Left lower abdominal distension and vague pain when I want to defecate but can’t

The first consideration is that intestinal spasm may be caused by the accumulation of stool, which can be relieved by taking antispasmodic drugs and laxative drugs as prescribed by the doctor. In addition, may also be caused by chronic colitis, colon polyps, intestinal obstruction, pelvic inflammatory disease, need to clarify the specific cause of symptomatic treatment. Common causes and treatments 1, chronic colitis: chronic colitis causes more, repeated infections, chronic ulcers, colonic ischemia, long-term pressure, etc., may lead to the onset of abdominal pain diarrhea, bowel movements, pain location is not fixed, may cause the left lower abdominal distension, hidden pain. Usually the diagnosis can be confirmed by clinical tests such as routine blood, stool examination, CT examination, etc. Conservative treatment is the main focus, rehydration salts can be used to correct the water and electrolyte disorders caused by diarrhea, the use of compound glutamine, etc. to protect the intestinal mucosal barrier function and improve intestinal disorders; 2, colon polyps: usually caused by long-term inflammation, genetics, high-fat diet, smoking, alcohol consumption and other factors, usually no obvious symptoms, when the condition is serious It may lead to pain in the lower left abdomen, constipation and other symptoms, and some colon polyps may become cancerous due to stimulation. The diagnosis can be made through rectal finger examination, intestinal endoscopy, etc. After the diagnosis is confirmed, the main treatment is endoscopic, and the treatment plan will be decided according to the size and location of polyps and other actual conditions; 3. Intestinal obstruction: intestinal adhesions, hernia, intestinal overlap, fecal stone or foreign body obstruction, and lack of intestinal power may cause intestinal obstruction, constipation and abdominal distension are typical symptoms, and in severe cases, it may be accompanied by urine, vomiting, pallor In severe cases, it may be accompanied by symptoms such as urination, vomiting, pallor, shock, etc. The diagnosis can be confirmed by abdominal ultrasound and CT small bowel imaging, and treatment can be chosen according to the recovery situation. 4. pelvic inflammatory disease: when women suffer from chronic pelvic inflammatory disease, it may also cause constipation and left lower abdominal distension and vague pain, usually accompanied by abnormal vaginal discharge, fever and other symptoms. The diagnosis can be confirmed by urine routine, microscopy of secretions, vaginal ultrasound, etc. Depending on the severity of the condition, it is decided that oral or intravenous medication should be given, and hospitalization is required for severe cases. It is important to maintain good living habits, pay attention to rest, ensure sleep, regular rest and rest, quit smoking and limit alcohol, drink more water, pay attention to personal diet and urinary system hygiene, and strengthen physical exercise to improve resistance.