a disease that causes inflammation of the small intestinal protuberances.

Persistent left abdominal pain requires medical treatment in most cases. For this reason, affected patients should urgently consult a specialist in a timely manner and have the underlying problem clarified. Some of those left with nausea associated with the onset of abdominal pain may otherwise go through a dangerous course.

Pain in Lower Left Abdomen
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