[21M] Experiencing upper left abdominal pain after exertion

Patient Description

A 21-year-old male reports a stabbing pain in the upper left abdomen that has persisted for three weeks. The pain intensifies to a level of 7 out of 10 upon exertion and when getting up from a seated or lying position. Relief is found when applying pressure, leaning forward, and holding breath. Bowel movements are regular, with brown, solid stools, and no recent changes in weight have been noted. The patient denies any yellowing of the skin or eyes, black or tarry stools, blood in the stool, fever, chills, or additional symptoms. No radiation of pain to other areas is reported. The patient is not currently on any medications, has no known drug allergies, no family history of abdominal issues, and no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes of your upper left abdominal pain include:

  • Gastritis: This is inflammation of the stomach lining, which can cause upper abdominal pain, especially after eating or exerting yourself. The pain can sometimes be relieved by leaning forward or applying pressure.

    • Treatment often involves medications to reduce stomach acid and inflammation.
  • Splenic Irritation or Enlargement: The spleen is located in the upper left part of your abdomen and can cause pain if it's irritated or enlarged due to conditions like infections or blood disorders.

    • Treatment depends on the underlying cause of the spleen problem.
  • Musculoskeletal Strain: Overexertion or strain of the abdominal muscles can cause pain, especially after physical activity.

    • Treatment usually involves rest, heat or cold therapy, and over-the-counter pain relievers.
  • Pancreatitis: This is inflammation of the pancreas, which can cause severe upper abdominal pain that can be relieved by leaning forward or applying pressure.

    • Treatment often involves hospitalization for pain management and treatment of the underlying cause.

Please note that this is not an exhaustive list and other conditions could also be causing your symptoms.

What you can do

Given the duration and severity of your pain, it's important to seek medical attention. A healthcare provider can perform a physical examination and possibly order tests like blood work or imaging to help determine the cause of your pain.

In the meantime, try to rest and avoid activities that make your pain worse. Over-the-counter pain relievers may also help, but be sure to follow the package instructions and don't exceed the recommended dose.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe pain that worsens or doesn't improve
  • Fever or chills
  • Vomiting or inability to keep down food or liquids
  • Yellowing of the skin or eyes
  • Dark, tarry stools or blood in your stool
  • Shortness of breath or chest pain

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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1 yr ago

People Also Ask


What are the common causes of upper left abdominal pain?

Common causes of upper left abdominal pain include gastritis, splenic irritation or enlargement, musculoskeletal strain, and pancreatitis. Each condition has different underlying causes and symptoms, so it's important to consult a healthcare provider for an accurate diagnosis.


How can gastritis be treated and managed?

Gastritis is often treated with medications that reduce stomach acid and inflammation, such as antacids, H2 blockers, or proton pump inhibitors. Lifestyle changes, like avoiding spicy foods, alcohol, and smoking, can also help manage symptoms.


What symptoms indicate that I should seek immediate medical attention for abdominal pain?

You should seek immediate medical attention if you experience severe pain that worsens or doesn't improve, fever or chills, vomiting, yellowing of the skin or eyes, dark or tarry stools, blood in your stool, or shortness of breath.


Can physical activity cause abdominal pain, and how can it be managed?

Yes, physical activity can cause abdominal pain, especially if there is a musculoskeletal strain. Management typically involves rest, applying heat or cold therapy, and using over-the-counter pain relievers. It's important to avoid activities that exacerbate the pain until it subsides.


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