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Published on: 5/6/2025

Why Is the Lower Left Side of My Stomach/abdomen Larger?

A larger appearance in the lower left side of the abdomen is typically due to abdominal bloating—often caused by gas, fluid buildup, or changes in bowel habits—which can make one area seem more distended.

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Explanation

When you notice that the lower left side of your stomach appears larger, it is most commonly related to abdominal bloating. Bloating occurs when gas or fluid accumulates in your intestines or other parts of the abdomen, causing the area to expand. This can happen for several reasons, such as dietary factors (for example, eating gas-producing foods or experiencing food intolerances), irregular bowel habits, or conditions like irritable bowel syndrome (IBS). The left lower abdomen, where the sigmoid colon is located, is a common site for gas buildup, which might make that area appear larger than the rest of your abdomen. Functional abdominal bloating, which is non-organic and related to how your gut handles gas, is often a benign condition. However, variations in muscle tone or minor anatomical differences can also lead to an uneven appearance when bloated. If this distension is occasional and not accompanied by pain, significant weight loss, or other worrying symptoms, it is typically not a cause for concern. That said, if you experience persistent changes, discomfort, or if the swelling is associated with other symptoms, it would be a good idea to have it evaluated by a healthcare provider to rule out other potential causes.

(References)

  • https://www.ncbi.nlm.nih.gov/books/NBK420/
  • Sullivan SN. Functional abdominal bloating with distention. ISRN Gastroenterol. 2012;2012:721820. doi: 10.5402/2012/721820. Epub 2012 Jun 19. PMID: 22778978; PMCID: PMC3388350.

  • Seo AY, Kim N, Oh DH. Abdominal bloating: pathophysiology and treatment. J Neurogastroenterol Motil. 2013 Oct;19(4):433-53. doi: 10.5056/jnm.2013.19.4.433. Epub 2013 Oct 7. PMID: 24199004; PMCID: PMC3816178.

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