Dear Gemini,
Left-sided abdominal pain can be caused by a wide range of diseases. A systematic evaluation of the various
organOrgan-1 nr systems that are potential causes of this pain would be the best approach. The three
organOrgan-1 nr systems to be reviewed include : gastrointestinal, genitourinary and
gynecologicGynecologic laparoscopy.
The gastrointestinal causes of abdominal are many.
InflammatoryInflammatory bowel disease
Ulcerative colitis bowel disease, diverticulitis and irritable bowel syndrome incite a significant amount of discomfort. Although barium enema is an excellent screening tool, it does not evaluate the small bowel . Therefore performing this test may be of some benefit if the remainder of your evaluation remains negative.
Genitourinary organs include: the kidneys, the ureters (tubes that drain the kidneys) and the bladder. Potential diseases that cause pain include kidney infection, kidney stones and bladder infection to name a few. A simple test such as a urine sample ( urinalysis ) is an excellent place to start. An x-ray test such as an IVP will allow examination of your kidneys looking for blockage or the presence of stones.
The uterus, fallopian tubes and ovaries are the major components of the gynecological system. Endometriosis, dysmenorrhea (abnormal uterine bleeding) and ectopic pregnancy are a few of the potential causes of abdominal pain that should be investigated in women. Therefore, a pregnancy test and pelvic exam are required for a complete assessment of the problem.
If all the tests demonstrate no evidence of a specific disease, treatment of the pain with pain medicines is warranted. This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568).
HFHS M.D.-KR
*keyword: abdominal pain