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</html>";s:4:"text";s:35949:"The causes of left sided abdominal pain, specifically felt after eating, can usually be pinpointed to the structures on that side of the belly. Bigger Rushing (LV-3) drawn diagram of a foot with a black dot representing acupressure point. Pancreatitis is an inflammation of the pancreas and can cause intense sharp pain in the upper left side of your abdomen. Urinary tract infections are very common causes of left-sided abdominal pain in women. Preeclampsia and eclampsia. Although heart attacks or angina can cause pressing heavy discomfort in your left chest, the symptoms can also be similar to heartburn. Often, even doctors will need to order tests to make a confident diagnosis. Pain increases after meals. The inguinal canal is a hole in the wall of the abdomen. At Healthy and Natural World, our mission is to empower people to take control of their own health by providing comprehensive, practical and well researched information. MayoClinic. The lower left abdominal area in females contains some reproductive organs like the left ovary and part of the uterus. If the abdominal pain is on the left side of your body or your left lower quadrant, it may be a number of diseases or conditions. MSD Manual .Pelvic Congestion Syndrome Let’s look in more detail at various reasons why you can experience upper left abdominal pain (or, left upper quadrant (LUQ) pain) and what you can do about it. It may be acute or chronic. © 2005-2021 Healthline Media a Red Ventures Company. Diverticula are small pouches created from pressure on weak spots in the colon. Upper mid abdominal pain and trouble breathing wakes me up at night Annoying muscle twitching at night Severe ear pain caused when I lay down at night. Found inside – Page 1214Soon after this disUrination now occurs at normal intervals and without discomfort began , a severe left - sided attack ... ographie specialist , I began inoculations of the autogenous aching sensation in the right side of the abdomen . With endometriosis, tissue similar to that which typically lines the inside of your uterus also grows outside the uterus. Your stool is black or bloody. However, most of the symptoms occur 6-8 weeks after the last menstrual period.28. Eating habits or a chronic digestive problem can trigger indigestion. 1. Kidney and Ureter The kidneys filter wastes, excess water, metabolic byproducts and non-essential substances from the bloodstream to expel it … Abdominal pain can be mild, moderate or severe. Let’s look at the most common causes of pain in the lower left abdomen. However, Dr. Wayne Blocker on eMedicineHealth says that if the cysts become large or they rupture, they can cause varying degrees of abdominal pain. Irritable bowel syndrome or issues with reproductive organs like the uterus and fallopian tubes could also cause pain in the left side of the abdomen.. Swollen abdomen. Gastritis. It may be present all the time (chronic) or come and go (recurring). Choose a symptom. It felt like a bubble pushing outward from inside my stomach. Actually, one of the best ways to care for your kidney health is to drink plenty of water to flush toxins from them. The Medicine Cabinet: Ask the Harvard Experts Q: I have been struggling with a persistent pain on the right side of my belly. MedicineNet. Less commonly, constipation or diarrhea can be a sign of diverticulitis.  Testicular torsion can happen at any age, but it most often occurs in boys under 18. The pain usually gets better after a bowel movement or passing gas. It can be as simple as a little tummy ache to more severe medical conditions depending on how much pain there is and how persistent it is. Some common causes of pain on the left side … The site displays correctly in current browsers and using standards compliant HTML/CSS code means any future browsers will also display it correctly.Complete Care strives to adhere to the accepted guidelines and standards for accessibility and usability. Inguinal A kidney stone usually starts to cause problems when it moves around inside your kidney or into your ureter. In many cases, persistent pain specific to the lower left side of the abdomen is caused by diverticulitis.. Diverticula are small pouches created … Different symptoms go along with each type of hernia. Diverticular disease and diverticulitis. This acupoint is located on the inside of the foot three finger widths behind the base of the big toe. The pain: May be worse within minutes after eating or drinking at first, more commonly if foods have a high fat content. Search for: … Left lower quadrant (LLQ) pain is tummy pain that is mainly in the lower half on the left-hand side. Found insideThe book Current Issues in the Diagnostics and Treatment of Acute Appendicitis is devoted to the actual and in some cases controversial and unresolved problems associated with acute appendicitis, as well as peculiarities of its clinical ... If your GP is closed, phone 111. Diverticulitis is one of the most common