How do you diagnose lower abdominal pain - #19106
I am 48 years old have always had excessive bleeding and clotting. I am now experiencing severe abdominal pain on my left side and lower abdomen. I don't know what it is or whether it is digestive issues as well.the pain worsens at night.Difficulty turning and standing. And also after eating at night
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Hi Erosha,
Does the pain occur only at night? Does the pain aggravate after eating, or is it there throughout the day? Do you have any other symptoms like heartburn, acid reflux, constipation? Are you taking any medicines currently?
Your severe lower abdominal pain, especially on the left side, along with excessive bleeding and clotting, could indicate gynecological issues (such as fibroids, endometriosis, or ovarian cysts) or digestive disorders like colitis or IBS. Since the pain worsens at night and after eating, digestive involvement is possible.
To diagnose the exact cause, you may need an ultrasound, pelvic exam, and blood tests including hemoglobin, hormone levels, and inflammatory markers… Have you noticed bloating, irregular periods, or changes in bowel movements? Any history of fibroids, cysts, or digestive problems? A detailed evaluation is necessary to determine the right Ayurvedic approach.
It really sounds like you’re going through a difficult time with the pain you’re having. Given the symptoms you’re experiencing - severe abdominal pain, excessive bleeding, clotting - it’s super important to first rule out any urgent medical issues. Honestly, seeking immediate medical attention would be wise. You’d want to make sure there’s nothing critical happening, before diving into any Ayurvedic treatments.
But once you’ve ruled out anything immediate, we can explore ayurveda’s perspective on your symptoms. They seem to suggest an imbalance related to the vata dosha, maybe aggravated by pitta. This could influence both your digestive fire (agni) and menstrual health. It’s fascinating how our lifestyle and diet play such a big role.
Considering your symptoms, reducing foods that aggravate vata and pitta might help. Think of cooked foods, warm and slightly oily. Root veggies like carrots and sweet potatoes? Cook them well. Avoid cold and raw foods especially at night, as they can disturb the digestion more.
Herbs like fennel and ginger may be beneficial for you, supporting your digestion. Make a tea, simmer these in water for a few minutes. Sipping this post-meal may calm your digestive fire.
Night is prime time for vata activity, which could be why your pain worsens then. Keeping a routine that pacifies vata could help - think warm baths, regular sleep patterns.
For your heavy bleeding, it’s advised to get it checked out by a healthcare professional first to rule out conditions like fibroids. An Ayurvedic herb like Ashoka, typically supportive in regulating menstrual cycles, might be considered once you’ve clarified things medically.
Please prioritize ruling out an emergency first, alright? Ayurveda can be a powerful supplement to your healing journey, but it’s key to ensure all bases are covered. Stay safe!

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