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

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Understanding abdominal pain can be quite complex, as it can stem from a variety of causes, ranging from benign to serious conditions. In your case, the pain you described occurring in the upper left abdomen, particularly when you are in a prone position, could be attributed to several factors.

Firstly, the area you mentioned encompasses several important organs, including parts of the stomach, spleen, pancreas, and the left kidney. Pain in this region can arise from issues related to these organs. For instance, gastritis or gastric ulcers can cause discomfort that may be felt in the upper abdomen, particularly after certain positions or movements. Similarly, splenic issues, such as splenomegaly (enlargement of the spleen) or splenic infarction, could also manifest as pain in the left upper quadrant.

Muscle strain is another common cause of localized pain, especially if you have been in a position that puts stress on your abdominal muscles. If you were lying down for an extended period while watching videos, it is possible that you may have inadvertently strained a muscle, leading to transient pain. This type of pain often resolves quickly with movement or changing positions, as you experienced.

Additionally, gastrointestinal issues such as gas or bloating can lead to discomfort that may be felt in various parts of the abdomen. If you have been consuming foods that are known to cause gas or if you have been under stress, this could also contribute to the sensations you are experiencing.
Given that you mentioned the pain is sometimes felt on the right side as well, it is important to consider that conditions such as appendicitis or gallbladder issues could also present with pain that shifts or varies in intensity. However, these conditions typically come with additional symptoms such as fever, nausea, or changes in bowel habits.

You mentioned that you have seen a gastroenterologist who recommended taking gastric medication. This is a reasonable first step, especially if the pain is suspected to be related to gastric issues. If the pain persists or worsens, or if you develop additional symptoms such as significant abdominal tenderness, fever, or changes in appetite, it would be prudent to seek further evaluation.
In terms of when to seek help, it is advisable to consult a healthcare provider if:
1. The pain is severe or persistent.

2. You experience additional symptoms such as fever, vomiting, or changes in bowel habits.

3. The pain is accompanied by swelling or tenderness in the abdomen.

4. You have a history of gastrointestinal issues or other relevant medical conditions.

In conclusion, while the pain you are experiencing may be benign and related to muscle strain or gastrointestinal discomfort, it is essential to monitor your symptoms closely. If there is no improvement with conservative measures or if new symptoms arise, further investigation may be warranted to rule out any serious underlying conditions. Always trust your instincts about your health and do not hesitate to seek medical advice when in doubt.