Left Abdominal Pain: When to Seek Medical Help - Gastroenterology and Hepatology

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Understanding left abdominal pain can be quite complex, especially when it has persisted over time and has been associated with various symptoms. Based on your description, it seems you have already undergone a thorough evaluation, including ultrasounds, X-rays, and endoscopy, which have ruled out significant issues. However, you are still experiencing discomfort, particularly during meals, which raises concerns about the underlying cause.

Left abdominal pain can arise from various sources, including gastrointestinal, renal, or even musculoskeletal issues. Given your history of gastrointestinal symptoms, it is essential to consider the digestive system as a primary source of your discomfort. The fact that you experienced relief from bloating after medication suggests that some of your symptoms may be related to digestive issues, such as gastritis or functional dyspepsia.

The specific pain you describe, located about 2-3 centimeters to the left of your navel, could be related to several conditions. One possibility is that it could be due to irritable bowel syndrome (IBS), which is characterized by abdominal pain and changes in bowel habits. IBS can cause cramping and discomfort, particularly after eating, and is often associated with bloating and gas. Another potential cause could be diverticulitis, which occurs when small pouches in the colon become inflamed. However, this is less likely given your previous evaluations.

Additionally, since you mentioned a history of kidney stones, it is important to consider renal issues as well. Pain from kidney stones can sometimes present as abdominal pain, particularly if the stone is located in the ureter. However, since you have had imaging studies that did not indicate any current stones, this may be less of a concern at this time.

The sensation of cramping or "pulling" pain, especially if it is accompanied by tenderness upon palpation, could also suggest a muscular or skeletal issue. Sometimes, muscle strain or tension in the abdominal wall can mimic internal organ pain. This is particularly relevant if you have been engaging in activities that may have strained your abdominal muscles.

Given your ongoing symptoms, it would be advisable to follow up with a gastroenterologist, as they can provide further evaluation of your gastrointestinal tract. They may consider additional tests, such as a CT scan or a colonoscopy, if deemed necessary, to rule out any underlying conditions that may not have been identified in previous evaluations.

In summary, while your previous tests have not indicated any significant issues, the persistence of your symptoms warrants further investigation. A gastroenterologist would be best suited to assess your symptoms in the context of your digestive health. They can help determine whether your pain is related to gastrointestinal issues, muscular problems, or potentially renal concerns. It is essential to communicate all your symptoms clearly during your appointment, including the nature of the pain, its triggers, and any associated symptoms, to facilitate an accurate diagnosis and appropriate management plan.