Generally speaking, the site of pain is mostly the site where the disease occurs.
Anatomically, the organs in the left upper abdomen mainly include spleen, tail of pancreas, stomach, left lobe of liver, part of small intestine, part of transverse colon and splenic flexure of colon, abdominal aorta, omentum, left kidney and adrenal gland.
The left abdominal pain lasts for two months. Possible reasons are:
1, gastrointestinal cramps, which people are familiar with, are gastrointestinal pains caused by gastrointestinal cramps. Common causes of intestinal cramps include not taking warm measures to catch cold, eating cold-stimulated food, too much stress in life and work or mental stress.
2, functional gastrointestinal lesions, more common functional dyspepsia and irritable bowel syndrome, gastrointestinal endoscopy and other examinations are not abnormal, but abdominal pain will occur, and some food or psychological factors will be induced by stimulation.
3. In some patients with chronic gastritis and peptic ulcer, toxin stimulation, nerve inhibition and gastrointestinal smooth muscle disease lead to disorder of intestinal wall muscle movement, which can also lead to pain in the left upper abdomen.
4, chronic gastrointestinal torsion, small intestine and colon tumors in the left upper abdomen.
5, hypersplenism caused by liver cirrhosis, spleen tumor, splenomegaly caused by various reasons, but generally there will be no pain in the spleen. If there is pain, most of them are manifestations of the disease.
6, left kidney calculi, left renal tumor, left renal infection and left renal abscess, left lower intercostal neuralgia.
7. Chronic pancreatitis and pancreatic tumor.
8. It is also possible for abdominal aortic aneurysm and angina pectoris of coronary heart disease to radiate to the left abdomen.
As can be seen from the above, there are many reasons for the pain in the left upper abdomen, which are not necessarily caused by diseases, but may be caused by catching cold, the stimulation of cold diet, bad psychological factors, etc., and may also be caused by pathological changes in the spleen, pancreas and gastrointestinal tract, and may also be caused by left urinary system, left intercostal neuropathy and cardiac diseases near the gastrointestinal tract. In this case, we should first pay attention to keeping warm, avoid cold diet and maintain a good attitude.
I think many people have experienced the pain in the left upper abdomen. Most of them are short-lived and can almost recover, but there are still a few people with persistent pain. So what may be the cause of this persistent pain? Please see below!
First, the most common thing is stomach trouble. Stomach disease here refers to chronic gastritis or digestive tract ulcer. Among them, chronic gastritis is more common, and chronic superficial gastritis is the most common among chronic gastritis.
Second, it may be a left pneumothorax. If you are tall and thin, you will have persistent pain in the upper left abdomen near the lungs after a strenuous exercise, and the pain will be more severe when breathing. Then, please pay attention to whether there is pneumothorax! What should we do? See a doctor in respiratory medicine, check a chest X-ray or chest CT.
Third, it may be angina pectoris and myocardial infarction. The upper left abdomen is right next to the heart, and I want to tell you that the positioning of internal organs is very inaccurate. Therefore, if there is angina pectoris or myocardial infarction, it will also show pain in the left upper abdomen. Many friends thought that it was a stomachache and took some stomach medicine to deal with it. However, it still didn't get better after several months. Finally, the pain was so severe that it was a myocardial infarction when the ECG was pulled to the hospital! Therefore, this is also the reason why doctors in hospitals must ask patients to do an electrocardiogram regularly.
Fourthly, there are many other diseases, such as splenic infarction, gastric cancer, chronic cholecystitis and so on. I won't introduce them here.
Hello, I'm glad to answer your question. I am an imaging diagnostician. You have sustained pain in the left upper abdomen for nearly two months. First, you can rule out acute abdomen (acute pancreatitis, perforation of digestive tract, rupture of parenchymal organs caused by trauma, etc.). The left upper abdomen is mainly stomach tissue, and the common chronic pain in the left upper abdomen is mainly digestive tract diseases, mainly gastritis, gastric ulcer and duodenal ulcer, and some patients with coronary heart disease will radiate to the xiphoid process when angina occurs, which is rare. We use the elimination method, combined with your medical history, and the pain only occurred in the last two months. You didn't say whether there was a history of primary tumor and coronary heart disease, but I didn't by default. Then we can basically rule out the pain caused by tumor and cardiovascular diseases, and then we can basically understand the cause of left upper abdominal pain. Most people are caused by digestive diseases, so you need to go to the digestive department of the hospital for a specific look. Let's briefly analyze gastritis and peptic ulcer.
