Left lower abdominal pain with intestinal tinnitus may be due to physiological factors such as improper diet, or pathological factors such as irritable bowel syndrome, acute gastroenteritis and intestinal obstruction. 1. Physiological factors: when patients eat cold, spicy and other stimulating food or greasy and indigestible food too much, it will stimulate the gastrointestinal tract, so that gastrointestinal peristalsis accelerated, leading to the symptoms of pain in the lower left abdomen with intestinal tinnitus. 2. Irritable bowel syndrome: the sensitivity of the patient’s intestinal tract is increased compared with normal people, when the abdomen is cold or when the diet is inappropriate, it is easy to stimulate the gastrointestinal mucosa, gastrointestinal peristalsis dysfunction occurs, resulting in patients with pain in the lower left abdomen with intestinal tinnitus. 3. Acute gastroenteritis: mostly due to dietary impurity leading to gastrointestinal mucosa infected by bacteria, viruses and other pathogenic microorganisms, the patient may appear abdominal pain, diarrhea, nausea and vomiting, fever, loss of appetite and other symptoms, but also the symptoms of pain in the lower left abdomen with intestinal tinnitus. 4. Intestinal obstruction: if the left side of the intestines of the patient is obstructed, pain will be produced in the obstructed area, and at the same time, strong intestinal sounds will appear, which will make the patient feel the pain in the left lower abdomen accompanied by intestinal tinnitus. In addition, left half colon cancer, inflammatory bowel disease and other diseases will also cause the patient’s left lower abdominal pain accompanied by intestinal tinnitus. Therefore, if patients have long-term or recurrent lower left abdominal pain accompanied by tinnitus, it is recommended to seek timely medical treatment to avoid delaying the condition.