Pain in the lower left abdomen near the groin

Pain that changes with walking, hip rotation, sitting, coughing, or lifting can involve the hip or abdominal wall. Hip impingement may cause a deep ache with bending. A hip labral tear can be associated with catching or clicking. Hip osteoarthritis may cause stiffness and discomfort during weight-bearing. A strained abdominal or inner-thigh muscle may follow exercise and hurt when bracing or bringing the legs together.

Lower-left abdominal pain can also occur with bowel, urinary, or reproductive problems. Tell a clinician about constipation or diarrhoea, nausea, urinary burning, blood in urine or stool, menstrual changes, vaginal bleeding, or possible pregnancy. These details help separate a movement-related problem from a condition needing medical evaluation.

Until the cause is clearer, avoid heavy lifting and movements that reproduce the pain. Sip fluids if you can, eat lightly if nausea is present, and keep a record of meals, bowel movements, urination, menstrual timing, and activity. Do not press repeatedly on a tender area. If the pain is mild and clearly follows exercise, relative rest and gentle movement may be reasonable, but symptoms that do not settle should be assessed. A clinician may check the abdomen, hip, back, and groin before deciding on tests or physiotherapy.

Seek urgent care for severe or worsening pain, fainting, confusion, a hard or very tender abdomen, persistent vomiting, fever with marked illness, blood in stool or urine, inability to pass stool or gas, or heavy vaginal bleeding. Seek urgent assessment for pain during pregnancy or possible pregnancy, especially with dizziness or bleeding. Prompt review is also needed after injury when walking is difficult. Book an appointment for recurring pain, a groin bulge, or symptoms lasting beyond a short period.

Does movement reproduce the pain, or do the abdominal and pelvic symptoms suggest another source? What examination or tests are appropriate? Which activities can I continue safely? If the hip is involved, would Sports Physiotherapy be suitable?