Upper Qudrant Pain

For the last 5 weeks I have had sharp pain in a very specific spot (2-3 in. left (my left) and above the belly button) Most of the time it is a dull throb, but on 4 occasions it has been almost unbearable pain. My husband says I turn pale. Staying in a curled up position keeps the pain down. I have no other symptoms and have had both ultrasound and blood tests, both normal. There is now a new 'spot' of pain on my right side.
Last July I went to Paraguay (South America) where I grew up. We are always careful about water and food, but I managed to get sick anyways: Abdominal pain and slight fever for 3 days but no diarrhea. Two months after we returned, I had an incident where I woke up with strong abdominal cramps and went into the bathroom where I fainted. When I awoke, the pain was gone, and was only left with a mark on my forehead from hitting the tub. An ER nurse said it was probably just a flu virus, though I didn't have any other symptoms. I also spent a month in Ireland this September if that makes any difference.
I am wondering if there are any specific tests I should request at this point, and any opinions about possible conditions. Thank you.

[Kevin Pho, MD]

Left upper quadrant pain can be due to problems with the pancreas, spleen, or upper disgestive disorders.  This can include GERD, an ulcer, or inflammation of the upper digestive tract.  You can consider an upper endoscopy or upper GI series to evaluate these possibilities.

Blood tests to evaluate for the bacteria H Pylori (associated with ulcers or inflammation) as well as pancreatic enzymes (amylase/lipase) can also be done.

A CT scan can also be considered to evaluate the spleen or pancreas.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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