Abdominal Pain: Causes and Solutions for Discomfort - Gastroenterology and Hepatology

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Abdominal pain?


Hello doctor, I have been experiencing abdominal pain for about two years now, specifically in the area just below the left rib cage, aligned with the lowest part of the central rib cage.
Initially, the pain would occur after overeating, but now it happens every time I eat, regardless of the amount, and lasts for about an hour.
Sometimes, certain movements also trigger sharp pain.
I have seen a doctor who diagnosed me with muscle inflammation and prescribed medication, but there has been no improvement.
My meal times are occasionally irregular, I smoke but do not drink alcohol or chew betel nut, and my weight is 72 kg.
I would appreciate your assistance, thank you.

Ba Du Tong, 20~29 year old female. Ask Date: 2005/03/16

Dr. Chen Zhiping reply Gastroenterology and Hepatology


Hello, under normal circumstances, this area contains the stomach and intestines.
If you continue to experience pain and have ruled out abdominal muscle pain, overexertion, or sports injuries, it is recommended that you visit a hospital for an abdominal ultrasound and gastroscopy to determine the cause.
Sincerely, Dr.
Chen Zhi-Ping, Internal Medicine.

Reply Date: 2005/03/16

More Info


Understanding abdominal pain can be quite complex, as it can stem from a variety of causes, ranging from gastrointestinal issues to musculoskeletal problems. Based on your description, it seems that you have been experiencing persistent pain in the left upper quadrant of your abdomen, particularly after eating, which has not improved with medication prescribed for muscle inflammation.
There are several potential causes for your symptoms. One common issue could be related to the gastrointestinal system. Conditions such as gastritis, peptic ulcers, or even gallbladder disease can cause pain in the upper abdomen, especially after eating. Gastritis, for instance, is an inflammation of the stomach lining that can lead to discomfort after meals, particularly if you consume spicy or fatty foods. Peptic ulcers, which are sores on the stomach lining or the upper part of the small intestine, can also cause significant pain, often described as a burning sensation, and may be aggravated by eating.

Another possibility is that you might be experiencing symptoms related to the pancreas, such as pancreatitis, which can cause severe abdominal pain that may radiate to the back. This condition is often associated with eating, particularly fatty meals. Additionally, if you have a history of gallstones, these can also lead to pain after eating, especially if the meal is high in fat.

Muscle inflammation, as suggested by your doctor, could also be a contributing factor, particularly if you have engaged in activities that strain the abdominal muscles. However, given that the pain persists despite treatment, it may be worthwhile to explore other underlying causes further.

Your irregular eating habits could also play a role in your symptoms. Skipping meals or eating at inconsistent times can lead to increased stomach acid production, which may exacerbate any underlying gastritis or ulcer issues. Smoking is another factor that can contribute to gastrointestinal discomfort, as it can increase acid production and impair the healing of the stomach lining.

Given the complexity of abdominal pain, it is crucial to consider a comprehensive approach to diagnosis and treatment. If your symptoms persist, I recommend seeking a gastroenterologist's opinion for further evaluation. They may suggest additional diagnostic tests, such as an upper endoscopy, abdominal ultrasound, or CT scan, to rule out any serious conditions.

In the meantime, consider making some lifestyle changes that may help alleviate your symptoms. Eating smaller, more frequent meals rather than large ones can reduce the burden on your digestive system. Avoiding trigger foods, such as spicy, fatty, or acidic foods, may also be beneficial. Additionally, managing stress through relaxation techniques or therapy could help, as stress can exacerbate gastrointestinal symptoms.

In conclusion, while muscle inflammation could be a factor in your abdominal pain, it is essential to explore other potential gastrointestinal causes, especially given the persistence of your symptoms. A thorough evaluation by a specialist will help ensure that any underlying conditions are identified and appropriately managed. Remember, your health is paramount, and seeking further medical advice is a proactive step towards finding relief.

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