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What Causes Left-sided Abdominal Pain?
Posted on
Wed, 9 Dec 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Wed, 9 Dec 2015
Answered on
Mon, 4 Jan 2016
Last reviewed on
Question : I am suffering from left side abdomen pain from last 18 months.I have taken endoscopy and ultrasound and blood work twice from Asian Institute, all reports are normal and said gstrisities prescribed somaprazole for one month relief for some days but again pain came back. I went to different doctor, he prescribed rifagut,alciloc 150 and enbios. same repeat relief for some days and again problem started. can you please suggest.
Brief Answer:
Please give detailed history.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history and the reports.
All the reports you have posted are normal except for hepatic steatosis that is fatty infiltration with focal sparing and this can not be the reason for your pain in the left side of the abdomen.
You got relief with medications but the pain came back again.
Please give me additional details so that we can discuss further:
- Please tell me the exact location of the pain. Left upper or middle or lower abdomen?
- How is the stool/motion? color, consistency, mucus (stickiness), black anytime, how many times you have to go?
- Any stool tests done?
- What is the type of pain? Twisting, burning, dull and continuous?
- What are the factors that increase the pain?
- What are the factors that reduce the pain other than the medicines you mentioned?
- Any other information you would like to share.
- What is the level of stress and/or anxiety, tensions?
Please give the details in full so that we can discuss further.
A good detailed history gives 90% of diagnosis.
Please give detailed history.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history and the reports.
All the reports you have posted are normal except for hepatic steatosis that is fatty infiltration with focal sparing and this can not be the reason for your pain in the left side of the abdomen.
You got relief with medications but the pain came back again.
Please give me additional details so that we can discuss further:
- Please tell me the exact location of the pain. Left upper or middle or lower abdomen?
- How is the stool/motion? color, consistency, mucus (stickiness), black anytime, how many times you have to go?
- Any stool tests done?
- What is the type of pain? Twisting, burning, dull and continuous?
- What are the factors that increase the pain?
- What are the factors that reduce the pain other than the medicines you mentioned?
- Any other information you would like to share.
- What is the level of stress and/or anxiety, tensions?
Please give the details in full so that we can discuss further.
A good detailed history gives 90% of diagnosis.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Please tell me the exact location of the pain. Left upper or middle or lower abdomen? Left upper to middle
- How is the stool/motion? color, consistency, mucus (stickiness), black anytime, how many times you have to go? stool is soft with normal color and never black and daily 1-3 times.
- Any stool tests done? no
- What is the type of pain? Twisting, burning, dull and continuous? dull and continuous
- What are the factors that increase the pain? spicy food and heavy meals and alcohol. am a occational drinker will drink 3 months once like only beer.
- What are the factors that reduce the pain other than the medicines you mentioned? after stool pass releif and after eating sometimes relief
- Any other information you would like to share?
- What is the level of stress and/or anxiety, tensions? am tense person easily take tension. I have full stress.easy things also takes more tension.
- How is the stool/motion? color, consistency, mucus (stickiness), black anytime, how many times you have to go? stool is soft with normal color and never black and daily 1-3 times.
- Any stool tests done? no
- What is the type of pain? Twisting, burning, dull and continuous? dull and continuous
- What are the factors that increase the pain? spicy food and heavy meals and alcohol. am a occational drinker will drink 3 months once like only beer.
- What are the factors that reduce the pain other than the medicines you mentioned? after stool pass releif and after eating sometimes relief
- Any other information you would like to share?
- What is the level of stress and/or anxiety, tensions? am tense person easily take tension. I have full stress.easy things also takes more tension.
Brief Answer:
Colitis with gastritis
Detailed Answer:
Sincere thanks for most proper feedback, which is self-explanatory.
To compile:
Pain: left upper to middle - dull continuous
Motion: 1 to 3 times
Increasing factors: spicy foods, heavy meals, beer
Reducing factor: after passing stool and sometimes eating
Tense person: full stress, easy things too make tensions
All this history along with the normal report of upper GI endoscopy in past indicates that you may be suffering with gastritis and more importantly colitis (inflammation of large bowel) and in your case is descending colon.
I would advise you the following:
Stool examination for three consecutive days.
Colonoscopy.
These two tests might help us to get a proper diagnosis and a plan for the treatment. This may be in the form of a 5 day course of an antibiotic, Metronidazole and antispasmodic medicines.
CT scan of the abdomen is done only if indicated.
Continue Aciloc and enbios.
If all the tests turn out to be normal then , this can be taken as a case of IBS (irritable bowel syndrome) and the presence of tensions and stress if the most contributory factors.
Control of the stress and/or anxiety is the most important part. If you can change your lifestyle to suit to your calm and quiet life, there will be a tremendous positive change. Your requirement for medicines may not be there and if at all, will be minimal.
I hope this answer helps you to get an appropriate diagnosis and proper treatment
Colitis with gastritis
Detailed Answer:
Sincere thanks for most proper feedback, which is self-explanatory.
To compile:
Pain: left upper to middle - dull continuous
Motion: 1 to 3 times
Increasing factors: spicy foods, heavy meals, beer
Reducing factor: after passing stool and sometimes eating
Tense person: full stress, easy things too make tensions
All this history along with the normal report of upper GI endoscopy in past indicates that you may be suffering with gastritis and more importantly colitis (inflammation of large bowel) and in your case is descending colon.
I would advise you the following:
Stool examination for three consecutive days.
Colonoscopy.
These two tests might help us to get a proper diagnosis and a plan for the treatment. This may be in the form of a 5 day course of an antibiotic, Metronidazole and antispasmodic medicines.
CT scan of the abdomen is done only if indicated.
Continue Aciloc and enbios.
If all the tests turn out to be normal then , this can be taken as a case of IBS (irritable bowel syndrome) and the presence of tensions and stress if the most contributory factors.
Control of the stress and/or anxiety is the most important part. If you can change your lifestyle to suit to your calm and quiet life, there will be a tremendous positive change. Your requirement for medicines may not be there and if at all, will be minimal.
I hope this answer helps you to get an appropriate diagnosis and proper treatment
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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