What could be the problem with the pain in the lower left abdomen? The pain in this area may also be inflammation of the urinary system and stones in the urinary system, which requires further urine tests and an ultrasound examination of the urinary system to make a clear diagnosis. 3, if the pain is in the lower left abdomen in women, there may be gynecological inflammation, which requires further examination. The pain may also be gynecological inflammation, which requires further examination. 4, it may be neuralgia, there are many patients in this situation, you can try to eat some nerve-nourishing drugs, such as vitamin B1 and glutamate, to see if the situation can be improved.