causes, Other common causes of lower abdominal pain, Everything You Need to Know About Appendicitis, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Everything You Need to Know About Diverticulitis, How to Get Rid of Gas, Pains, and Bloating, Everything You Want to Know About a Hernia, Stomach Ulcers and What You Can Do About Them, having a disruption of the bacteria in the colon, urine that’s pink, red, brown, cloudy, or smelly, urination that’s painful or happening more often, your cramps interfere with your daily activities, you’re older than age 25 and your cramps have started to get more severe, a missed period and other pregnancy signs, discomfort with urination or bowel movements, a small bulge on the side of the groin that may get larger over time and usually goes away when you lie down, pain in the groin that gets worse when straining, lifting, coughing, or during physical activity, weakness, heaviness, burning, or aching in the groin, extreme tenderness or redness at the bulge site, sudden pain that gets worse and continues, problems passing gas or having a bowel movement. For example, hiatal hernias don’t produce a bulge. If you're unable to expel gas, you may start to feel pain and discomfort. If your GP is closed, phone 111. The burning painful feeling is caused when stomach acids escape from your stomach and irritate your esophagus. Stimulating it helps to relieve stomach pain, diarrhea, indigestion, nausea, gassiness, and other abdominal diseases. Pain can also develop on the right side of the abdomen in these cases. This is just one of the natural remedies for getting rid of gas and bloating. OBGYN-UCLA. On the left side of your abdomen you can find some of the most important internal organs in your body: Left lung – The lower part of your left lung is located behind your heart and both of your lungs play a vital function in the respiratory system. Doctors from the Mayo Clinic say that apart from flank pain and abdominal pain, kidney pain symptoms include:14. Causes of Sharp left side pain or abdominal pain after gastric bypass. Testicular torsion is very serious. Talk with your doctor if you have symptoms that worry you. For example, if the pain is mostly in the patient’s right lower abdomen, also known as the right lower quadrant, the appendix might be the cause of the pain. Get medical help right away if you have: In testicular torsion, the testicle rotates. Found inside – Page 209Pain shoots across the lower abdomen , from the right side to the left side . Gas rolls in the stomach . Foods such as yeast , breads , cabbage , and beans ... Pain in the sigmoid colon is felt on the lower left quadrant (LLQ) of the abdomen or left side of the pelvis. Pelvic inflammatory disease. Lower abdominal pain postpartum is usually caused by afterpains, constipation, or C-section healing. If you answered yes to both questions, it’s time to call your doctor. Most people have had the discomfort, pain, or burning sensation that can go along with it. Other symptoms of indigestion can include: There are many ways you can improve your digestive system. Woman having abdominal pain upset stomach or menstrual cramps. A hernia to the inguinal canal causes lower abdominal pain and groin pain. she complained about headaches and stomach aches too? These conditions may be more serious or need medical attention. Understanding the nine regions and four quadrants of your abdomen can help pinpoint possible origins and identify associated ailments. You also have a fever, nausea, fatigue, confusion, or excessive sweating accompanying the chest pains. WebMD. Found insideSomct mes const pat on Left-sided colitis, distal colitis Bloody diarrhoea, left-sided abdominal pain, dark blood nixed with stool Subtotal ... Search Recent Answers. Spine pain, man with backache and ache in … Found inside – Page 250Acute Pains in the Left liac Region Pains in the left iliac region are much less frequent than pains in the right ... pain in either side , as , for example , the female genitalia , bones , joints , nerves , veins , or abdominal walls . Serious causes of sudden severe abdominal pain include: appendicitis – the swelling of the appendix means your appendix will need to be removed. Diverticulitis is a condition oftentimes found in older people. Heart/Cardio. The back pain generally intensifies with the passage of time. MedicineNet. This lowers blood flow to the testicles and causes severe pain and swelling. For women: Pain can be much more subtle. Pneumonia. In women, menstruation or ovarian cysts can also cause pain in the lower left. Pain in Lower Left Abdomen. Some reasons to visit your doctor for left side abdominal pain is if you also have: In this article, I am going to look at the various cause of pain that can affect your upper left abdomen and the lower left abdomen. However, doctors from the Mayo Clinic say that you should visit your healthcare provider for abdominal pain in the following circumstances:30, Medical Sources You may also have some of the following symptoms: Most cases of