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LUQ Abdominal Pain
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Duaned posted:
My wife has been suffering from Left Upper Quadrant Abdominal pain for about the past 6 months. The pain is localized just below the ribs and just left of center. It is constant but gets much worse within 5-10 minutes of eating anything.

So far she has had several blood tests, ultrasound, Upper GI, Hida Scan, CT Scan, Colonoscopy and Endoscopy. Everything has come back normal.

The doctors have been unable to determine the cause of her pain.

We've gone to two GI specialists. One is recommending she have her gall bladder removed (even though the Hida scan shows normal gall bladder operation and the pain isn't near the gall bladder), the other is suggesting exploratory surgery.

Any thoughts or suggestions on what to look at next? We really don't want to do surgery without being reasonably sure of what needs to be fixed/removed.

Thanks!
5 Replies |Watch This Discussion | Report This| Share this:LUQ Abdominal PainMy wife has been suffering from Left Upper Quadrant Abdominal pain for about the past 6 months. The pain is localized just below the ribs and just left of center. It is constant but gets much worse within 5-10 minutes of eating anything. <br /><br />So far she has had several blood tests, ultrasound, Upper GI, Hida Scan, CT Scan, Colonoscopy and Endoscopy. Everything has come back normal.<br /><br />The doctors have been unable to determine the cause of her pain. <br /><br />We've gone to two GI specialists. One is recommending she have her gall bladder removed (even though the Hida scan shows normal gall bladder operation and the pain isn't near the gall bladder), the other is suggesting exploratory surgery.<br /><br />Any thoughts or suggestions on what to look at next? We really don't want to do surgery without being reasonably sure of what needs to be fixed/removed.<br /><br />Thanks!
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Elizabeth_WebMD_Staff responded:
Hello Duaned -

I am sorry to hear your wife has been experiencing this for so long.

See our Symptom Checker to see what may be causing her symptoms and this resource, Abdominal Pain , for more information.

Has your wife keep a journal to track her symptoms, what she eats and her activity?

Wish we could offer more information and hope you find answers soon. Please keep us posted and let us know what you find out.

Elizabeth
Report This| Share this:LUQ Abdominal PainHello Duaned - <br /><br />I am sorry to hear your wife has been experiencing this for so long.<br /><br />See our <a href="http://symptoms.webmd.com">Symptom Checker</a> to see what may be causing her symptoms and this resource, <a href="http://www.webmd.com/pain-management/tc/abdominal-pain-age-12-and-older-topic-overview">Abdominal Pain</a> , for more information. <br /><br />Has your wife keep a journal to track her symptoms, what she eats and her activity? <br /><br />Wish we could offer more information and hope you find answers soon. Please keep us posted and let us know what you find out.<br /><br />Elizabeth
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windowman replied to Elizabeth_WebMD_Staff's response:
dear Duaned I also have similer intestinal pains, had the same tests done. Ever since treatment , hep c. I do liquid probotics, psyllium husks, 1/2 fresh lemon everyday helps. good luck
Report This| Share this:LUQ Abdominal Paindear Duaned I also have similer intestinal pains, had the same tests done. Ever since treatment , hep c. I do liquid probotics, psyllium husks, 1/2 fresh lemon everyday helps. good luck
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Duaned replied to windowman's response:
We're on our 3rd Gastroenterologist now. He's ordered an MRA and a breath test.

A couple weeks ago she fainted in the kitchen and was out for at least 5 minutes. Her primary physician thinks it could be neurological so she's been referred to a neurologist. Also brought up abdominal wall endometriosis as another possibility.
Report This| Share this:LUQ Abdominal PainWe're on our 3rd Gastroenterologist now. He's ordered an MRA and a breath test.<br /><br />A couple weeks ago she fainted in the kitchen and was out for at least 5 minutes. Her primary physician thinks it could be neurological so she's been referred to a neurologist. Also brought up abdominal wall endometriosis as another possibility.
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Duaned replied to Duaned's response:
It makes no difference what she does, eats or drinks. She's tried a clear liquid diet, the BRAT diet, regular diet, etc. She is in constant pain. It's tolerable until she eats or drinks anything, then she suffers for hours. Because of this she's not eating like she should and her health is suffering because of it.
Report This| Share this:LUQ Abdominal PainIt makes no difference what she does, eats or drinks. She's tried a clear liquid diet, the BRAT diet, regular diet, etc. She is in constant pain. It's tolerable until she eats or drinks anything, then she suffers for hours. Because of this she's not eating like she should and her health is suffering because of it.
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Duaned replied to Duaned's response:
The MRA was done last Wednesday and the GI called her on Friday with the results.

She has "Celiac Artery Compression Syndrom" (also referred to as celiac axis syndrome, median arcuate ligament syndrome and Dunbar syndrome).

The abdominal aorta artery has three branches. The top branch is the Celiac artery which is located just below the diaphragm. In some people the diaphragm is right at the branch and causes the Celiac artery to be compressed, reducing the flow of blood to the organs that it feeds (liver , stomach , abdominal esophagus , spleen and the superior half of both the duodenum and the pancreas)

Per her test results; "In deep inspiration the celiac axis is only mildly narrowed. In deep expiration the celiac axis is compressed to near occlusion."

It is uncommon so your doctor may not think to look for it.
Report This| Share this:LUQ Abdominal PainThe MRA was done last Wednesday and the GI called her on Friday with the results.<br /><br />She has "Celiac Artery Compression Syndrom" (also referred to as celiac axis syndrome, median arcuate ligament syndrome and Dunbar syndrome).<br /><br />The abdominal aorta artery has three branches. The top branch is the Celiac artery which is located just below the diaphragm. In some people the diaphragm is right at the branch and causes the Celiac artery to be compressed, reducing the flow of blood to the organs that it feeds (<a rel="nofollow" href="http://en.wikipedia.org/wiki/Liver">liver</a> , <a rel="nofollow" href="http://en.wikipedia.org/wiki/Stomach">stomach</a> , abdominal <a rel="nofollow" href="http://en.wikipedia.org/wiki/Esophagus">esophagus</a> , <a rel="nofollow" href="http://en.wikipedia.org/wiki/Spleen">spleen</a> and the superior half of both the <a rel="nofollow" href="http://en.wikipedia.org/wiki/Duodenum">duodenum</a> and the <a rel="nofollow" href="http://en.wikipedia.org/wiki/Pancreas">pancreas)</a> <br /><br />Per her test results; "In deep inspiration the celiac axis is only mildly narrowed. In deep expiration the celiac axis is compressed to near occlusion."<br /><br />It is uncommon so your doctor may not think to look for it.
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