Tender Bulge on Left Side of Belly
Q: I get feeling heaviness around left side of abdomen, near the waist and on the back side. A slight bulging is also there on the left side of back around Iliac crest. I have been having this kind of feeling for last 6 months. Can any please tell me what could be the reason?
-By Sunit Sanghai
It would be difficult to comment on your symptoms without actually examining you. The reason for your symptoms could either be some mechanical cause (after some trauma) or some medical condition affecting your intestines.
Let’s discuss the probable reasons that can cause such a state.
Pain and Swelling on the Left Quadrant of the Abdomen
A Pulled Muscle
It could be a pulled muscle of the area. Sometimes a muscle may get overstretched or injured during some activity. This may tear or rupture a few muscle fibers.
In such cases, the patient may have pain in the area. This pain increases if any movement (twisting, lifting heavy objects) of that muscle group is carried out. A slight swelling is usually present.
An abscess is a collection of pus and fluid secondary to some injury or infection. It can occur anywhere in the body.
It may be there near the stomach area, secondary to some infection (like TB, intestinal infection, etc.). Presentation is that of a swelling with pain on touching it. Usually the patient has some fever. Chills and some weakness may be there.
Are you constipated? This is a condition where a person has infrequent and hard, dry stools. This may also cause some abdominal distension with pain.
The cause of constipation needs to be treated in such cases. Having more of fibrous food with lots of fluid usually helps.
It is a chronic condition caused by inflammation of the intestines. The person has abdominal pain with diarrhea. Other symptoms include not feeling like having food, fever, and weakness. Weight loss may be there.
Sometimes the patient may also note some eye pain, joint pains, or a rash.
Treatment comprises of some anti-inflammatory medications with a special diet (mild spices, include curd, less of tea and coffee).
Intestines may be partially blocked, not allowing food or stools to pass freely. This may be caused by impacted stools, fibrosis in intestine after some infection or after some surgical procedure.
Here, abdominal pain with swelling is present. Nausea and fever may also be there.
Have you had any surgery in that area recently?
A piece of intestine may protrude through a weak opening in the abdominal wall to give a swelling with pain.
You need to get evaluated by some gastroenterologist to reach the exact diagnosis. He may require you do get some investigations done.