gastritis
There are many people with chronic gastritis, and most adults have chronic gastritis. When I transferred to the Radiology Department, when I was studying with my teacher in the upper gastrointestinal radiography room, I saw that almost all the patients who came for upper gastrointestinal radiography were gastritis, and the manifestations under gastrointestinal radiography were: thickening of gastric mucosa and disorder of walking. My daughter-in-law also has chronic gastritis. When she was in school, she was poor and didn't eat well. In addition, she was obese and had to lose weight. Sometimes she ate a meal at noon every day. After a short period of time, she had the same symptoms as you.
What are the common peptic ulcers that cause gastritis?
We mainly introduce gastric ulcer and duodenal ulcer in peptic ulcer, which are chronic diseases. Ulcer is different from erosion. Ulcer exceeds mucosal layer, muscle layer is involved, and erosion is limited to mucosal layer.
Peptic ulcer is common in young adults, with regular epigastric pain with acid regurgitation and belching, which will recur. Gastric ulcer is usually painful when you are hungry and at night. Gastric ulcer usually has left upper abdominal pain after a meal.
Gastric ulcer, two kinds of peptic ulcer, needs special attention, because gastric ulcer will become cancerous, while duodenal ulcer will not become cancerous.
The main cause of peptic ulcer Treatment of peptic ulcer First of all, the left abdomen contains organs such as stomach, part of intestine, part of liver and gallbladder, spleen and kidney, so these organ diseases will lead to left abdominal pain, but heart diseases will also easily lead to left chest pain and abdominal pain, and some stone tumors will involve pain in the left abdomen, so it is recommended that you check and treat them in time for long-term pain.
What are the factors that lead to upper abdominal pain?
1, the most common stomach pain, most stomach diseases will lead to pain and discomfort in the upper abdomen. The main common lesions are superficial gastritis, erosive gastritis, atrophic gastritis, gastric ulcer and duodenal ulcer, gastric lymphoma, gastric cancer, etc. These diseases lead to pain and discomfort in the left upper abdomen, and are accompanied by some symptoms such as nausea, loss of appetite, belching and acid reflux.
2. Intestinal diseases, mainly left colon diseases, are common in enteritis, ulcerative colitis, Crohn's disease, colon cancer and other diseases. The abdominal pain parts corresponding to different positions of these diseases are also different, so intestinal diseases cause pain in the left upper abdomen, and there will be symptoms of abnormal stool.
3. Pancreatic diseases can easily lead to dull pain and discomfort in the left upper abdomen. The occurrence of pancreatitis will cause diffuse pain in the left upper abdomen of patients, and this pain can radiate to the back and ribs, but this pain can be effectively relieved when sitting up and leaning forward.
Therefore, in addition to the pain in the left upper abdomen caused by these common corresponding organs, cardiac infarction, angina pectoris, kidney calculi and other diseases can easily lead to pain and discomfort in the left upper abdomen, so it is necessary to check the etiology and treatment of abdominal pain symptoms.
First of all, there are many factors that lead to abdominal pain. Many organs have pathological changes, and some marginal organs have pain, so it is difficult to diagnose abdominal pain. Many complicated abdominal pains without systematic examination are not clearly diagnosed, and some diseases such as appendicitis and cholecystitis have their own typical abdominal pain symptoms, but some involved pains are not difficult to find the cause.
What are the factors that lead to persistent pain in the left upper abdomen?
1, stomach diseases
This is the most common cause of pain in the left upper abdomen, because most of the stomach body is in the left upper abdomen, so some lesions can easily lead to pain in the left upper abdomen, but common stomach diseases are mainly gastritis, gastric ulcer and duodenal ulcer, gastric cancer, gastric lymphoma, etc., while gastritis usually has intermittent pain, while ulcers and gastric cancer can cause persistent pain in the left upper abdomen, especially after eating, accompanied by symptoms such as nausea, vomiting, bloating, loss of appetite, acid reflux, etc.
2. Pancreatic diseases
Pain in the left upper abdomen of pancreatic diseases is still relatively common, mainly including some pathological changes such as pancreatitis and pancreatic cancer. The early symptom of pancreatic diseases is discomfort in the upper abdomen. With the aggravation of the disease, there will be persistent and progressive pain in the upper middle abdomen, and there will be obvious pain in the lower back. The pain is obvious at night, and abdominal pain will be aggravated when lying on your back, while the pain will be alleviated in prone position, curled up and lying on your side, while the pain in pancreatic cancer is severe, and the pain in the late stage can be sustained when the tumor invades the abdominal plexus.
