Left Upper Abdominal Pain: Causes and When to Seek Help - Internal Medicine

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Understanding left upper abdominal pain can be quite complex, as it can stem from a variety of causes, ranging from benign to more serious conditions. Given your description of the pain being mild and persistent for over a week, it is essential to consider several potential factors that could be contributing to your discomfort.


Possible Causes of Left Upper Abdominal Pain
1. Gastrointestinal Issues: Since you have a history of gastrointestinal problems, conditions such as gastritis, peptic ulcers, or even gastroesophageal reflux disease (GERD) could be at play. These conditions can lead to discomfort in the upper abdomen, especially after eating or when under stress.

2. Splenic Issues: The spleen is located in the left upper quadrant of the abdomen. Conditions affecting the spleen, such as splenomegaly (enlarged spleen) or splenic infarction, can cause pain in this area.
3. Pancreatic Problems: The pancreas is situated behind the stomach and can cause referred pain to the left upper abdomen if inflamed (pancreatitis) or affected by other conditions.

4. Musculoskeletal Pain: Sometimes, pain in the left upper abdomen can be due to muscle strain or rib issues, especially if there has been any recent physical activity or trauma.

5. Cardiac Issues: Although less common, it’s important to note that heart-related issues can sometimes present as pain in the upper abdomen, particularly in individuals with risk factors for heart disease.

6. Kidney Problems: The left kidney is located towards the back of the abdomen, and conditions such as kidney stones or infections can cause pain that may be felt in the upper abdomen.


When to Seek Medical Help
Given that your pain has persisted for over a week, it is advisable to seek medical attention. While the pain is not severe, persistent abdominal discomfort warrants further evaluation to rule out any underlying conditions. Here are some signs that indicate you should seek immediate medical care:
- Severe Pain: If the pain escalates or becomes unbearable.

- Accompanying Symptoms: If you experience symptoms such as fever, vomiting, changes in bowel habits, or unexplained weight loss.

- Changes in Pain Character: If the nature of the pain changes, such as becoming sharp or radiating to other areas.


Diagnostic Tests
In terms of diagnostic tests, both an abdominal ultrasound and an upper gastrointestinal endoscopy (gastroscopy) can be useful. An ultrasound can help visualize the organs in the abdomen, including the liver, spleen, and kidneys, to check for any abnormalities. A gastroscopy can provide a direct view of the upper gastrointestinal tract and help diagnose conditions like gastritis or ulcers.


Conclusion
In summary, while your left upper abdominal pain may not be severe, its persistence and your history of gastrointestinal issues suggest that it would be prudent to consult a healthcare professional. They can perform a thorough evaluation, which may include physical examinations and imaging studies, to determine the underlying cause of your discomfort. Early diagnosis and treatment can help prevent potential complications and improve your overall health.