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Forum Name: Gastroenterology Topics

Question: RE:UPPER LEFT ABDOMINAL PAIN


 TRACEY30 - Wed Oct 26, 2005 9:24 pm

Hello, IAM A 31YR OLD FEMALE.LAST YEAR CAME DOWN SICK WITH WHAT WE ALL THOUGHT WAS STOMACH FLU.AS WEEKS PAST AND 60LBS LIGHTER I FINALLY WAS ADMITTED TO HOSPITAL.DIDNT EAT FOR 2 MONTHS AND EVERYTHING I DRANK EITHER CAME OUT ONE END OR THE OUTHER. MY STOMACH FELT LIKE SOMEONE WAS RIPPING IT APART. ALL KINDS OF TEST PERFORMED NOTHING SHOWED. I LOST 60LBS IN 2 MONTHS AND STILL CONTINUE WITH HORRIBLE PAIN IN MY UPPER LEFT SIDE RIGHT UNDER MY BREAST. I NEED SOME ANSWERS. CAN U PLEASE HELP?
 Dr. Safaa Mahmoud - Tue Dec 05, 2006 7:16 pm

User avatar Hello,

Sharp 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 or carbonated beverages is more likely to be of one of the following conditions:
- GERD
- Gastritis due to H pylori or Drug induced (NSAID)
or gastric ulcer.

The pain is temporary relieved by simple foods and antacids.

-Infections with H. pylori give similar clinical picture and should be excluded.

Investigations include:
Specific tests for H.pylori.(breath test)
Abdominal US CT scans to exclude other GI causes.
Upper and lower Endoscopy.
Endoscopy sometimes fails to diagnose GERD and other tests should be done to confirm the diagnosis like Esophageal acid testing , Esophageal motility testing and Gastric emptying studies.

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