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Date of last update: 10/15/2017.

Forum Name: Gastroenterology Topics

Question: chronic left side -under rib cage pain

 d-east - Wed Feb 02, 2005 12:40 am

Has anyone found the cause for the pain in the left side under the rib cage? The doctors say the only cause they can think of is spasms of the spleen. These spasms have lasted 3 weeks. They have conducted numerous test and no findings thus far. Any suggestions as to what may be causing this intense pain that is sometimes chronic and sometimes sporadic?
 Dr. Tamer Fouad - Sun Jul 02, 2006 3:33 pm

User avatar Hello,

Pain located between the xiphoid process of the sternum and the umbilicus originates in the foregut, which includes the distal esophagus, stomach, proximal duodenum, biliary tree, pancreas, and liver (although conditions of the liver usually do not cause chronic abdominal pain).

Left upper quadrant pain is commonly associated with colonic diseases or splenic diseases. The spleen may be enlarged or may be the seat of an infarction. Diseases of the colon may include anything from distension of the splenic flexure of the colon as in cases of irritable bowel syndrome to colonic cancer.

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