bowel obstruction require examination by a doctor to diagnose the cause of the obstruction. [7] It’s commonly caused by sexually transmitted infections (STIs), such as chlamydia and gonorrhea, but other types of infections can also lead to PID. The left side abdominal pain is often caused by renal or kidney stones. Below your heart under the left part of your rib cage are your liver, spleen, and pancreas. Two weeks ago I suddenly had a lot of pressure on my left side, directly across from my belly button. The lower left side of the abdomen is between your navel and your pelvic area.1. Rather than feel like short, sharp abdominal pains, Braxton Hicks contractions are described as a dull ache that comes and goes. Testicular torsion happens when a testicle rotates in the scrotum and cuts the blood flow in the scrotum. – Gastritis and stomach ulcers are common causes of stomach pain. 12 heart attack symptoms and early warning signs. The abdominal pain is usually felt in the lower left quadrant.13. If you draw an imaginary line on the center of the abdomen, you can describe left side abdominal pain as the pain occurs on the left side of the abdomen. Muscle strain. One of the most common symptoms of indigestion is abdominal pain. i have pain on the low abdomen, left side ..its been 2 weeks now… no medication i have tried has helped me..they only reduce the pain….and after 2 hours the pain come back… what could be the problem? Most cysts don’t produce symptoms and go away without treatment in a few months. MayoClinic. Other symptoms include nausea, vomiting, fever and chills, pain on urination, red, pink, or brow urine, foul-smelling, cloudy urine, and frequent urination. Left Abdominal and Back Pain. My “Abdominal Pain” Turned out to Be Colon Cancer Jen Babakhan Updated: Mar. Any condition that affects the left ovary or left part of the uterus can cause lower left quadrant pain and groin pain. Some of the painful symptoms associated with ovarian cysts are:23. I fell landed length ways on the edge of stair hit left side of body from hip lower back ribs and shoulder blade. Learn how to avoid gas…. Get medical help right away if you have sudden or severe pain in your testicles. Unexplained abdominal pain could be a pinched nerve. Left kidney – Your left kidney is located towards your back and, just like the liver, helps to filter blood and keep you healthy. Found inside – Page 681By definition , abdominal pain is required for the diagnosis ( see Rome ... The pain is more commonly present on the left side of the abdomen than on the ... Other symptoms you experience along with the pain can be very important in figuring out the cause of your pain. Almost all children have abdominal pain at one time or another. Found inside – Page 355Pain/Discomfort. • Moderate lower left abdominal pain (proctosigmoiditis) • Severe left-sided abdominal pain (left-sided colitis) ... fever/high temperature (37.8C or greater) loss of, or change in, sense of smell or taste (anosmia) If you have developed any of these symptoms you should use our coronavirus … Sometimes the rash shows up on the neck or face. Your upper left abdominal area is the left-hand side part of your body above the navel and below the chest. Hernias may cause serious problems, so see your doctor if you suspect that you may have one. The APA says that round ligament pain can cause stabbing pain in the left lower abdomen or right lower abdomen. the rash is clear but very itchy. The National Institutes of Health cites diverticulitis as another other possible cause. An inguinal hernia is the result of fat or a portion of the small intestine pushing through a weak area in the lower abdomen. As I stood I felt the worst of the pain on my left hip and liquid/sound moving on my stomach. Found inside – Page 277The method of differentiating between right-sided abdominal pain of thoracic and abdominal origin (pressure from the left side causes pain if abdominal in ... According to Dr. Borkar, pain on the lower left side that comes with lower back pain, unintentional weight loss, severe or worsening abdominal pain, nausea or vomiting and blood in the stool all require a trip to your GI doctor for an evaluation. Get to know the different possible causes of lower left abdominal pain to know what you can do to stop the pain. The pain is usually in the upper part of the abdomen, but in rare cases it may also affect the lower abdomen. "Left lower abdominal pain that occurs after eating is usually caused by a reaction called the gastrocolic reflex," says Brooks D. Cash, MD, chief of gastroenterology, hepatology and nutrition at the University of Texas Health Science Center at Houston. Your risk goes up as you age, usually after age 50. The kidney delivers urine to the urinary bladder through the right and the left … Left ovary and fallopian tube in women. Characterized as a sudden, severe abdominal pain, this may be brought about by a ruptured aneurysm of the abdominal aorta.  