[69F] Experiencing upper left abdominal pain

Patient Description

A 69-year-old female presents with a dull, knot-like pain localized to the upper left abdomen below the lower rib. The pain has persisted for six weeks and is rated as a 4 out of 10 in severity. The patient reports constant pain with no identified factors that provide relief. Accompanying symptoms include bloating and occasional light nausea, but no changes in appetite or weight, fever, chills, or alterations in bowel movements. The patient's stool appears normal. Medical history includes high blood pressure and acid reflux, both managed for fifteen years, and allergies to Penicillin and Sulpher. Current medications include Amlodipine and Pantoprazole for blood pressure and acid reflux, respectively, and occasional Tylenol for pain management.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Gastritis or Peptic Ulcer Disease: These conditions are characterized by inflammation or erosion of the stomach lining, often caused by excessive acid production. They can cause upper abdominal pain, bloating, and nausea. Your history of acid reflux and the location of your pain could suggest this.

    • Treatment typically involves medications to reduce stomach acid and sometimes antibiotics if a bacteria called Helicobacter pylori is involved.
  • Pancreatitis: Inflammation of the pancreas can cause upper abdominal pain, often radiating to the back, and nausea. However, this is usually a severe and acute condition, and less likely given the chronic nature of your symptoms.

    • Treatment of pancreatitis often involves hospitalization for pain management and hydration, and addressing the underlying cause.
  • Splenic issues: The spleen is located in the upper left part of the abdomen. Conditions such as splenic infarction or enlargement can cause pain in this area. However, these are less common and usually associated with other symptoms.

    • Treatment depends on the specific condition affecting the spleen.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following:

  1. Avoid foods and drinks that can irritate your stomach, such as spicy foods, alcohol, and caffeine.
  2. Try over-the-counter antacids to see if they relieve your symptoms.
  3. Maintain a healthy diet and stay hydrated.

What you should look out for

Reasons to seek immediate medical attention:

  • If your pain becomes severe or unbearable
  • If you develop a fever (temperature over >100.4°F) or chills
  • If you notice blood in your stool or vomit
  • If you experience sudden weight loss

Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of gastritis or peptic ulcer disease?

Common symptoms of gastritis or peptic ulcer disease include upper abdominal pain, bloating, nausea, and sometimes vomiting. The pain is often described as a burning or gnawing sensation and may be relieved by eating or taking antacids.


How can acid reflux contribute to upper abdominal pain?

Acid reflux can contribute to upper abdominal pain by causing irritation and inflammation of the esophagus and stomach lining due to the backflow of stomach acid. This can lead to symptoms such as heartburn, chest pain, and discomfort in the upper abdomen.


What lifestyle changes can help manage symptoms of gastritis or peptic ulcer disease?

Lifestyle changes that can help manage symptoms include avoiding spicy and acidic foods, reducing alcohol and caffeine intake, eating smaller meals, not lying down immediately after eating, and maintaining a healthy weight. Over-the-counter antacids may also provide relief.


When should someone with upper abdominal pain seek immediate medical attention?

Immediate medical attention should be sought if the pain becomes severe or unbearable, if there is a fever or chills, if there is blood in the stool or vomit, or if there is sudden weight loss, as these could indicate a more serious condition.


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