Awoke 4am by pain left abdomen @hip bone v. sharp when touched;like muscle strain when untouched. constipatd. had it 2x before over afew yrs. sudden onset, days to resolve. saw doc prior: no action/dx?

Constipation: The obvious answer is constipation, but bowel obstruction &an acute process cannot be excluded. You should see your pcp &arrange for a screening colonoscopy after this acute episode subsides. Without fever, it is unlikely to be diverticulitis, but that must be considered. Try a rectal suppository and increase your fluid intake, 2x your usual &get seen this week!

Hip pain: sharp abdominal pain is separate from hip bone pain. The later is associated with ligamentous problems and can be defined by pressure over the point representing area of possible inflammation. Abdominal pain can be gas pain or diverticular disease. If point tenderness located over hip region this can be relieved with xylocaine + kenalog (triamcinolone) injection.