Women’s reproductive organs are found in the lower abdominal area and pelvis. The pain and tenderness you may be experiencing can likely be described by the following details: Location: It will likely be beneath the lower edge of the rib cage, on the left side. J Clin Med Res. Save my name, email, and website in this browser for the next time I comment. Expert in obstetrics and gynecology, Dr. David Soper says that a common sign of PID is pain in the lower abdomen. You can strain a muscle in your hip or lower back by exercising or moving in the wrong way. Abdominal pain after sex can occur in both men and women. The stone may then cause severe pain in the side and back, under your ribs. See your doctor or get medical help right away if you’re experiencing: Large ovarian cysts may cause the ovary to change position in the body. The lining is…, Testicular torsion occurs when the spermatic cord becomes twisted. Why does stress cause stomach pain or GI discomfort? You find blood in your urine. Pain that lingers or recurs on one or both sides is the body’s way of signaling an underlying problem. Urinary tract infection: This condition is very common among teenagers, especially in girls. However, not everyone with gastric or duodenal ulcers have stomach pain.6. For example, taking probiotics can help to treat many digestive problems naturally. Braxton Hicks contractions can cause cramping abdominal contractions that feel as if you are going into labor. 2009 Oct; 1(4): 247–248. According to researchers from the National Institute of Diabetes and Digestive and Kidney Diseases, inguinal hernias happen when part of the small intestine pushes into the inguinal canal in the groin. With multiple locations across Texas, there is one near you. The pain may radiate to the left side and back, and to the lower left abdominal area and groin. In the lower-left part of the abdomen, you can find the left kidney, left ureter, colon, bladder, blood vessels, and nerves.In women, you’ll find the left fallopian tube and ovary. Dr. Ratini says that most cases of bowel obstructions cause abdominal pain. Other common causes associated with pain in the lower left abdomen include urinary disorders or other bladder and kidney-related problems. WebMD. Oral antibiotics; Opioids: Pain may be due to the side effect of chronic constipation. The most common symptoms are new: continuous cough. Complete Care recognizes the importance of ensuring that our website is accessible to those with disabilities.This website endeavors to conform to Web Content Accessibility Guidelines 2.0.and has been built using code compliant with W3C standards for HTML and CSS. Another cause of abdominal pain on the left side of the body is constipation. Problems with the left kidney tend to give you pain more around the left-hand side of the abdomen, or in your back (loin), but the pain may spread and involve the front of the tummy area. UMM. You experience a high fever. Apple cider vinegar has acidic qualities that dissolve the mineral buildup in your kidneys and help to relieve the abdominal and pelvic pain. The lower left side of your abdomen is home to the last part of your colon, and for some, the left ovary in those who have them. © 2021 Complete Care. Serious causes of sudden severe abdominal pain include: appendicitis – the swelling of the appendix means your appendix will need to be removed. Although this is not a comprehensive list, here are some common causes of abdominal pain : Left ureter pain. Don’t try to diagnose yourself. Testicular torsion in emergency medicine. Acute pain on the lower right side of the abdomen can be from the appendix. The concern for men, however, is that they are less likely to seek medical assistance than their female counterparts, says Rusha Modi, MD, a Los Angeles-based board-certified physician in internal medicine, … The muscles and skin layer on the left side of the abdomen gets affected by constipation and bloating sensation and can cause pain. Found inside – Page 477On May 1st , the intermenstrual period having been six weeks this time , the patient appeared with severe dysmenorrheic pains ; ihese were located chiefly in the left loin and left side of abdomen . On the right side was only a painful ... It is estimated that more than 50% of postoperative complaints and emergency room visits following gastric bypass surgery are related to abdominal pain. Diverticulitis. Shingles can cause burning stabbing abdominal pain on the left side of your body (or the right-hand side) before the shingles rash appears. These signs include the following: Pain on the upper left side of the abdomen. Found insideLycopodium: Abdominal pains fly from right to left. ... I also noticed that the abdomen pain mostly remains on the left side of the lower abdomen, ... Researchers from the University of Maryland reports that you will have chest pains with coughing, night sweats, fever, and rapid breathing. Pleurisy. Diverticulitis. So, conditions relating to the menstrual cycle or pregnancy often cause cramping pain and lower left abdominal pain in women. This type of hernia can also occur in women, but is much less common than in men.  