What Causes Pain on Both Sides of the Abdomen?

Pain on both sides of the abdomen is most commonly associated with intestinal disorders, which can be broadly categorized into functional and structural (organic) conditions.

Functional gastrointestinal disorders occur when no visible damage or abnormalities are detected during procedures like a colonoscopy. Instead, symptoms may arise from increased intestinal motility or heightened sensitivity of the gut. These can be triggered by improper eating habits, food intolerances, or emotional stress such as anxiety and urgency. One common example is irritable bowel syndrome (IBS), which often leads to abdominal pain that typically improves after a bowel movement.

In addition to pain, IBS is usually accompanied by changes in bowel habits, including episodes of diarrhea or constipation. The discomfort tends to subside once normal bowel function resumes.

On the other hand, structural or organic diseases involve physical changes or damage in the intestines. Two well-known examples are ulcerative colitis and Crohn's disease. These chronic inflammatory conditions not only cause abdominal pain but also lead to significant changes in bowel movements.

For instance, ulcerative colitis often presents with mucous or blood in the stool, along with cramping and frequent bowel urges. Meanwhile, Crohn's disease can result in persistent diarrhea and may interfere with growth and development—particularly in children. Both conditions require medical evaluation and long-term management to control symptoms and prevent complications.

If you experience persistent or severe pain on both sides of your abdomen, especially alongside unusual bowel changes, it's important to consult a healthcare professional for proper diagnosis and treatment.