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Pain in left and right side
Hi all.Iam writing this for my son who is 45 years old.For quite sometime say around 20 25 days or so he experiences pain in left and right side of lower abdomen.But that pain is only at times and not consistent.It feels while sitting in a squatting position or when he lifts his both legs sometimes while lying down
WHAT COULD THIS POSSIBILY BE?
Answers (5)
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Usg whole abdomen advisable to know cause
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"Lower abdominal pain that is inconsistent and specifically triggered by positional changes—such as squatting or leg lifting—points strongly toward a Musculoskeletal or Mechanical issue rather than an internal organ pathology. These movements increase intra-abdominal pressure and engage the abdominal wall muscles. In a 45-year-old, we must differentiate between a chronic abdominal muscle strain, a sports-related injury (Athletic Pubalgia), or an early-stage Inguinal Hernia, where the abdominal wall has a small weakness that causes pain only when under specific pressure....
Next Steps
The 'Position' Clue: "Since the pain is not constant and doesn't happen while standing or walking normally, it is unlikely to be related to the kidneys or intestines (which usually cause constant or colicky pain)."
Weight Management: "Maintaining a healthy weight reduces the constant pressure on the lower abdominal wall, which is vital for preventing hernias in men over 40."
Caution: "Do not use a heavy weightlifting belt or tight abdominal binders without a diagnosis, as these can sometimes mask a hernia and delay necessary treatment."
Red Flags: "Seek immediate medical attention if the pain becomes sudden and severe, if you notice a permanent lump in the groin that cannot be pushed back, or if the pain is accompanied by vomiting."
Health Tips
To rule out a hernia and discuss a targeted physical therapy plan to strengthen the abdominal wall, please book a full consultation session via my Practo profile."
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Since the pain is mainly position related during squatting, sitting or leg lifting it is more commonly due to muscle strain, abdominal wall strain or sometimes an early hernia rather than a serious internal problem. A proper consultation and a few focused questions can help narrow the exact cause and guide treatment correctly. You can connect with me for a detailed evaluation and management plan.
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Pain in the lower abdomen/groin region occurring intermittently during squatting, sitting in certain positions, or while raising both legs is more suggestive of a musculoskeletal or abdominal wall origin such as muscle strain, hip flexor strain, or early inguinal hernia. Since symptoms are position-related and non-continuous, serious intra-abdominal pathology is less likely, though clinical examination is required for confirmation.
Next Steps
• Avoid heavy lifting, prolonged squatting, and strenuous activity for a few days
• Maintain adequate hydration and bowel regularity
• Clinical examination by a General Surgeon/Physician is recommended
• If symptoms persist, ultrasound abdomen with bilateral inguinal region may be considered
Health Tips
Seek urgent medical attention if pain becomes severe or continuous, or if associated with swelling in groin, vomiting, fever, urinary complaints, constipation, or abdominal distension.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.