Lower Left Abdominal Pain in Men: Possible Causes

Experiencing pain in the lower left abdomen is a common issue among men, and it can arise from various underlying conditions. Understanding the potential causes can help guide appropriate medical attention and prevent complications.

1. Digestive Tract-Related Issues

The lower left side of the abdomen contains parts of the digestive system, such as the descending colon and sigmoid colon. Conditions like constipation, fecal impaction, irritable bowel syndrome (IBS), or intestinal spasms can lead to discomfort or pain in this area. Changes in bowel habits or the presence of blood in the stool may also accompany these symptoms.

2. Urinary System Concerns

Kidney stones, especially when lodged in the lower part of the ureter, can cause sharp, localized pain in the lower left abdomen. Other signs may include painful urination, blood in the urine, or frequent urges to urinate. These symptoms should not be ignored, especially if they appear suddenly or are severe.

3. Infections or Inflammatory Conditions

Infections such as bladder inflammation (cystitis) or prostate inflammation (prostatitis) might result in pain around the lower abdomen. While prostatitis often presents with central lower abdominal discomfort, it can sometimes radiate to the sides. Fever, chills, or difficulty urinating could suggest an infection requiring prompt treatment.

4. Testicular and Scrotal Conditions

In younger men, testicular torsion—a painful condition where the testicle twists inside the scrotum—can manifest as lower abdominal pain on the affected side. Other possible causes include epididymitis (inflammation of the epididymis), orchitis (testicular inflammation), varicocele (enlarged veins in the scrotum), or even testicular cancer. These conditions may also involve swelling, tenderness, or changes in the appearance of the scrotum.

5. Rare or Structural Causes

Less commonly, congenital abnormalities or conditions like hydronephrosis (swelling of the kidney due to urine buildup) could contribute to pain in the lower left quadrant. These typically come with other systemic symptoms and require imaging studies for diagnosis.

If you're experiencing persistent or unexplained lower left abdominal pain, it's important to consult a healthcare provider. A thorough evaluation including physical examination, lab tests, and possibly imaging can help identify the root cause and ensure timely intervention. Ignoring such symptoms could lead to worsening conditions that are more difficult to treat.