What are the appropriate next steps in evaluating and managing a 50-year-old woman with persistent left-sided abdominal pain for 1–2 months, normal laboratory studies, normal contrast-enhanced computed tomography, and unremarkable esophagogastroduodenoscopy and colonoscopy?

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Chronic Left-Sided Abdominal Pain with Negative Workup

Consider Functional or Visceral Pain Syndrome

For a 50-year-old woman with 1–2 months of left-sided pain and completely negative CT, labs, EGD, and colonoscopy, the most likely diagnosis is chronic visceral hypersensitivity or functional abdominal pain rather than ongoing structural disease. Approximately 45% of patients report persistent abdominal pain at 1-year follow-up after acute diverticulitis, usually due to visceral hypersensitivity rather than ongoing inflammation 1.


Immediate Next Steps

Re-evaluate for Missed Diagnoses

  • Obtain a detailed pain characterization: location (left upper vs. lower quadrant), quality (sharp, cramping, burning), radiation pattern, timing (constant vs. intermittent), aggravating/relieving factors (meals, bowel movements, position), and associated symptoms (bloating, altered bowel habits, urinary symptoms, gynecologic symptoms) 2.

  • Review the CT report specifically for: pericolonic lymph nodes >1 cm (which may suggest malignancy mimicking inflammatory disease), mesenteric pathology, gynecologic abnormalities, renal/ureteral pathology, and abdominal wall abnormalities 1, 3.

  • Confirm the CT was contrast-enhanced: Non-contrast CT can miss early diverticulitis, mesenteric ischemia, and subtle inflammatory processes 4, 1.

Exclude Extra-Abdominal Causes

  • Consider musculoskeletal/abdominal wall pain: Palpate for trigger points, assess for pain with Valsalva or straight-leg raise, and consider diagnostic nerve blocks if localized tenderness is present 1.

  • Rule out referred pain: Inferior myocardial infarction, pneumonia, and pulmonary embolism can present as upper abdominal pain, particularly in elderly patients 5.


Diagnostic Workup for Persistent Symptoms

Laboratory Re-assessment

  • C-reactive protein (CRP): A level >140 mg/L indicates significant inflammatory disease that may have been missed 1, 6.

  • Complete blood count: Assess for anemia (suggesting occult GI bleeding or malignancy) or persistent leukocytosis 7, 2.

  • Stool studies: If diarrhea or altered bowel habits are present, test for ova and parasites, Clostridioides difficile, and fecal calprotectin (elevated in inflammatory bowel disease) 3.

Advanced Imaging if Indicated

  • Repeat CT abdomen/pelvis with IV contrast: Only if new symptoms develop, significant time has passed, or the initial CT was non-contrast 3.

  • MRI abdomen/pelvis: Consider if CT was equivocal or if there is concern for gynecologic pathology (endometriosis, adenomyosis) or early inflammatory bowel disease 4, 3.

  • Ultrasound (transvaginal): First-line for premenopausal women when gynecologic pathology (ovarian cyst, endometriosis) is suspected 1.


Management of Chronic Post-Inflammatory Pain

If No Active Inflammation is Found

  • Treat visceral hypersensitivity: Low-to-moderate dose tricyclic antidepressants (e.g., amitriptyline 10–25 mg at bedtime, titrated to effect) are effective for chronic abdominal pain without inflammation 1, 6.

  • Reassure the patient: Explain that persistent pain after resolved inflammation is common and does not indicate ongoing disease or cancer 1.

  • Avoid unnecessary repeat imaging: Repeated CT scans increase radiation exposure and rarely change management in the absence of new symptoms 1.

Lifestyle and Dietary Modifications

  • High-fiber diet: ≥22 g/day from fruits, vegetables, whole grains, and legumes reduces recurrence risk if prior diverticulitis was present 1, 6.

  • Avoid NSAIDs and opioids: Both are associated with increased risk of diverticulitis and can worsen chronic pain 6.

  • Regular physical activity: Vigorous exercise decreases diverticulitis risk and may improve functional pain 1, 6.


Specialist Referrals

Gastroenterology Consultation

  • Indications: Persistent symptoms despite conservative measures, concern for inflammatory bowel disease (Crohn's disease can mimic diverticulitis), or need for repeat colonoscopy if >5 years since last exam 3.

  • Colonoscopy timing: If complicated diverticulitis was previously present (abscess, perforation), repeat colonoscopy 6–8 weeks after resolution is mandatory to exclude colorectal cancer (7.9% prevalence in complicated cases) 1, 6.

Pain Management or Psychiatry Consultation

  • Psychosocial evaluation: Psychological factors influence pain perception and treatment outcomes; consider referral if pain is refractory to medical management 1.

Red Flags Requiring Urgent Re-evaluation

  • New fever, severe pain (≥8/10), or inability to tolerate oral intake: Obtain repeat CT to assess for complications (abscess, perforation, obstruction) 1, 6.

  • Unintentional weight loss, iron-deficiency anemia, or rectal bleeding: Urgent colonoscopy to exclude malignancy 1, 3.

  • Signs of bowel obstruction: Vomiting, inability to pass gas/stool, severe distension—requires immediate surgical consultation 3.


Common Pitfalls to Avoid

  • Do not assume negative imaging rules out all pathology: CT cannot replace colonoscopy for mucosal lesions, and early inflammatory bowel disease may not be visible on CT 1.

  • Do not prescribe antibiotics without evidence of infection: CRP <140 mg/L, normal WBC, and negative CT make bacterial infection unlikely 1, 6.

  • Do not overlook gynecologic causes in women: Endometriosis, ovarian cysts, and pelvic inflammatory disease can present as chronic left-sided pain 1, 2.

  • Do not delay colonoscopy if age-appropriate screening is overdue: Colorectal cancer can present with chronic pain and normal labs 1, 3.

References

Guideline

Diagnostic Approach for Chronic Left-Sided Pain

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Research

Acute Abdominal Pain in Adults: Evaluation and Diagnosis.

American family physician, 2023

Guideline

Diagnostic Approach to CT-Confirmed Colitis

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

CT of acute abdomen in the elderly.

Insights into imaging, 2025

Guideline

Management of Diverticulitis

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Research

Laboratory Tests in the Patient with Abdominal Pain.

Emergency medicine clinics of North America, 2021

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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