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Zack from Singapore asked a question

What could be the cause of left abdominal tightness and pain?

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DxD

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Dr Quan Wai Leong
(4 Reviews)
51 answers on DxD

I am a 26 year old male. Recently I have been experiencing lower left abdominal tightness and pain. The pain is moderately intense but not excruciating. It is usually least in the morning but gets worse as the day progresses. My bowel patterns are consistent (2 to 4 times daily) and I do not have any particular difficulty/pain when clearing my bowels. However, I did notice some tiny slightly red spots on the toilet paper when I clean up. Should I be concerned about my symptoms?
DOCTOR’S ANSWER (1)

Dear Zack, 

It appears that you have two issues which may or may not be related. Left lower quadrant abdominal tightness and pain, which occurs episodically through the day, is described as colic. In a 26 year old gentleman, the causes of left lower quadrant abdominal colic can originate from the bowels (intestines) or the urinary tract (ureters). In other cases, the discomfort can be due to nerve related issues (known as referred pain) or abdominal wall musculature, especially if it is related to movement.

Your second complaint of blood stains noted on the toilet paper after bowel movement, suggests bleeding possibly from your anal canal. This is often due to trauma to your anal canal from hard stools, prolonged sitting, or straining when passing motion. However, it is not uncommon for the bleeding to originate from other causes in the rectum or colon.

Both your complaints require a detailed history-taking and physical examination by your doctor to determine the appropriate investigations to confirm the diagnosis. This will then guide the treatment towards the source of the issues, allowing you to achieve a long term resolution of your symptoms, as well as prevent future recurrences of the issues above.  

0 319 views 0 Doctors agree Sun May 20 2018 17:08:05 GMT+0000 (UTC)
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