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.
Similar Q&A
Understanding Abdominal Discomfort: Possible Causes and Solutions
About two weeks ago (on June 24), I experienced a dull pain in my left abdomen that lasted for approximately 20 minutes and then subsided. However, after this symptom resolved, I began to feel tightness in my lower back on both sides, with the left side being more pronounced. The...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: You have abdominal pain, pain on both sides of the lower back, occasional diarrhea with changes in stool color. X-rays show no bowel obstruction, and urinalysis is normal. Differential diagnoses for the right lower abdominal pain include gastroenteritis, colitis, appendici...[Read More] Understanding Abdominal Discomfort: Possible Causes and Solutions
Understanding Chronic Abdominal Pain: Possible Causes and Next Steps
Hello, doctor. For the past six months, I have frequently experienced abdominal bloating and pain accompanied by cold sweats, nausea, dizziness, and a feeling of wanting to vomit. The pain is not localized and can be felt from below the ribs to below the navel, often with a sensa...
Dr. Chen Shidian reply Gastroenterology and Hepatology
Please discuss with a gastroenterologist and implement dietary control along with moderate exercise to reduce stress. An ultrasound examination may also be considered.[Read More] Understanding Chronic Abdominal Pain: Possible Causes and Next Steps
Understanding Abdominal Pain: Causes and Concerns in Gastroenterology
Doctor, I have several concerns. I am experiencing intermittent pain in my left side of the abdomen, as well as pain in the upper abdomen. There is also discomfort around my navel and in the lower abdomen, which I can't quite determine if it's soreness or pain. These sy...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If all the pain in various locations is due to a single cause, it may be related to issues with the small intestine or large intestine. It could also be a combination of discomfort from several organs. It is advisable to consult a gastroenterologist for a proper diagnosis....[Read More] Understanding Abdominal Pain: Causes and Concerns in Gastroenterology
Understanding Persistent Abdominal Discomfort: Possible Causes and Solutions
Hello, doctor. For the past 4 to 5 weeks, I have been experiencing a dull pain around my abdomen (specifically around the navel, without favoring any particular area), and it occurs at no specific times. I have taken my previous gastrointestinal medications (mainly for gastric ul...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Pain near the navel can commonly be caused by gastroenteritis, irritable bowel syndrome, gastric ulcers, peptic ulcers, and duodenal ulcers, which require a specific treatment regimen. It is important to take medications regularly and pay attention to dietary habits by avoiding s...[Read More] Understanding Persistent Abdominal Discomfort: Possible Causes and Solutions
Related FAQ
(Gastroenterology and Hepatology)
Stomach Pain(Gastroenterology and Hepatology)
Stomach Discomfort(Gastroenterology and Hepatology)
Lower Abdominal Pain(Gastroenterology and Hepatology)
Upper Abdominal Pain(Gastroenterology and Hepatology)
Abdominal Bloating And Pain(Gastroenterology and Hepatology)
Irritable Bowel Syndrome(Gastroenterology and Hepatology)
Cholecystitis(Gastroenterology and Hepatology)
Gastrointestinal Discomfort(Internal Medicine)
Abdominal Pain(Family Medicine)