Left lower abdominal pain for several years but the colonoscopy result is normal, may be related to irritable bowel syndrome, adnexitis, etc., need to be given according to the cause to improve the gastrointestinal dysfunction, antibiotics and other treatments.
1. Irritable bowel syndrome: a common dysfunctional syndrome, patients may have long-term lower left abdominal pain, constipation, diarrhea and other symptoms, but the colonoscopy is normal. Patients with irritable bowel syndrome are often treated with pivoxyl bromide, trimethoprim maleate, montelukast, bifidobacteria and other drugs.
2. Adnexitis: seen in female patients, patients may have abdominal pain, accompanied by elevated body temperature, no abnormalities in colonoscopy. In the treatment, the main antibiotic, commonly used antibiotics are cephalosporin antibiotics, such as cefixime, cefradine and so on.
There may also be other causes, such as urinary tract infections, ovarian cysts, adnexitis, hernia, etc. It is recommended to go to the hospital for relevant examinations to clarify the cause of the disease and carry out targeted treatment. Medications need to follow the doctor’s instructions, avoid self-medication.