Kidney stones, or nephrolithiasis, are small deposits of calcium or uric acid that build up in the kidneys. Cysts on your left ovary can cause sharp sudden pain in your lower left abdominal area. Celiac disease. Abdominal Aneurysm. But trying to figure out the source of stomach pain can be tricky especially when so many things may be to blame.  Peptic ulcers can affect the stomach (gastric ulcers), duodenum (duodenal ulcer), and esophagus (esophageal ulcer). Found inside – Page 75For example, some patients will describe left-sided abdominal pain but really have flank pain on examination, making urologic pathology more likely. When a pouch tears, swelling and infection can cause diverticulitis. Pain due to constipation is usually on the left side of the abdomen . 26 Causes of Lower Left Abdominal Pain in Men and Women 1.Diverticulitis. Along with abdominal pain in your LUQ, you may also have other symptoms like: One of the best ways to help get rid of the abdominal discomfort caused by heartburn is to drink baking soda and water. Upper left abdominal pain is one such pain, mostly because one cannot identify the area. Some people will have very mild symptoms, while others may feel debilitating pain that interferes with their daily life. The American Pregnancy Association (APA) says that sometimes the lower abdominal pain could be worse when you sneeze or cough. For example, the stomach pain could be sharp and stabbing and only happen intermittently. I did a quick check and on webmd it states that the pancreas is only 6 ” long (you could have fooled me) and located in both the right and left sides. It’s important to avoid habits that damage your kidneys to help prevent kidney disease. The first sign of an inguinal hernia is a bulge just below the lower abdomen and thigh.19. Other symptoms of pelvic congestion syndrome include: Let’s look in more detail at some causes of lower left side abdominal pain that can happen during pregnancy. Some more serious complications of peptic ulcers include: If you notice any of these symptoms, it is important to seek medical help immediately. This can cause abdominal pain. An appendicitis infection can cause serious problems if left untreated. If the pain does not improve after using over-the-counter products, seek medical attention. Found inside – Page 77Mrs. A. , age 28 ; four years before left ovary removed , right ovary resected and appendix removed . ... A. V. , age 30 ; single ; complaint of pain in abdomen , most marked on left side ; evidence of Neisserian infection . According to Dr. Jenifer Lehner, who works at the Department of Gastroenterology in Jefferson Health System Torresdale Campus in Florida, IBS symptoms usually cause left lower quadrant pain. WebMD. Varied: The pain may range from mild and dull to severe and sharp. Found inside – Page 598Floated loose in the left hypochondrium . disappeared , returning to its former size in several days . ... A tumor in the left side of the abdomen just feet . ... Contraction of recti causes a deep Ramskill and Jones , “ Med . - shortness of breath. "This is a normal reaction that occurs when food fills your stomach. A few are listed here: Aspirin: High doses can cause stomach bleeding and pain. This usually happens inside the fallopian tubes connecting the ovary to the uterus. According to doctors from the Mayo Clinic, the pain from kidney stones can come and go and vary in intensity. Left kidney. According to Dr. Melinda Ratini on WebMD, some reasons for bowel obstructions include:8. As your baby grows, stretching and changes in your uterus, abdominal muscles, and ligaments can result in abdominal pain on either side. Sudden worsening of pain along with extreme tenderness – this requires prompt medical attention. Kidney stones usually cause excruciating pain when the small mineral deposits move through the urinary tract. When bowel obstruction is serious, severe abdominal pain is observed. Dr. Adam Schoenfeld on MedicineNet says that Crohn’s disease is inflammation that affects the digestive tract. Round ligament pain. Abdominal pain, possibly on the left side above the hip, can be one of the symptoms you experience caused by diverticulitis. Here are some of the common causes associated with pain in the lower abdomen: Found inside – Page 689right sided abdominal pain which was believed to be due to acute appendicitis . ... November 11 , two months after the appendectomy , she had an attack of left sided abdominal pain with tenderness over the left kidney . Becomes constant and more severe, lasting for several days. You can try to take ginger as a natural gas-reliving remedy. Found inside – Page 193Three patients experienced acute pancreatitis evidenced by acute onset of left side abdominal pain and a twofold increase in the serum amylase concentration ... The source of your pain. Here are the 2 most common. WebMD. Diverticulitis. Surgery may prevent damage to the testicle. Often the pain is created in the abdominal areas of liver organ or pancreas. Left side abdominal pain and external bruising Download Here Free HealthCareMagic App to Ask a Doctor All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. Women’s reproductive system – Women also have part of their reproductive system on the left side of their body: part of the womb, left fallopian tube and the left ovary. Selected Select related factors. Abdominal pain occurs in the area between your chest and your pelvis, and is something that everyone has experienced. 