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Conditions and Diseases > Intestinal Disorders Forum > upper left abdominal pain
Abdominal pain and bellyaches are common. Though most cases of abdominal pain aren't serious, sometimes you will need to see a doctor. We’ll review some of...
Abdominal pain can be uncomfortable but is very common. But when is pain in the abdomen serious? Learn how to describe your symptoms more accurately so that yo...
It's important to "know your pain" to help your doctor diagnose the reason behind abdominal pain. Read on for more tools and information about how to diagnose ...
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Q: upper left abdominal pain
asked by: meea on April 9th, 2008
New User
I have had intermittent sharp sudden pain under my left rib for about 10 years, 'when it started 10 years ago it would come out of no where and leave quickly. Now it comes and takes days to go away. When it comes- loud noise aggravates it, light touch and movement. I have to sit totally upright with my abdominal muscles flexed to bear the pain. I have hot flashes start to get quite anxious and scared. I am now on amitriptyline which lessens the length of these flare-ups. I have been told I h Confused ave neuropathic pain of unknown origin because all my tests so far have been normal. MRI of thoracic and lumbar spine, abdominal x-ray, abd. CT scan without contrast, CT spine and blood work. I want to know what this is as it is robbing me of a full and happy life. Any ideas anyone about what is wrong with me. It is made worse with stress and physical activity but has also awaken me like a thief in the night. Confused Confused
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Dr. Nikola
replied on April 11th, 2008
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neuropatic pain
When all diagnostic procedures' results are negative the only possibility left is neuropathic pain. Anxiety and stress can make the condition worse or even provoke it.
Have you ever tried some other treatments, beside medicines, like psycho therapy, acupuncture etc.?
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meea
replied on April 14th, 2008
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I am not satisfied with the answer that if all my tests are normal so far that it is neuropathic so go for psycho-therapy. I think that more specific abdominal testing should be done. An abdominal ct scan without contrast medium cannot be that specific can it??? I want to know why I am having this intermittent pain, I need an answer!! What would a psychotherapist do for me??
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Dr. Nikola
replied on April 15th, 2008
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Further medical investigations
OK, I know that some people find very difficult to accept that they are nor really ill and their problem could be psychiatric but... If you want further medical investigations you can start with some more invasive procedures than the previous one. You can do gastroscopy and colonoscopy in order to investigate your digestive system. Flexible tube with a camera on the top should be inserted trough your moth or anal opening.
Can you afford that?
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meea
replied on April 18th, 2008
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cost is not an issue since I live in Canada and it is covered by the government. I have just been referred to a gastroenterologist and I may ask for a colonoscopy. Getting back to psychiatric issues.....so you are telling me that neuropathic pain is known as being psychiatric in nature??? That a physical reason for the pain may not exist and that it could actually be related to ????? Can you please explain this to me???
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Dr. Nikola
replied on April 21st, 2008
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Neuropatia is defined as a disorder of the peripheral nerves (motor, sensitive and autonomic). According to your symptoms (pain and hot flashes) it could be sensitive neuropathy. The most common causes for neuropathy are: commpression of the nerve; chronic alcohol abuse; diabetes; lack of Vitamin B12, B1,B6 or folic acid and hypothyroidism. Less common causes for neuropathies are: autoimmune disorders; cancers; infections (herpes zoster, Laim disease, HIV...); toxins (heavy metals, color solvents...); some medicines; neurological disorders (multiple sclerosis, poliradiculoneuritis...); renal failure and some genetic disorders. In 25% of cases the reason is unknown (idiopathic neuropathy).
I believe that during all these 10 years your doctors made all the necessary investigations and excluded all the possibilities (mentioned above) that might cause neuropathy. Performing electro-myo-neuro-graphy (EMNG) is the first step that will show if some nerve(s) is(are) damaged or not.
I supposed that your neuropathy can have psychiatric issues because it had unknown reason and because you said that it can be provoked by stress and that you felt anxiety and fear.
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meea
replied on May 11th, 2008
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Can people recover from emotionally induced symptoms with psychotherapy in your opinion?? How is an EMNG done??
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Dr. Nikola
replied on May 19th, 2008
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If some symptoms are due to psychiatric issues like depression, anxiety, emotional crisis, stress etc. psychotherapy is one of the major therapeutic tools. Medicines like antidepressants and anxiolitic drugs can be also used together with psychotherapy.
EMNG is consist of 2 tests: electro-myo-graphy (EMG) and electro-neuro-graphy (ENG).
EMG is performed using an electromyography unit consisting of electrodes and a computer-based recording unit. Electrodes are used to detect electrical activity generated by stimulating the muscles. Muscles are stimulated by signals from nerve cells called motor neurons. This stimulation causes electrical activity in the muscle, which in turn causes contraction. This electrical activity is detected by the EMG electrode and recorded by the electromyography unit computer. During an EMG test, the electrode is applied or inserted into the muscle to be tested. Surface, needle, and fine-wire electrodes may be used, depending on the type of stimulation required. Needle electrodes may cause some discomfort, similar to that of an injection. Recordings are made while the muscle is at rest, and then during the contraction. The person performing the test may move the limb being tested, and direct the patient to move it with various levels of force. The electrode may be
repositioned for further recording. Other muscles may be tested as well. A typical session lasts from 30–60 minutes.
Electro-neuro-graphy (ENG), also caled nerve conduction velocity (NCV-test), is often performed at the same time with the same equipment. In this test, stimulating and recording electrodes are used, and small electrical shocks are applied to measure the ability of the nerve to conduct electrical signals. This test may cause mild tingling and discomfort similar to a mild shock from static electricity. ENG test requires that the nerve being tested is relatively close to the skin surface, although needle electrodes can be used to test deep nerves. Two sets of electrodes are used to perform the test, stimulating and recording. Normally, the stimulating electrodes are metal or felt pads placed on the surface of the skin, about 0.6 to 1.1 inches (1.5 to 3 cm) apart. Correct placement requires a strong understanding of neurological anatomy and varies from nerve to nerve. Conduction cream can be applied to maximize the effectiveness of the connection. Usually, the cathode (typically the black-colored electrode) is placed down the nerve from the anode (typically the red-colored electrode) in the direction of conduction. Recording electrodes are placed according to the type of response that is being sought. If muscular reaction is the goal, the active recording electrode is placed over the belly (thickest area) of the muscle being tested, while the second recording electrode, called a reference electrode, is place on a tendon. If a nerve is being tested, the active electrode is placed directly over the nerve. The reference electrode is placed distally (pointing away from the electrode).
The test will run from about 20 minutes to about two hours, depending on the number of nerves being tested
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bosey
replied on August 7th, 2008
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Left pain
You are preaching to the choir - I spent forever arguing with doctors telling them really - no it's not colotis, or my overies, or my tubes, or my whatever, lets do another test please... and yesterday - viola!! Right place, right referral, right doctor (Physiatrist). Have you ever had shingles?? I am young, many decades away from 60 - so no one ever thought to ask me that question - but I did have them five years ago and I had some trauma over the holidays. That sent me searching many months later (for eight months) to find out why my left side hurts so much I can't sit down some days, or why sometimes it swells up like ther is a ball sticking out of me... and the answer is it is nerve damage, left over from the shingles and reactivated by the trauma. I finally felt heard by a doctor who didn't say "well, you've had a lot of really goods tests..." indicating it just must be in my mind.
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