3. Spleen injury
Spleen injury is mainly caused by spleen rupture, mainly trauma, and spontaneous spleen injury caused by some parasites. The spleen is located in the deep part of the costal region in the left lower thoracic cavity, which is relatively fragile. Once the spleen is injured, it will lead to bleeding and require surgery. Abdominal pain caused by spleen injury is severe in nature, extending from the left upper abdomen to the whole abdomen, accompanied by nausea, vomiting, abdominal distension and discomfort, and in severe cases, it will go into shock and even death.
Therefore, the common factors that lead to persistent pain in the left upper abdomen, as well as left kidney disease, ureteral calculi, left colon disease, etc., will also cause pain in the left upper abdomen to varying degrees.
Pain in the left upper abdomen will generally consider organ problems located in this part, such as stomach diseases, asplenia's disease and pancreatic diseases. Some angina attacks can also cause pain in the left upper abdomen.
Of course, you have been in pain for two months, so it is impossible not to go to the hospital for examination. These diseases are basically not missed through relevant examinations and the diagnosis of doctors with rich clinical experience.
There are often many such people who do have certain symptoms, but after various means of examination, they just can't find the reason. At this time, we ignored the possibility of soft tissue injury.
Pain in the left upper abdomen can be caused by abdominal muscle injury or superficial back muscle injury. These are things that physicians don't know much about. After the injury of rectus abdominis and oblique abdominis, a trigger point appears in the muscle, which will cause abdominal pain. It will also be mistaken for visceral diseases such as stomach pain, esophagitis, gastric ulcer and heart disease.
The trigger point appears after superficial back muscle injury, which has a wide range of influence, not only causing pain in the back and buttocks, but also causing pain in front of the body by forward conduction. It can be mistaken for angina pectoris, pleurisy, stomach disease, appendicitis, kidney calculi and other visceral diseases.
What you should do now is to have a look at the pain department of the local 3A hospital. Ask a professional pain doctor to check whether there is chronic soft tissue injury. Then choose the treatment method according to your own situation.
There are many reasons for this, such as digestive system, urinary system and gynecological diseases of women.
Give an example! For example, the most common gastroenteritis.
Therefore, the course of the disease is so long, it is recommended to seek medical advice as soon as possible. Don't ignore minor problems, and major events start with minor ones.
Go and see a doctor [heart] A minor illness can't cure a serious illness.
Go to the hospital and have a look. It may be cancer.
Hello, I am a professional and humorous Tian Chengkang L Luo pharmacist, and I am glad to answer your question. You are asking, "What caused the persistent pain in the left upper abdomen for nearly two months?" This question is explained to you by Tian Chengkang L Luo Pharmacist as follows.
Please listen to the specific explanation of pharmacist Tian Chengkang L Luo.
The site of persistent pain is mostly the site where the disease occurs. The persistent pain in the left upper abdomen should first consider whether there is a history of chronic gastritis, gastric ulcer, duodenal ulcer, gastrointestinal spasm, etc. Some people can also cause gastrointestinal discomfort if they do not take proper measures to keep the abdomen warm, eat cold and exciting food, have too much pressure in life and work or are nervous.
Secondly, consider whether there is a history of hepatitis or cirrhosis, which will lead to hypersplenism and splenomegaly; There is a tumor in the spleen, which will cause pain in the left upper abdomen.
Finally, consider whether there is a history of chronic pancreatitis and pancreatic tumor. In particular, the pain is aggravated after eating greasy and spicy food, drinking alcohol and overeating. Generally, the attack of pancreatitis is considered, which in turn causes pain in the left upper abdomen.
There are many reasons for the pain in the left upper abdomen. Usually, we should pay attention to keep warm, avoid cold diet and maintain a good attitude. If we have a medical history and the symptoms are not relieved after taking the medicine according to the doctor's advice, we need to pay attention to it, go to a regular hospital for further treatment, cooperate with CT, B-ultrasound, gastroscope, blood routine and biochemical examination, and make a clear diagnosis in time to decide the next treatment plan.
That's what I said about "persistent pain in the left upper abdomen for nearly two months. What causes it?" I hope I can help you.
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