Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Pain In Upper Left Quadrant While Lying Down?
Brief Answer:
Costochondritis/ colitis/ gastritis
Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
To recapitulate: Female/37 - pain in upper left quadrant - for weeks - under rib - sometimes spasms - increase in pain/pressure on bending forward or lying down - there is fullness and nausea - have accessory spleen...
The most probable causes are:
- Costochondritis meaning inflammation of the lower rib due to its inflammation and can represent the way that you have described; there will be local tenderness, comes and goes, Fullness and nausea can be due to reflex.
- Another less likely cause can be colitis, associated gastritis or so.
This can be diagnosed by:
Local tenderness.
Other investigations either to confirm or rule out the possibilities like gastritis and colitis by upper GI endoscopy, Colonoscopy, ultrasonography to start with and further tests if required. Accessory spleen may not possibly cause such a problem.
There can be an associated stress and/or anxiety that instigate or enhance the problems.
I hope this answer helps you to get a proper diagnosis and treatment. Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Costochondritis/ colitis/ gastritis
Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
To recapitulate: Female/37 - pain in upper left quadrant - for weeks - under rib - sometimes spasms - increase in pain/pressure on bending forward or lying down - there is fullness and nausea - have accessory spleen...
The most probable causes are:
- Costochondritis meaning inflammation of the lower rib due to its inflammation and can represent the way that you have described; there will be local tenderness, comes and goes, Fullness and nausea can be due to reflex.
- Another less likely cause can be colitis, associated gastritis or so.
This can be diagnosed by:
Local tenderness.
Other investigations either to confirm or rule out the possibilities like gastritis and colitis by upper GI endoscopy, Colonoscopy, ultrasonography to start with and further tests if required. Accessory spleen may not possibly cause such a problem.
There can be an associated stress and/or anxiety that instigate or enhance the problems.
I hope this answer helps you to get a proper diagnosis and treatment. Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
