Left Upper Abdominal Pain: Causes and Remedies - Gastroenterology and Hepatology

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Understanding left upper abdominal pain can be quite complex, as it can stem from various underlying conditions. Based on your description, it seems that your pain is intermittent and manageable, which suggests that it might not be an acute or severe issue. However, it is essential to consider several potential causes and remedies.


Possible Causes of Left Upper Abdominal Pain
1. Gastritis or Peptic Ulcer Disease: Given your history of gastritis and the use of medications like De-Nol (得喜胃通), it is possible that your stomach lining is still sensitive. Non-steroidal anti-inflammatory drugs (NSAIDs), including EVE pain relievers, can exacerbate gastric irritation and lead to gastritis or ulcers, causing pain and discomfort.

2. Referred Pain from Other Organs: The left upper abdomen houses several organs, including the stomach, spleen, pancreas, and parts of the colon. Conditions affecting these organs, such as splenic issues or pancreatitis, can manifest as pain in this area.
3. Musculoskeletal Issues: Sometimes, pain in the abdominal area can be due to muscle strain or tension, especially if you have been engaging in physical activities that might strain your abdominal muscles.

4. Gastroesophageal Reflux Disease (GERD): If you have a history of gastritis, you may also be prone to GERD, which can cause discomfort in the upper abdomen and may be aggravated by certain foods or medications.

5. Functional Dyspepsia: This is a common condition that can cause discomfort in the upper abdomen without any identifiable organic cause. Symptoms may include bloating, nausea, and pain after eating.


Remedies and Management
1. Dietary Modifications: Avoid spicy, fatty, or acidic foods that may irritate your stomach. Eating smaller, more frequent meals can also help reduce gastric discomfort.

2. Medication Review: Since you mentioned experiencing pain while taking certain medications, it’s crucial to discuss this with your healthcare provider. They may recommend alternatives that are less irritating to your stomach.

3. Stress Management: Stress can exacerbate gastrointestinal issues. Techniques such as mindfulness, yoga, or deep-breathing exercises may help alleviate symptoms.

4. Hydration: Ensure you are drinking enough water, as dehydration can worsen gastric discomfort.

5. Regular Check-ups: Since your symptoms have persisted, it is advisable to follow up with a gastroenterologist. They may recommend further diagnostic tests, such as an upper endoscopy, to evaluate the condition of your stomach lining and rule out any serious issues.


Connection Between Gastric Issues and Halitosis
Regarding your question about whether gastric pain can cause bad breath (halitosis), the answer is yes. Conditions like gastritis, GERD, or even poor digestion can lead to the production of foul-smelling gases, which can contribute to bad breath. Additionally, if you are experiencing nausea or changes in appetite, this can also affect oral hygiene and contribute to halitosis.


Conclusion
While your left upper abdominal pain may not currently be severe, it is essential to monitor your symptoms closely and maintain open communication with your healthcare provider. They can help you navigate your treatment options and make necessary adjustments to your medication regimen. Remember, early intervention can prevent more serious complications down the line. If your symptoms worsen or new symptoms arise, do not hesitate to seek medical attention.