Left Side Abdominal Pain: Is It Kidney Stones or Gallstones?

Pain and discomfort under the left rib cage can be associated with either kidney stones or gallstones. However, kidney stones typically cause pain in the flank area, which is located on the side of the body between the ribs and the hip. In contrast, gallstones usually lead to pain in the upper right abdomen, although they can sometimes cause referred pain to the left

The persistent pain under the left rib cage could be related to either kidney stones or gallstones.
The pain tends to worsen after eating a large or rich meal, which initially led you to believe it was gastric pain.
However, upon further research, it seems more aligned with gallstones, although gallbladder pain typically occurs on the right side.
Additionally, you are experiencing pain in your left shoulder and numbness in your left hand.
The pain in your left abdomen feels like a hard stone inside, and during painful episodes, your sclera appears gray or slightly yellow.
You find relief after having a bowel movement in the morning, but the pain returns after eating.
Given that you are currently working abroad and will be returning to Taiwan soon, it would be advisable to consult a healthcare professional to determine which organ may be affected by stones.

Naiyou, 40~49 year old female. Ask Date: 2016/03/07

Dr. Chen Qifeng reply Gastroenterology and Hepatology

The gallbladder is located in the right upper abdomen, so your issue is likely not related to the gallbladder.
The most common cause of pain in the left upper abdomen is the stomach, so an upper gastrointestinal endoscopy is recommended.
Other less common causes may include the pancreas or kidneys, and an abdominal ultrasound may be considered.

Reply Date: 2016/03/07

More Info

Based on the symptoms you've described, it seems that your left side abdominal pain is more likely related to kidney issues rather than gallstones. Gallstones typically cause pain in the right upper quadrant of the abdomen, as you correctly noted. The pain you experience after eating, especially if it feels like a hard stone inside your abdomen, could indicate a problem with your kidneys, such as kidney stones or possibly a renal cyst.

The left shoulder pain and left arm numbness you mentioned could be indicative of referred pain from the abdomen or even nerve involvement, but it’s essential to consider that these symptoms could also be related to other conditions, including musculoskeletal issues or even gastrointestinal problems.

The fact that your pain improves after a bowel movement suggests that there may be some gastrointestinal involvement, possibly related to the intestines or even the stomach. However, the consistent nature of your pain, particularly its association with eating, leans more towards a renal issue.
Given your history of abdominal pain and the symptoms you are experiencing, it would be prudent to consider a few diagnostic steps. An abdominal ultrasound or a CT scan could help visualize the kidneys and any potential stones or abnormalities. Additionally, a urinalysis could provide insight into whether there are any signs of infection or blood that might indicate kidney stones.

It's also worth noting that the grayish or yellowish tint to your sclera (the white part of your eyes) could suggest jaundice, which is often related to liver or gallbladder issues, but in your case, it might also be a sign of dehydration or other systemic issues.
In terms of management, if kidney stones are confirmed, the treatment will depend on the size and location of the stones. Smaller stones (typically less than 5 mm) often pass on their own with increased hydration. Drinking plenty of fluids is crucial, as it helps flush out the urinary system and may facilitate the passage of stones.
To prevent future occurrences of kidney stones, dietary modifications can be beneficial. Reducing intake of foods high in oxalates (such as spinach, nuts, and chocolate) and ensuring adequate hydration are key strategies. Some studies suggest that citric acid, found in lemon juice, may help prevent stone formation, so incorporating lemon juice into your diet could be advantageous.

In conclusion, while your symptoms suggest a renal issue, particularly kidney stones, it is essential to seek medical evaluation as soon as possible, especially since you are experiencing significant discomfort. A healthcare professional can provide a definitive diagnosis and appropriate treatment plan based on imaging studies and laboratory tests. Until then, focus on hydration and monitor any changes in your symptoms.

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