Upper Left Abdominal Pain: Possible Causes and Concerns

Regarding pain in the upper left abdomen?

Hello Doctor: About three days ago, I seemed to have caught a cold, feeling extremely cold and shivering even with a slight breeze, but I did not have any other cold symptoms.
After about two days, the chills almost disappeared, but my stomach started to feel uncomfortable.
Based on the location of the pain, it seems to be in the stomach rather than the intestines, occurring in the upper part of the stomach near the cardia.
However, the pain is not localized to one spot; it feels like the entire upper part of the stomach is affected, with a dull ache that sometimes becomes quite sharp, accompanied by a slight urge to vomit, but I haven't actually vomited, nor do I have any burning sensation in the esophagus.
This condition lasted for about a day and a half, and then I started experiencing diarrhea, although there is no pain in the intestines.
The stools are almost entirely liquid, and I feel the urge to go almost all the time.
I usually do not drink alcohol, but I consumed a fair amount in the two days prior to the onset of chills.
Could this be related? Doctor, what could be the cause of these symptoms, and what condition might this indicate? Thank you for your attention!

Raul, 20~29 year old female. Ask Date: 2005/01/07

Dr. Chen Zhiping reply Gastroenterology and Hepatology

Hello, your symptoms resemble those of acute gastroenteritis, which may be related to your previous alcohol consumption or could be gastrointestinal symptoms associated with a cold.
If your condition gradually improves, you may monitor it for now.
However, if it does not improve, it is advisable to seek medical treatment or undergo necessary examinations.
Sincerely, Dr.
Chen Zhi-Ping, Internal Medicine.

Reply Date: 2005/01/07

More Info

Upper left abdominal pain can be concerning and may arise from various underlying conditions. Based on your description, it seems that your symptoms began after experiencing chills and discomfort, which could indicate a viral infection or gastroenteritis. The fact that you experienced a significant amount of alcohol consumption prior to the onset of your symptoms may also play a role in your current condition.

The pain you are feeling in the upper left abdomen, particularly near the gastroesophageal junction (the area where the esophagus meets the stomach), could be related to several potential issues. One possibility is gastritis, which is inflammation of the stomach lining. This condition can be triggered by excessive alcohol consumption, as alcohol can irritate the stomach lining and lead to symptoms such as pain, nausea, and vomiting. Additionally, gastritis can cause a feeling of fullness or pressure in the upper abdomen.

Another potential cause of your symptoms could be a peptic ulcer, which is a sore that develops on the lining of the stomach or the upper part of the small intestine. Ulcers can cause similar symptoms, including dull or burning pain in the abdomen, nausea, and changes in bowel habits. Stress and certain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can exacerbate ulcer symptoms.

The diarrhea you mentioned, characterized by liquid stools, could suggest a viral gastroenteritis, commonly known as a stomach virus. This condition often presents with abdominal cramps, nausea, vomiting, and diarrhea. It is usually self-limiting and resolves within a few days, but staying hydrated is crucial, especially if diarrhea persists.

Given the combination of upper abdominal pain, nausea, and diarrhea, it is essential to consider the possibility of a more serious condition, such as pancreatitis, particularly if you have a history of heavy alcohol use. Pancreatitis can cause severe abdominal pain that may radiate to the back, along with nausea and vomiting. However, you mentioned that your pain is not radiating to the back, which may make this less likely.

In any case, it is important to monitor your symptoms closely. If the pain worsens, if you develop a fever, or if you experience persistent vomiting or diarrhea, it is crucial to seek medical attention promptly. A healthcare professional may recommend diagnostic tests, such as blood tests, abdominal ultrasound, or endoscopy, to determine the exact cause of your symptoms.

In summary, your upper left abdominal pain could be due to gastritis, a peptic ulcer, or viral gastroenteritis, among other conditions. The recent alcohol consumption may have contributed to your symptoms. It is advisable to maintain hydration, avoid irritants such as alcohol and spicy foods, and consult a healthcare provider for a thorough evaluation and appropriate management. Early intervention can help prevent complications and ensure a quicker recovery.

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