[37M] Experiencing sharp, intermittent upper left abdominal pain

What might be happening

Based on the information you've provided, possible causes of your symptoms include:

• Costochondritis: This is an inflammation of the cartilage in the rib cage. It usually occurs in the cartilage where the upper ribs attach to the breastbone (sternum), an area known as the costosternal joint. Costochondritis causes chest pain that can mimic a heart attack or other heart conditions. The pain, which may be dull, sharp, or achy, is often located on the left side of your chest.

  • Treatment typically involves pain relievers such as nonsteroidal anti-inflammatory drugs (NSAIDs), heat or ice, and rest.

• Gastritis: This is an inflammation, irritation, or erosion of the lining of the stomach. It can occur suddenly (acute) or gradually (chronic). Gastritis can be caused by irritation due to excessive alcohol use, chronic vomiting, stress, or the use of certain medications such as aspirin or other anti-inflammatory drugs.

  • Treatment typically involves antacids and other drugs to reduce stomach acid, avoiding hot and spicy foods, and not eating for a few hours before bedtime.

• Splenic Irritation or Injury: The spleen is located under your rib cage in the upper left part of your abdomen. It helps your body fight infection and filter old and damaged blood cells out of your bloodstream. A sharp blow to your left flank during a sporting event or a car accident could injure your spleen.

  • Treatment depends on the severity of the condition. Minor splenic injuries often heal on their own. More severe cases may require surgery.

Please note that these are only potential causes. It's important to consult a healthcare professional for an accurate diagnosis.

What you can do

1. Try over-the-counter pain relievers such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve) to help with the pain.
2. Apply a heating pad to the area to help reduce pain.
3. Rest and avoid activities that make your pain worse.

What you should look out for

Seek immediate medical attention if:

• Your pain is severe or sudden
• You have difficulty breathing or shortness of breath
• You have pain that spreads to your back or up your neck
• You have a fever or chills
• You have bloody or dark black stool
• You have persistent vomiting or vomiting blood

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 appropriate examination, testing, and care recommendations.