Numbness and a constricting sensation in the upper left abdomen?
Hello, I have been experiencing a tingling sensation and a constricting feeling in my upper left abdomen recently.
I consulted a doctor and underwent an abdominal ultrasound and an endoscopy.
The abdominal ultrasound results were normal, but the endoscopy showed signs of gastritis and gastroesophageal reflux disease (GERD).
These symptoms have persisted for 2-3 weeks.
Could these symptoms be caused by my stomach issues? Are there any additional tests I should consider?
Shu, 30~39 year old female. Ask Date: 2021/09/25
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: A 33-year-old male presents with left upper abdominal pain, symptoms lasting for 2-3 weeks.
Endoscopy reveals gastritis and gastroesophageal reflux disease (GERD).
The pain may be attributed to gastritis.
In addition to pharmacological treatment, it is advised to pay attention to dietary habits by avoiding irritating foods and not eating too quickly.
If there is no improvement, further investigation should be conducted to rule out other causes, with appropriate follow-up and examinations including blood tests, stool tests, urinalysis, and imaging studies.
Wishing you good health!
Reply Date: 2021/09/25
More Info
The symptoms you are experiencing in your left upper abdomen, characterized by tingling and a sensation of contraction, can indeed be related to gastric issues, especially given your recent diagnosis of gastritis and gastroesophageal reflux disease (GERD). The left upper quadrant of the abdomen houses several important organs, including the stomach, spleen, and parts of the pancreas and colon. Therefore, discomfort in this area can arise from various sources.
Gastritis, which is inflammation of the stomach lining, can lead to a variety of symptoms including abdominal pain, nausea, and a feeling of fullness or bloating. The tingling sensation you describe may be a result of nerve irritation or inflammation in the gastric area, which can occur with gastritis. Additionally, GERD can cause symptoms such as heartburn, regurgitation, and discomfort in the upper abdomen, particularly after eating or when lying down. The reflux of stomach acid can irritate the esophagus and may also contribute to sensations of discomfort or tingling in the upper abdomen.
Given that your abdominal ultrasound was normal, it is reassuring that there are no structural abnormalities detected in your abdominal organs. However, if your symptoms persist or worsen, further evaluation may be warranted. Here are some considerations and potential next steps:
1. Dietary Modifications: Since you have GERD, it may be beneficial to avoid certain foods that can exacerbate your symptoms, such as spicy foods, caffeine, alcohol, and high-fat meals. Eating smaller, more frequent meals can also help reduce the burden on your stomach.
2. Medication Review: Ensure that you are following the treatment plan prescribed by your healthcare provider. Medications such as proton pump inhibitors (PPIs) or H2 blockers can help reduce stomach acid and alleviate symptoms associated with gastritis and GERD.
3. Further Testing: If your symptoms do not improve with dietary changes and medication, your physician may recommend additional tests. This could include a CT scan of the abdomen to evaluate for any other potential issues that may not have been visible on ultrasound or endoscopy.
4. Monitoring Symptoms: Keep a detailed diary of your symptoms, noting when they occur, their intensity, and any associated factors (such as food intake or stress levels). This information can be valuable for your healthcare provider in determining the best course of action.
5. Consultation with a Specialist: If your symptoms remain unresolved, consider seeking a referral to a gastroenterologist for further evaluation. They may recommend additional diagnostic procedures or treatments tailored to your specific condition.
In conclusion, while your symptoms may be related to gastric issues such as gastritis and GERD, it is essential to continue monitoring your condition and communicate with your healthcare provider. Persistent symptoms warrant further investigation to rule out other potential causes and to ensure appropriate management. Remember, early intervention can often lead to better outcomes, so do not hesitate to seek further medical advice if needed.
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