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Acute and Chronic Upper Left Abdominal Pain – Diagnosis

Acute Upper Left Abdominal Pain

An acute pain in the upper left abdomen can be caused due to the various reasons. The causes and their diagnosis methods are given below:

Injuries of Abdominal Wall Muscles – Any injury in the abdominal wall muscles can lead to acute pain in the upper left abdomen. The condition can be diagnosed either by physical examination or ultrasound.

Ribs-Related Pain - A fractured rib, pneumothorax or costochondritis are the rib-related conditions that give rise to abdominal pain. An X-ray is the best way to diagnose these conditions.

Acute Pancreatitis – An MRI of the pancreas can reveal the condition of acute pancreatitis that can lead to severe pain in the upper left abdomen.

Spleen Disorders – Any spleen disorders like splenic infarct or ruptured spleen can be identified by CT or contrast X-ray of splenic arteries.

Left Kidney/Ureter Disorders – Looking at the symptoms and by carrying out ultrasound, urine tests and blood tests, any disorders in the kidney or ureter that lead to upper left abdominal pain can be identified.

Left Lung/Pleura Disorders – Any infection in the lung that leads to abdominal pain can be diagnosed mostly by chest X-rays.

Heart Attack – ECG and the change in level of heart muscle enzymes can reveal a heart-related upper left abdominal pain.

Abscess under the Diaphragm – Left shoulder pain along with upper left abdominal pain can be caused due to abscess under the diaphragm. It can be diagnosed by X-rays and ultrasound techniques.

Chronic Upper Left Abdominal Pain

A chronic pain in the upper left abdomen can be caused due to the various reasons. The causes and their diagnosis methods are given below:

Splenic Flexure Syndrome – A trapped air in the colon can cause chronic upper left abdominal pain. X-rays, ultrasound or MRI can be used for diagnosing splenic flexure syndrome.

Inflammatory Bowel Disease – A crohn’s disease or ulcerative colitis condition can be diagnosed by ultrasound.

Chronic Left Kidney/Ureter Disorders – Ultrasound, urine tests and blood tests can reveal a disorder in left kidney/ureter in case of chronic upper left abdominal pain.

Chronic Colitis – For an upper left abdominal pain with doubts that it may be caused due to chronic colitis, detailed study of the symptoms and colonoscopy are helpful.

Enlarged Spleen – An enlarged spleen can lead to severe chronic upper left abdominal pain. This can be diagnosed by CT and ultrasound tests.

Stomach Disorders – Any kind of stomach disorders can be identified by gastroduodenoscopy. These are recommended when the symptoms of upper left abdominal pain indicate stomach disorders.

Some other conditions that cause upper left abdominal pain are irritable bowel syndrome, left adrenal gland disorders, chronic pancreatitis and pancreatic cancer. These can be diagnosed by various tests based on the symptoms, exact location of the pain and conditions.

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