Suggest Treatment For Smooth Muscle Spasm In Upper Left And Middle Abdomen

Posted on Thu, 31 Mar 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 31 Mar 2016 Answered on

Thu, 2 Jun 2016 Last reviewed on

Question : I have fatty liver I had elevated alt and ast and a sonogram. Everything was normal on sonogram.
I get a pulling sensation in the upper left and middle abdomen comes and goes

Answered by Dr. Prof. Kunal Saha (3 hours later)

Brief Answer:
Seems to be due to smooth muscle spasm.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through your query and understand your concerns. It seems that the pulling sensation that you feel is actually due to smooth muslce contraction. Our intestines and other visceral organs are lined with smooth muscles which may contract giving rise to colic or spasmodic sensation. It is not a cause for concern but if it seems intense enough you may discuss with your doctor about taking drotaverine or dicyclomine. I hope that will help.

It is very important to take plenty of dietary fibers daily and to back it up with regular morning walk and exercise. This would ensure smooth bowel movements and should decrease your problems.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (13 hours later)

Sometimes it's like a stab or movement. Can it be something serious that I am overlooking. Is affected sometimes after eating years ago had something similar had an endoscope snd it was gastritis. Started taking ubiquinol can that cause anything?

My follow up is above waiting for an answer

Answered by Dr. Prof. Kunal Saha (9 hours later)

Brief Answer:
Could be due to gastritis

Detailed Answer:
Thanks for writing back.

It was late night here when you asked the follow up questions and I am answering it early in the morning. Pardon me for the inadvertent delay.

Coming back to your query. Gastritis or gastroesophageal reflux is a very likely cause of the stabbing pain that you mentioned. However, it is really hard to comment precisely about the problem without a thorough clinical examination. Going by the description, gastritis is indeed the most likely possibility.

Take omeprazole once daily before breakfast. Avoid long gaps between meals. Avoid spicy food. Take small but frequent meals. I hope that would help.

Ubiquitol would not cause such a problem but it would not help either. I do not see any specific signifance of taking it.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar