What are the causes of left lower abdominal pain in males?
Jul 06, 2026
Source: Cainiu Health
Dr. Li Feng
Introduction
In general, left lower abdominal pain in males may be caused by intestinal gas, intense physical activity, colitis, left ureteral stones, or varicocele. If discomfort symptoms occur, it is advisable to seek timely medical evaluation and treatment at a reputable hospital. Specific recommendations are as follows: In daily life, maintain regular eating habits and chew food thoroughly and slowly.
Generally, left lower abdominal pain in males may be caused by intestinal gas accumulation, intense physical activity, colitis, left ureteral calculi, or varicocele. If discomfort occurs, it is advisable to seek timely medical evaluation and treatment at a reputable hospital. A detailed analysis follows:
1. Intestinal Gas Accumulation
Eating too quickly or consuming gas-producing foods can lead to intestinal gas buildup, which compresses the abdominal mucosa and causes mild, dull pain. Gentle abdominal massage, moderate walking to facilitate gas expulsion, and reducing intake of gas-producing foods—such as legumes and carbonated beverages—are recommended.
2. Intense Physical Activity
Sudden, vigorous exercise may strain the abdominal wall muscles, resulting in minor muscle injury and subsequent abdominal soreness. Immediately cease activity and rest; apply local heat therapy to the abdomen, and avoid high-intensity abdominal exertion for the short term.
3. Colitis
Dysbiosis or bacterial infection may trigger inflammation of the colonic mucosa, causing mucosal congestion and edema that irritate nearby nerves and result in left lower abdominal pain. Under medical guidance, medications such as mesalazine enteric-coated tablets, norfloxacin capsules, and triple-strain bifidobacterium capsules may be prescribed. A bland diet is advised, and spicy or irritating foods should be avoided.
4. Left Ureteral Calculus
Urinary sediment deposits may form stones, and stone migration can irritate the ureteral wall, leading to paroxysmal colicky pain. As directed by a physician, stone-expelling granules, Lysimachia christinae granules, and tamsulosin sustained-release capsules may be administered. Increased fluid intake and jumping exercises are encouraged; larger stones may require ureteroscopy with lithotripsy and stone extraction.
5. Varicocele
Impaired venous return in the spermatic cord leads to tortuous dilation of the spermatic veins, causing traction on surrounding tissues and resulting in a dragging or aching pain in the left lower abdomen. Medications such as aescin tablets (Maizhilin), diosmin tablets, and sodium aescinate tablets may be prescribed per physician instructions. In severe cases, laparoscopic high ligation of the spermatic vein may be necessary.
In daily life, maintain regular meal schedules and practice thorough chewing; engage in appropriate physical exercise; drink ample water and urinate frequently; avoid prolonged sitting or standing; and seek prompt medical evaluation if persistent abdominal pain develops.
