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Common Causes Of Abdomen Pain On The Left Side

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Abdominal Pain

Common Causes Of Abdomen Pain On The Left Side : An Overview of Abdominal Pain – We can hardly find a person who has not suffered from abdominal pain at least once in his life. Abdominal pain may be of different types, caused by a number of causes, which range from simple to life threatening conditions. Irrespective of the cause and the severity, it is troublesome for the sufferers and the caregivers, and hence forces them to go for a medical consultation.

Abdomen is the part of the body between the thorax and the pelvis, which is separated from the thorax by a diaphragm and from the true pelvis by an imaginary plane. Anteriorly the anterior abdominal wall supports it and posteriorly, the spine and back muscles. Skin, superficial fascia, deep fascia, muscles, layers of fascia (Fascia transversalis), extra peritoneal connective tissue and the outer layer of peritoneum form the anterior abdominal wall.

The abdominal cavity extends upwards in to the concavity of diaphragm and downwards in to the pelvic cavity. Since there is overlapping by the ribs in the upper part and pelvic bones in the lower part, the exact size of the abdominal cavity is masked.

The abdomen contains digestive organs like stomach, small intestine, large intestine, liver, gall bladder, pancreas, and uro-genital organs like kidneys, ureters, bladder, fallopian tubes, ovaries and uterus. It also contains organs like spleen, adrenal glands, mesenteric lymph nodes, blood vessels and lymphatic vessels etc. Ligaments formed by peritoneal tissue attach these organs and keep them in position.

The peritoneum is a large serous membrane lining the abdominal cavity and has got two layers. The outer layer is called parietal peritoneum and it covers the inner surface of the abdominal wall and the inner layer is called visceral peritoneum, which covers the organs and restricts their mobility. These two layers of peritoneum are connected by omentum and mesentery through which the organs get blood supply and nerve supply.  The cavity formed by the two layers of peritoneum is a potential space, called peritoneal cavity, which is moistened by a serous fluid to avoid friction of abdominal contents.

Types of abdominal pain:

Depending upon the origin, there can be different types of abdominal pains.

  1. Visceral pain (Splanchnic pain): This is caused by stimulation of visceral nerves by a noxious agent, which may be living organisms, toxins, mechanical stimuli like stretching, excessive muscular contraction or an ischaemia. Visceral pain is dull in nature and is poorly localized and felt in the midline.
  2. Parietal pain: This is also called somatic pain. Here, some noxious agents stimulate the parietal peritoneum causing a sharp and localized pain. This type of pain is worse by movements.
  3. Referred pain: Here the pain, though originating in other sites, is felt in the abdomen due to common nerve supply. Example: Conditions like pleurisy, pericarditis, torsion of testes etc. cause pain in abdominal region due to supply of nerves having the same root value (Spinal segments).

It has already been mentioned that abdominal pain is agonizing for the affected person and his family members irrespective of its cause and severity. Intensity of pain may not always indicate the seriousness of the condition because severe pain can be from mild conditions like indigestion and flatulency, where as mild pain may be present in life threatening conditions like perforation, cancer etc. Hence proper diagnosis and management is very essential.

Modes of presentation of abdominal pain

  1. Acute abdominal pain: Here, the pain is sudden with a rapid onset and short course, which may be due to severe or mild lesions. The term ‘acute abdomen’ is used in conditions wherein the patient complains of acute abdominal symptoms that suggest a disease, which definitely or possibly threatens life and may or may not demand urgent surgical interference. Acute pain may be colicky or non colicky in nature.
  2. Chronic abdominal pain: Here the pain is long lasting and recurrent or characterized by long suffering. The complaints persist for a long time with fluctuations in the intensity of symptoms.
  3. Sub acute abdominal pain: As the name indicates the duration of pain lies between acute and chronic conditions.
  4. Acute exacerbation: In this state, a person having chronic symptoms comes with sudden onset of symptoms that simulate an acute condition. In such cases the patient or the bystanders give the history of chronic sufferings.

Causes of abdominal pain:

The etiology of abdominal pain can be discussed under the following headings.

