Left Abdominal Discomfort: Possible Causes and Insights

A sensation similar to gastric ptosis in the left abdominal area?

Since experiencing acute gastroenteritis 5.6 years ago, I have developed a tendency to have bloating and regurgitation.
Recently, over the past two to three months, I have started to pay more attention to my stomach.
Firstly, I occasionally feel a sensation similar to gastric ptosis in my left abdomen, sometimes in the upper left abdomen and sometimes in the lower left abdomen.
However, this usually does not occur when I am full, but rather after some time has passed since eating.
It’s not exactly a painful feeling, but I can tell that something feels different than before.
Secondly, when I lie flat at night, I also experience a slight sensation, and I tend to be particularly aware of whether my xiphoid process is protruding, which feels a bit uncomfortable.
I would like to ask the doctor what this situation might be.

Niming, 20~29 year old female. Ask Date: 2017/12/26

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, Miss.
Please do not worry too much about these symptoms.
You can eat small meals more frequently and observe your condition.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2017/12/26

More Info

Understanding left abdominal discomfort can be quite complex, especially considering the variety of potential causes and the subjective nature of pain. Based on your description, it seems that you have been experiencing discomfort in your left abdomen, which has evolved over the past few months. This discomfort is not characterized by acute pain but rather a sensation of fullness or pressure, particularly after eating or when lying down.
Given your history of acute gastroenteritis five to six years ago, it is possible that your digestive system has undergone some changes. Conditions such as functional dyspepsia, which can manifest as bloating, belching, and discomfort, may be contributing to your symptoms. The sensation of "stomach sagging" could be related to changes in gastric motility or even the positioning of your stomach and surrounding organs.
The left upper abdomen is home to several important structures, including the stomach, spleen, and parts of the colon. Discomfort in this area can arise from various gastrointestinal issues, such as gastritis, peptic ulcers, or even issues related to the spleen. Additionally, the left lower abdomen could indicate potential issues with the descending colon or sigmoid colon, which may include diverticulitis or irritable bowel syndrome (IBS).

Your mention of experiencing discomfort while lying flat at night could suggest that your symptoms are exacerbated by certain positions, which is not uncommon in individuals with gastrointestinal issues. When lying down, the pressure on the abdomen can change, potentially leading to increased discomfort, especially if there is any underlying reflux or motility issue.

It is also important to consider lifestyle factors that may contribute to your symptoms. Stress, dietary habits, and sleep patterns can all play significant roles in gastrointestinal health. If you have been experiencing increased stress, particularly related to studying or other life events, this could exacerbate symptoms of anxiety or functional gastrointestinal disorders.

Given the complexity of your symptoms and their persistence, it would be prudent to consult with a healthcare professional, preferably a gastroenterologist. They may recommend further diagnostic tests, such as an upper endoscopy (esophagogastroduodenoscopy) to evaluate the upper gastrointestinal tract, or imaging studies to assess the abdominal organs. Additionally, a thorough evaluation of your dietary habits and lifestyle may provide insights into potential triggers for your symptoms.

In the meantime, consider keeping a symptom diary to track when your discomfort occurs, what you eat, and any other associated factors. This information can be invaluable for your healthcare provider in determining the underlying cause of your symptoms and developing an appropriate treatment plan.

In summary, while your symptoms may not indicate a severe underlying condition, they warrant further investigation to ensure that any potential issues are addressed. Lifestyle modifications, dietary adjustments, and stress management techniques may also be beneficial in alleviating your discomfort. Remember, early intervention can often lead to better outcomes, so seeking medical advice sooner rather than later is advisable.

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