I feel a tight and uncomfortable sensation in my upper left abdomen?
Hello, doctor.
I sincerely hope you can help me with this question.
About three weeks ago, after I got up, I have been feeling a tightness and a sensation of something being stuck in my left abdomen.
However, no matter how much I press on it, it doesn't hurt.
Could this be related to splenomegaly? I recently traveled abroad and experienced a lot of stress, which seemed to trigger a period of autonomic nervous system dysfunction.
During that time, I experienced several strange symptoms, such as dizziness, eye strain, and palpitations.
I felt better for a while, but now these symptoms have returned, and this time I also have the sensation of something being stuck and tightness in my left side.
Is it possible that this is again caused by autonomic nervous system dysfunction, or could it be an internal organ issue? I hope you can provide some answers.
Thank you.
Xiao Ai, 10~19 year old female. Ask Date: 2018/04/06
Dr. Ke Fangxu reply Surgery
In the case of a 17-year-old experiencing left-sided abdominal pain, it is most often caused by constipation.
At this age, only specific autoimmune diseases or hematologic malignancies would lead to splenomegaly.
If there is a history of such conditions, it is advisable to return to the original treating physician for follow-up.
If not, the discomfort could be due to irritable bowel syndrome or difficulties with bowel movements.
It is recommended to start with a light diet and maintain a good daily routine, avoiding spicy, irritating, and greasy foods.
Increasing dietary fiber intake can also be beneficial.
If symptoms persist without improvement, it is best to consult a physician for further evaluation.
As for autonomic nervous system disorders, it is not within my area of expertise, so I suggest seeking advice from a specialist.
Reply Date: 2018/04/06
More Info
Left upper abdominal discomfort can be concerning, especially when accompanied by feelings of tightness or a sensation of an "object" in the area. Your description suggests a few potential causes that could be related to both gastrointestinal and psychosomatic factors.
Firstly, the left upper abdomen houses several important organs, including the stomach, spleen, and parts of the pancreas and colon. A feeling of tightness or discomfort could be related to gastrointestinal issues such as gastritis, gastric ulcers, or even splenic enlargement (splenomegaly). Stress and anxiety can exacerbate these conditions, leading to symptoms like abdominal discomfort. Given your recent experiences with stress and autonomic nervous system dysregulation, it’s plausible that your symptoms could be psychosomatic in nature. Stress can manifest physically, leading to muscle tension and discomfort in various parts of the body, including the abdomen.
The sensation of tightness or pressure might also be linked to functional gastrointestinal disorders, such as irritable bowel syndrome (IBS), which can cause bloating and discomfort without any structural abnormalities. In some cases, the autonomic nervous system can influence gut motility and sensitivity, leading to symptoms that mimic organic disease.
Moreover, if you have experienced episodes of dizziness, palpitations, and eye strain, these could be signs of anxiety or panic attacks, which can also lead to physical symptoms in the abdomen. The mind-body connection is powerful, and stress can lead to a variety of gastrointestinal symptoms, including discomfort in the left upper abdomen.
It is also important to consider the possibility of more serious conditions, such as splenic issues or pancreatic disorders, especially if the discomfort persists or worsens. An enlarged spleen can cause a sensation of fullness or pressure in the left upper abdomen, and pancreatic conditions can lead to referred pain in that area.
To address your concerns, I recommend the following steps:
1. Consult a Healthcare Professional: Given the duration and nature of your symptoms, it is essential to consult a healthcare provider for a thorough evaluation. They may recommend imaging studies, such as an ultrasound or CT scan, to assess the spleen and other abdominal organs.
2. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur, their intensity, and any associated factors (like stress levels, diet, or physical activity). This information can be valuable for your healthcare provider.
3. Stress Management: Since you mentioned experiencing stress and autonomic nervous system dysregulation, consider incorporating stress management techniques into your routine. Practices such as mindfulness, yoga, or cognitive-behavioral therapy can help alleviate anxiety and its physical manifestations.
4. Dietary Considerations: Pay attention to your diet, as certain foods can exacerbate gastrointestinal discomfort. A balanced diet rich in fiber, along with adequate hydration, can help maintain digestive health.
5. Follow-Up: If your symptoms persist despite initial evaluations and lifestyle changes, follow up with your healthcare provider. They may consider further testing or referrals to specialists, such as a gastroenterologist or a psychologist, to address both the physical and psychological aspects of your discomfort.
In summary, while your symptoms could be related to stress and anxiety, it is crucial to rule out any underlying medical conditions. A comprehensive approach that includes medical evaluation, lifestyle modifications, and stress management can help you find relief and improve your overall well-being.
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