  • Pain due to lesions in the abdomen: Example: Gastritis, Duodenitis, Appendicitis, Peritonitis, Pancreatitis, Intestinal obstruction, Renal colic, Cholecystitis, Gall stones with obstruction, Peptic ulcer, Intestinal perforation, Non ulcer dyspepsia, Food allergy, Hepatitis, Liver abscess, Mesenteric lymphadenitis, Inflammatory bowel diseases (Ulcerative colitis, Crohn’s disease), Dysentery, Cancer of the gastro intestinal tract (GIT), Abdominal TB, Abdominal migraine, Acute regional ileitis, etc.
  • Pain due to metabolic and general problems: Example: Poisoning, Renal failure, Diabetes, Thyroid problems, Hyper parathyroidism, Porphyria, Drugs, Lead colic, Black widow spider bite, Blood diseases, Malaria, Leukemia, Peri arteritis nodosa, Hereditary angioedema, Cystic fibrosis.
  • Pain due to lesions outside the abdomen (Referred pains & neuralgic pains): Here the pain is referred from other sites due to common innervations. Example: Pneumonia, Heart attack, Sub acute bacterial endocarditis, Torsion of testes etc. Pains as a result of some neurogenic lesions are also included in this category. Example: Herpes zoster, Spinal nerve root pains, Tabes dorsalis, TB spine, Abdominal epilepsy, etc.
  • Functional pain: Here, the pain comes without any lesions, mostly due to some psychological causes. Example: Panic disorder, School stress, Somatisation disorder, History of sexual abuse, Irritable bowel syndrome.
  • Pain due to lesions in the urinary tract: Both upper and lower urinary tract lesions cause abdominal pain. Example: Urinary tract infection, Cystitis, Pyelonephritis, Urinary retention, Renal colic, Ureteric colic.
  • Pain due to gynecological and obstetrical problems: Even though the gynecological organs are situated in the pelvis, most of the lesions present with pain in lower abdomen. Example: Menstrual colic, Ruptured ectopic gestation, Acute salpingitis, Endometriosis, Endometritis, Pelvic inflammatory disease, Torsion of polyp, Pelvic abscess, IUCD pain, Puerperal infection.
  • Causes in children: In children there are some common causes, which are worth mentioning. Example: Babies colic, Lactose intolerance, Milk allergy, Intussusception, Volvolus, Torsion of testes, Accidental swallowing, Streptococcal throat infection, Congenital megacolon, Overfeeding, Food allergy, Aerophagy.
  • Non specific abdominal pain: Here, no immediate cause is found even after history taking and investigations. In about 35 to 40% of cases of abdominal pain, the cause may not be identified easily and hence treated symptomatically. But, if the pain persists along with the appearance of other signs and symptoms that indicate the underlying cause, it should be identified as early as possible to manage the case properly.

Provisional disease diagnosis : Here the probable condition causing abdominal pain is diagnosed by considering the history, signs and symptoms along with other clinical findings.

Lab investigations : This includes several diagnostic procedures that can help for the final disease diagnosis. The choice of investigation depends upon the signs and symptoms that indicate a probable condition. The suitable investigation helps to reach a final diagnosis.

Example: Routine blood, Routine urine, Blood biochemistry, Stool examination, X-ray Barium x-ray Ultrasonography, Endoscopy of GIT, CT scan, MRI scan, Gastric acid secretion studies, Laperoscopy, Mucosal biopsy, ECG, Excretory urography, ERCP, IVP, Exploratory laparotomy etc are some useful investigations.

Final disease diagnosis : After doing necessary investigations, the disease or the condition causing abdominal pain is diagnosed by correlating with the clinical findings and the history of the patient. In case of a diagnostic dilemma, a team of doctors are involved in the diagnosis and management.

Related:

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Is It Liver Pain? 11 Questions To Ask Yourself

Common Causes Of Abdomen Pain On The Left Side

There are many organs, muscles, bones, nerves, blood vessels and tissues in the left abdominal area, so diagnosing the cause of pain on that side of the body can be challenging.

Nonetheless, when there’s pain in the left abdominal area, there are some typical “suspects.” This video focuses on those.

The list is not all-inclusive because there are some diseases and conditions characterized by left abdominal pain that are extremely rare. Others, like forms of cancer — liver, gallbladder, pancreas, colon, reproductive organs — deserve special attention in separate videos.

Abdomen pain can be caused by simple, short-term problems in the digestive system: constipation, diarrhea, gas or indigestion. These go away in a few hours or a few days and don’t require much medical attention.

But some disorders affecting the abdominal area are more serious, and can trigger a lot of and pain and distress. This list includes an intestinal obstruction, diverticulitis, IBS (irritable bowel syndrome), Crohn’s disease, celiac disease, and ulcerative colitis.

Disorders of the liver and gallbladder — gallbladder attacks, cirrhosis, hepatitis, etc., often hurt on the right side of the upper abdomen: that’s where they’re organs are located. However, pain can radiate to the left side too. Pancreatitis pain (which can be extremely severe) often affects a large area of the abdomen and can also cause discomfort in the mid-back.

A problem with your left kidney is another possibility. Pain from a kidney stone or a kidney infection usually strikes first in the back or “flank” area. But it can radiate around to the abdomen and even down into the groin.

Similarly, bladder stones and bladder infections sometimes cause burning pain in the lower area of the abdomen.

Reproductive organs, especially in women, may cause left abdominal pain — and right abdominal pain too. There is, of course, menstrual pain. But there are a wide variety of other conditions that cause women abdominal distress.

Sexually transmitted diseases or STDs can be a cause of abdominal pain.

Damage to the spleen sometimes results from auto accidents or from a blow to the abdominal area. Furthermore, left abdominal pain could a symptom of enlarged spleen.

Hernia is a frequent cause of abdominal pain. A hernia occurs when a part of the body protrudes abnormally through a tear or opening in an adjacent part. Hernias in the abdominal area are relatively common. Causes of hernias include diarrhea or constipation, persistent coughing or sneezing, or lifting heavy objects.

Muscle pulls, tears and strains are among the most common causes of unexpected abdominal pain. You can usually tell when it happens, but an exact diagnosis is best left to a medical professional., abdominal pain

5 comments

  1. I love the music on this video 🎼 who is this? If anyone knows 🤔😉thank you for the video ☺️☺️👍

  2. I am dying in pain from 3days. Upper left abdomen area.

  3. Currently dying in pain

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