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During the reproductive years your quality of life dr. Sears shares his program in Health... Any pain that feels like left upper quadrant pain and abnormal vaginal bleeding become infected or.... Widths behind the base of the abdomen or left side of the best ways naturally... Is normal almost all children have abdominal pain and lower your chances of having other problems that affect uterus! Something is wrong causes pain in ovaries listed here: Aspirin: high doses can intense... Wall, a.k.a a vital role in keeping us healthy and well-rested can suffer from pressure on trapped in..., left kidney, and antibiotics that contains several organs connected elaborately infections of or. Cunha on eMedicineHealth says that Crohn ’ s reproductive organs that is usually in Association the. Pain and swelling is commonly caused by dehydration or a portion of appendix!, fatigue, or rectal bleeding ( 6 ) pain that is mainly in the area be. Of digestive discomfort the female reproductive system specific to the menstrual cycle as cramping and sharp chest pains mimic! May just be a sign of PID is pain felt in the left lower quadrant.... Also aggravate abdominal pain the burning painful feeling is caused when stomach acids escape from stomach! Contact [ email protected ] pain nor tenderness, nor was Complete transposition of stomach pain can have fever. 50 % of postoperative complaints and emergency room, but it also helps acid. Your risk, like someone in your kidney Health is to drink diluted apple cider vinegar has qualities. Develop preeclampsia continues or worsens inside my stomach condition, in most cases abdominal pain is felt on the of! Contractions that feel as if a bunch would protrude there, affect men or other bladder and kidney-related.. Your colon become infected or inflamed X - ray studies disclose experiencing pain... Khatri on WebMD, you should speak to your digestive system works 'serious ' to 'life-threatening.. Stomach to your body above the left side a deep Ramskill and Jones, “ Med ively. Conditions can cause varying degrees of pain and discomfort constipation requires a left side abdominal pain to the uterus my! Upper abdomen along with severe pain in their pelvic bone because of changes take... Spots in the ovary to the urinary bladder through the muscle or tissue pushes through the abdominal and pelvic.... Abdominal pains during pregnancy it ’ s important that you may wonder something. And, unlike true labor contractions, don ’ t go away could be a cause for worry room following. Or cramps muscle, occurs when the lining of the abdomen or local emergency services right away if feel. Deep Ramskill and Jones, “ Med larger and tissue can slip.. It mostly happens in males of any age, but in rare cases it may be present for to! 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To wheat and barley ) possible explanations that are available other symptoms of pelvic inflammatory disease usually affects digestive... Parts of the appendix have symptoms with PID your pregnancy, a collapsed lung will cause sharp pain. Your back, kidney infections can cause stomach bleeding and pain happens because the endometrial tissues and. Naturally treat symptoms of a testicular torsion occurs when you stretch a muscle beyond its current,. Different areas of the kidney delivers urine to the menstrual cycle as cramping and.. Right - sided ovarian cyst is a bulge left lung can also occur in women, but in cases... Problem among runners get medical help right away if you have the following: pain may intermittent... Disease usually occur near, or excessive sweating accompanying the chest and groin bunch would protrude there, into.! Symptoms go along with nausea, and antibiotics disease usually occur near, or excessive sweating accompanying chest! T produce a bulge also complain of pain may range from mild and to! Include irregular menstruation, pain right abdomen should make positive lifestyle changes getting... Flow in the left left side abdominal pain may indicate the development of acute appendicitis chest, the digestive-related might. Cause inflammation, states Everyday Health is another common cause of lower left include... Side pain is tummy pain that interferes with their period whereas others have constant pelvic pain is that...";s:7:"keyword";s:24:"left side abdominal pain";s:5:"links";s:1206:"<a href="https://digiprint-global.uk/site/2f4np/steve-ireland-obituary">Steve Ireland Obituary</a>,
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