HomeAnswersInternal Medicineabdomen painWhat could be a left sided abdominal pain that commences on sitting and standing a while?

I get abdominal pain on the left side while sitting or standing for a long. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At February 14, 2020
Reviewed AtNovember 29, 2023

Patient's Query

Hello doctor,

I have a abdominal pain in my left side, it is not acute and continuous, but when I sit or stand for a long the pain arises. My doctor prescribed Banocide and Ultracet tablets.

Answered by Dr. Talal Hussain

Hi,

Welcome to icliniq.com.

There could be many reasons for the problems you are stating. So to know exactly what is the cause of pain many more questions need to be asked.

I would like to know exactly where on the left side does the pain occurs? Is it below the ribs or lower than that? Do you have any change in taste or acidity? Does the pain also go to the back? What is the color of your urine? Any other problems like loose motion or vomit? Do you have a fever? These questions will help me come near to the diagnosis and then with relevant tests, we could come to a confirmed diagnosis.

As far as the medication that are prescribed to you I would like to say that both of them are strong pain killer which are given for problems like kidney stones, but they will not cure the problem. So the diagnosis is a must to find out what is the problem with you in order to give you the correct drugs.

Patient's Query

Thank you doctor,

The pain arises lower to my left waist and the lower back pain arises when I sleep or suddenly stand up after sitting. The urine color is normal and no change of taste or acidity till now. I do not have a fever.

Answered by Dr. Talal Hussain

Hello,

Welcome back to icliniq.com.

Well, now the site of pain is pretty clear and possibilities narrow down. Urinary tract infection (UTI) is still possible. So to confirm that a detailed urine report is needed. Apart from urinary tract infection, there could also be a possibility of a kidney stone which can also be tested some what on urine detailed report by showing few RBCs.

One thing I am sorry to say that I still do not know your gender which could further help with a few other possibilities that are possible in one gender but not in the other.

The Probable causes

Urine infection. Kidney stones.

Investigations to be done

Urine report. Ultrasound pelvis and abdomen.

Differential diagnosis

UTI, Urolithiasis, if female then ovarian cyst.

Probable diagnosis

UTI, Urolithiasis.

Treatment plan

Take plenty of water, antispasmodic agent in combination with Acetaminophen (Buscopan).

Preventive measures

Avoid dehydration. Maintain good hygiene.

Regarding follow up

With ultrasound and urine report, or if pain increases.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Talal Hussain
Dr. Talal Hussain

Internal Medicine

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