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Doctors Lounge - Gastroenterology Answers
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| hockeycatgirl
- Wed Jul 20, 2005 4:46 am |
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I have been experiencing stomach pain in the upper left portion of my stomach accompanied by some nausea. It is worse when my stomach is empty. I had my gall bladder removed last December,but i am still having pain on the right side as well intermittently. As a result i had a barium ct in April,it showed a 1cm cyst on my liver,but nothing else. Mybloodwork came back normalas well-liver function good,amylase and lipase were good as well. Last August i had an ultasound that showed an enlarged spleen and possible fatty liver,although my cholesterol is low-i also have a large liver. my stomach problems at this point are being atributed to anxiety. I don't know what to do next-i feel tired and run down. Please help.
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| Dr. Safaa Mahmoud
- Sat Aug 05, 2006 6:09 pm |
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 Dear hockeycatgirl,
Nausea associated with burning pain in upper abdomen (mainly left side) or lower chest (behind the breast bone) that worsen when the stomach is empty , or by spicy foods is more likely to be of heart burn, GERD or gastric ulcer. The pain is temporary relieved by simple foods and antacids.
Pain felt in the left side of the abdomen associated with nausea as you mentioned can be due to other causes including:
- Colitis due to Infectious or inflammatory causes
- Renal problems cause colic and is associated with urinary symptoms like frequency and dysuria.
- Recurrent abdominal pain can be a somatization for emotional or psychological problems.
- IBS in which the diagnosis is mainly by exclusion of other causes.
Stress increases the frequency and the severity of symptoms in almost all cases.
Investigations include
Complete blood picture , blood chemistry.
Abdominal US.
Upper and lower Endoscopy.
Follow up with your doctor is essential.
Good luck.
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