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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Pain In My Upper Left Side?

I frequently get pain on my upper left side similiar to pleurisy, which I had about 30 yrs ago, oddly enough this seems to happen when I over work my self or, belive it or not it or not, when I over eat. I am not over weight I weigh 112 and am a 5fi1in female. I am on meds for high blood p. and cholesterol. Which is under control. Thank you.
Mon, 23 Feb 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Read your history and understood your problem.

You have a problem for over 30 years, you say.
Pain in the left upper side of the abdomen, like Pleurisy, increases on overwork and over eating.

The probable causes are:
Looks to be affection of the inter-costal nerves which gets exited on the factors you mentioned.

The overwork can exhaust the muscles of the lower chest and / or upper abdomen causing stretching of any of the inter-costal nerve causing this typical pains.
Full stomach acts in the same way.

I would advise you to consult a General Surgeon, discuss about this issue as I mentioned.
He may have a clinical examination and may ask you to over-eat and see what the problem like.

If required CT scan of the upper abdomen and lower chest may find some abnormality of the ribs.

Local injections for inter-costal nerve block can be tried as a diagnostic and therapeutic test.

Ct will help to prove or to rule out other causes.
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What Is The Pain In My Upper Left Side?

Hi. Thanks for your query. Read your history and understood your problem. You have a problem for over 30 years, you say. Pain in the left upper side of the abdomen, like Pleurisy, increases on overwork and over eating. The probable causes are: Looks to be affection of the inter-costal nerves which gets exited on the factors you mentioned. The overwork can exhaust the muscles of the lower chest and / or upper abdomen causing stretching of any of the inter-costal nerve causing this typical pains. Full stomach acts in the same way. I would advise you to consult a General Surgeon, discuss about this issue as I mentioned. He may have a clinical examination and may ask you to over-eat and see what the problem like. If required CT scan of the upper abdomen and lower chest may find some abnormality of the ribs. Local injections for inter-costal nerve block can be tried as a diagnostic and therapeutic test. Ct will help to prove or to rule out other causes.