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Published on: 8/20/2026

What could cause pain on the lower left side of my stomach?

Pain on the lower left side of your stomach can stem from several conditions, most commonly involving the colon or bowel. Frequent causes include diverticulitis, constipation, gas, irritable bowel syndrome (IBS), kidney stones, or urinary tract infections. In people with ovaries, it may also signal ovarian cysts, endometriosis, or ectopic pregnancy. Less commonly, it can indicate a rare form of left-sided appendicitis, hernias, or inflammatory bowel disease.

Because lower left abdominal pain has so many possible causes—some minor, some serious—identifying the source quickly matters. The fastest way to narrow down what's happening is to take a free, instant, online symptom check. In just a few minutes, you'll receive personalized insights based on your specific symptoms, helping you decide whether home care, a doctor's visit, or urgent attention is the right next step.

Reviewed for medical accuracy: 07/15/2026

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Explanation

There are several reasons why you might feel pain in your lower left abdomen. One common cause is diverticulitis, which happens when small pouches in the colon become inflamed. Sometimes, if the colon or bowel is upset from constipation or an infection, it may hurt too. Though the appendix is usually on the right side, there are rare cases where an inflamed appendix shows up on the left side, known as left-sided appendicitis.

Other possible causes include kidney stones or issues related to the reproductive organs in women. In one report, doctors found that a type of blood cancer called multiple myeloma could even start with pain in this area, though this is very uncommon. When figuring out the reason for your pain, doctors may use imaging tests like CT scans and blood tests to get a clearer picture of what is happening inside.

If you're experiencing lower left abdominal pain and want to better understand what might be causing it, you can start by taking a free symptom checker test to help identify possible conditions. This clear assessment helps in choosing the most effective treatment for your condition, and talking to a healthcare provider who can review your symptoms carefully is essential for determining the right next steps.

(References)

  • Akbulut S, Ulku A, Senol A, Tas M, Yagmur Y. Left-sided appendicitis: review of 95 published cases and a case report. World J Gastroenterol. 2010 Nov 28;16(44):5598-602. doi: 10.3748/wjg.v16.i44.5598. PMID: 21105193; PMCID: PMC2992678.

  • Bodmer NA, Thakrar KH. Evaluating the Patient with Left Lower Quadrant Abdominal Pain. Radiol Clin North Am. 2015 Nov;53(6):1171-88. doi: 10.1016/j.rcl.2015.06.005. Epub 2015 Aug 5. PMID: 26526432.

  • Yamane F, Ohta R, Sano C. Left Lower Abdominal Pain as an Initial Symptom of Multiple Myeloma. Cureus. 2021 Dec 23;13(12):e20652. doi: 10.7759/cureus.20652. PMID: 35103208; PMCID: PMC8783953.

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