Symptoms: Spleen Inflammation vs. Gallstones - Gastroenterology and Hepatology

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When considering the symptoms you've described—left upper abdominal pain radiating to the back, vomiting, belching, and occasional dizziness—it is essential to differentiate between potential causes, particularly spleen inflammation (splenitis) and gallstones (cholelithiasis).
Spleen Inflammation (Splenitis):
The spleen is located in the upper left quadrant of the abdomen, and inflammation can occur due to various reasons, including infections, blood disorders, or trauma. Symptoms of splenitis may include:
- Pain in the left upper abdomen that can radiate to the back.

- Possible fever or chills if an infection is present.

- Fatigue or weakness.

- Sometimes, splenomegaly (enlargement of the spleen) can be palpated during a physical examination.

Gallstones (Cholelithiasis):
Gallstones are hardened deposits that can form in the gallbladder, often leading to a condition called cholecystitis if they obstruct the bile duct. Symptoms of gallstones typically include:
- Severe pain in the right upper abdomen, which can sometimes radiate to the back or right shoulder.

- Nausea and vomiting, especially after eating fatty meals.

- Bloating and belching.

- Jaundice (yellowing of the skin and eyes) if a stone blocks the bile duct.

Given your symptoms, the left upper abdominal pain is more suggestive of spleen-related issues, especially if it radiates to the back. However, the presence of vomiting and belching could also indicate a gastrointestinal issue, such as gallstones, particularly if the pain is severe and associated with meals.

Dizziness and Lightheadedness:
The dizziness you experience could be related to several factors, including dehydration from vomiting, low blood pressure, or even a more systemic issue related to either condition. It is crucial to consider that both spleen inflammation and gallstones can lead to complications that might affect overall health, including the potential for internal bleeding or infection.

Recommendation:
Given the complexity of your symptoms and the potential for serious underlying conditions, it is essential to seek medical attention promptly. A healthcare provider may recommend imaging studies, such as an ultrasound or CT scan, to evaluate the spleen and gallbladder. Blood tests may also be necessary to check for signs of infection, inflammation, or other abnormalities.

In summary, while your symptoms could suggest spleen inflammation, they could also indicate gallstones or another gastrointestinal issue. It is vital to consult with a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and improve your overall health.