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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain On Left Abdomen When Having Enlarged Spleen?

Hi, I have an enlarged spleen and I had an abdominal u/s this morning. I have been having dull pain on my left abdomen for the last week or 2 (worse after eating or drinking and thought to be spleen being crowded by other organs), but now the pain is greatly increased and radiating into the upper tip of my left shoulder (worse on lying down and on inspiration). Ideas? Thanks, Wendy
Tue, 13 May 2014
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General Surgeon,  's  Response
HI.
The spleen causing such a pain is not known unless there is a rapture or so.

The pain which gets worst on eating or drinking can usually be due to an ulcer in the stomach or the inflammation of the pancreas.

The refereed pain on the left shoulder can be due to the irritation of the under-surface of the diaphragm by perforation of the stomach ulcer/ pancreatitis/ splenic abscess.

You have to really rush to the ER, get a reference/ admission in the hospital, urgent investigations like the ultrasonography/ CT scan ./ Upper GI endoscopy/ blood tests .

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What Causes Pain On Left Abdomen When Having Enlarged Spleen?

HI. The spleen causing such a pain is not known unless there is a rapture or so. The pain which gets worst on eating or drinking can usually be due to an ulcer in the stomach or the inflammation of the pancreas. The refereed pain on the left shoulder can be due to the irritation of the under-surface of the diaphragm by perforation of the stomach ulcer/ pancreatitis/ splenic abscess. You have to really rush to the ER, get a reference/ admission in the hospital, urgent investigations like the ultrasonography/ CT scan ./ Upper GI endoscopy/ blood tests .