What Causes Pain In Left Upper Quadrant And Lower Flank Radiating To Back?
Need gastroenterologist and pain management
Detailed Answer:
Thank you for asking
Pain in the left upper quadrant and lower flank referring to back with all the labs and radiology work up clear makes it a challenge to diagnose.
If by all labs you mean liver and pancreatic profile is clear then that rules out pancreatis. Also I am sure renal infection and uti must have been ruled out too.
Now the role of street here might be significant. Stress and anxiety makes a person type A personality and such personalities might have a predisposition to gastric discomfort and ulcers. A detailed history of bowel habits with a thorough physical exam and some labs like endoscopy 24 hour monitoring serum gastrin levels and colonoscopy is advised to to sort out any gastrointestinal entity for the trouble.
N pain is an alarm for the trouble underneath and it's just the matter of time before it gets diagnosed. A complete assessment for functional bowel and inflammatory bowels and diverticulosis is advised.
If the gastrointestinal etiology is sorted out then next focus will be musculoskeletal approach and relaxation therapies and physiotherapy would be recommended. Try to relax.modofy routine and lifestyle.seek a psychologist and have some therapy sessions.
Get to a gastroenterologist and pain management specialist for further management.
I hope it helps. Take good care of yourself and don't forget to close the discussion please.
May the odds be ever in your favour.
Regards
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