Seeking Assistance with Ongoing Pelvic Discomfort
Greetings, I am a 20-year-old woman experiencing persistent discomfort on the left side of my pelvis, which I believe is close to my groin area. It consistently feels as though there's something occupying that space, leaving me with a sensation of fullness. Occasionally, I detect slight movements and a pulsing feeling that I suspect might be gas. However, even after passing gas, the pain does not subside. This issue has been affecting me for the past five months. Additionally, I have dealt with intermittent constipation since the onset of this condition and have recently experienced brief episodes of diarrhea, although I am currently back to feeling constipated. I have undergone a pelvic ultrasound, which came back normal. What could be the cause of these symptoms? Any insight would be greatly appreciated.
Answers (1)

4/23/2025, 4:30:43 AM
OpenHealth AI
I'm sorry to hear about the discomfort you're experiencing—it's understandable to feel concerned when dealing with persistent symptoms. Let's break down your situation and explore possible causes while emphasizing steps you can take to help alleviate your discomfort.
Main Points
You're experiencing persistent left pelvic discomfort, sensations of fullness and movement, and bowel irregularities (constipation and intermittent diarrhea). Despite a normal pelvic ultrasound, it's essential to consider various potential causes and focus on immediate actions for relief.
Explanation
Pain and discomfort in the pelvic area can result from several factors, including gastrointestinal issues or musculoskeletal problems. Given the symptoms you've described, a few possible causes include:
- Gastrointestinal Issues: Conditions like irritable bowel syndrome (IBS) could explain your bowel changes (constipation and diarrhea) and pelvic discomfort.
- Gas and Bloating: It's possible that gas buildup could create sensations of fullness or pulsing, even if it doesn't entirely relieve the pain.
- Muscle Tension: Sometimes, tension in pelvic or abdominal muscles can lead to persistent discomfort, especially if you've been inadvertently altering your posture or activity levels due to discomfort.
- Ovarian Issues: Although your ultrasound was normal, some conditions might not be easily detected and could lead to discomfort, such as ovarian cysts or endometriosis.
Next Steps
To address your symptoms and understand what's happening better, consider the following prioritized steps:
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Dietary Adjustments:
- Increase fiber intake gradually (fruits, vegetables, whole grains) to help with constipation.
- Stay well-hydrated by drinking plenty of water throughout the day.
- Consider tracking your diet to identify any foods that may worsen your symptoms, particularly those that cause gas (beans, carbonated drinks, etc.).
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Gentle Exercise:
- Engage in light physical activity (like walking or yoga) to help stimulate digestion and reduce tension in your pelvic area.
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Symptom Diary:
- Keep a daily log of your symptoms, including pain levels, bowel habits, and any dietary changes. This might help you and your healthcare provider identify patterns or triggers.
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Heat Therapy:
- Applying a warm compress or heating pad to the affected area may help soothe discomfort.
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Relaxation Techniques:
- Consider practicing relaxation techniques, such as deep breathing or meditation, which can help reduce muscle tension.
If your symptoms persist, worsen, or new symptoms arise (e.g., fever, severe pain, blood in stool), it may be essential to revisit a healthcare provider for further evaluation or to discuss the possibility of specialized testing for conditions like IBS or gynecological concerns.
Please take care, and I hope these suggestions help you find some relief. Let me know if you have further questions or need clarification on any of the steps!
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