Yes

Left lower abdominal distension often times is the result of constipation. The fecal material backs up into the ascending colon causing distension. I the absence of constipation, there could be diverticuli, a weakening in the colon wall causing a "pouch to form.

yes

It absolutely DOES cause bloating and abdominal distension .

severe abdominal pain and cramping nausea and vomiting abdominal distension (swelling) constipation and the inability to pass gas symptoms of dehydration.