Left Abdominal Pain: Is It a Sign of Ulcers? - Gastroenterology and Hepatology

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Left abdominal pain?


Doctor, I've been experiencing pain in my left abdomen recently.
When I press on it, I notice that there is one specific spot that is particularly painful, located near my belly button, just below the chest.
The pain has been intermittent for about a week.
Could this be a symptom of a gastric ulcer? If I go to the hospital, will I need to undergo an endoscopy?

k, 20~29 year old female. Ask Date: 2006/04/09

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, K: Please visit the gastroenterology outpatient clinic.
An endoscopy may not be necessary and will depend on your medical history and symptoms.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2006/04/09

More Info


Left abdominal pain can be a complex symptom with various potential causes, and it's important to approach it with a comprehensive understanding of the underlying anatomy and possible conditions. Based on your description, the pain you are experiencing is localized near the area just below the chest and around the navel, which could suggest several possibilities, including but not limited to gastric ulcers.

Gastric ulcers, or peptic ulcers, are sores that develop on the lining of the stomach or the first part of the small intestine. They can cause a burning sensation or pain in the upper abdomen, which may sometimes radiate to the left side, depending on the ulcer's location. Symptoms of gastric ulcers often include:
1. Abdominal Pain: This is typically described as a burning or gnawing sensation, which may improve or worsen with eating.

2. Nausea: Some individuals may experience feelings of nausea or even vomiting.

3. Bloating: A feeling of fullness or bloating after meals is common.

4. Indigestion: Discomfort or pain in the upper abdomen after eating.

5. Loss of Appetite: Due to the discomfort associated with eating.

Given that your pain has persisted for about a week and is localized, it is advisable to seek medical attention. A healthcare provider may recommend an upper gastrointestinal (GI) endoscopy, commonly known as an esophagogastroduodenoscopy (EGD), to visually inspect the lining of your stomach and duodenum. This procedure allows for direct observation of any ulcers, inflammation, or other abnormalities.
In addition to ulcers, other conditions could also cause left abdominal pain, including:
- Gastritis: Inflammation of the stomach lining, which can cause similar symptoms.

- Pancreatitis: Inflammation of the pancreas, often associated with severe pain that may radiate to the back.

- Diverticulitis: Inflammation or infection of small pouches that can form in the walls of the colon.

- Kidney Stones: These can cause referred pain to the abdomen and may be accompanied by urinary symptoms.

- Muscle Strain: Sometimes, pain can arise from muscle strain, especially if there has been recent physical activity.

When you visit the hospital, be prepared to discuss your symptoms in detail, including the nature of the pain (sharp, dull, constant, intermittent), any associated symptoms (nausea, vomiting, changes in appetite), and any relevant medical history (previous ulcers, medications, lifestyle factors). This information will help your healthcare provider make a more accurate diagnosis.

In summary, while gastric ulcers could be a potential cause of your left abdominal pain, it is essential to undergo a thorough evaluation to rule out other serious conditions. An endoscopy may be warranted based on your symptoms, and your healthcare provider will guide you through the appropriate diagnostic steps. Remember, timely medical intervention is crucial for effective management and treatment of any underlying issues.

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