Upper left quadrant/flank and chest pain

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Hello, for 8 months now I have been having pain in upper left quadrant/flank and chest pain, a rheumatologist has ruled out bones, cartilage and muscle being the cause.

Pulmonary embolism is also not the case as they tested for that at the beginning of all this, just getting fed up now as it's making doing everyday activities difficult

Has anyone else experienced the same sort of things? or got any advice/idea on what it could be?


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  • Posted

    Hi ermintrudee; am sorry that this has been going on for so long and no answers...........am going to ask you a couple of questions that may upset you, but please don't take offence........as you say L) upper quadrant, which is where your Spleen and Pancreas are located, do/did you have any injury at that time? and when your bloods came back were there any abnormalities with Red Blood Cells?  Another question, do you drink a lot of alcohol (now or in the past).....your pancreas reacts badly to too much alcohol  (but this I also feel the docs should have picked up with bloods.....the Pancreatic enzymes should have been raised???/ and of course have/has your GP/specialists ordered an ultra-sound/CT/MRI on this area?    When you say "chest Pain", do you feel it is your heart or just in that area in general?   Does this pain affect your breathing (do you feel Short of Breath when the pain comes?)....and is the pain "only" in your chest, or go elsewhere, eg.  arms/neck and does it make you feel sick/nauseated??? and is it  there ALL the time or "come and go"??? all of these questions need to be asked to understand what you are feeling as you were very limited in your original question...........I do feel that all of these questions would have been asked and checked by your treating dr/drs????.....but there is not enough for it to be related to Fibro (and not the same type of pain).....and your Rhuematologist would have sent you for these tests if he/she felt it was related to your heart???  This is Clasping at straws too, but as you mention Flank, have you had this area scanned/Kidney Function Bloods/urine tested?        Forgive me for my many questions and what may sound like ramblings...........Bron
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    • Posted

      Hello Bron, thank you for the reply!

      No injuries at all! Bloods have been okay I believe. (not the first time I went to A&E with the problem, that is when they thought I had a pulmonary embolism, I was on warfarin injections for a week while waiting for CT scan results then told all was fine) but since then all blood tests have been normal.

      No alcohol, never have and still don't drink (or smoke)

      I've had a CT Scan which did show a 3.5-4cm cyst on my spleen which I've been told most likey isn't causing my pain.

      I don't believe it is heart pain, I do get short of breath if walking for over 5-10 mins and cilmbing 2 sets of stairs, the pain in mainly on the left side of the upper adbomen, underneath the ribs going round to my back/shoulder, more there than in my chest. 

      The pain is there all the time, but it does get worse, sometimes it gets so bad I feel nauseous and curl up in a ball on the floor until it is bearable again sad

      My kidneys and urine have been all cleared by a urologist.

      I just want to feel normal again, thanks so much again for your reply! 

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    • Posted

      Morning ermintrudee;    Well I think we are grabbing at straws, but as they did find a cyst on spleen ?8 months ago, perphaps it maybe worth while going back and having another CT on the spleen to ensure that it hasn't got larger/grown??   (I do know from my father's experience that errors in readings/diagnosing is possible)....do you think that your GP/primary carer would order another for you?.............Bron
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    • Posted

      Yeah, they found the cyst on a CT scan from about 3 months ago on a different CT scan, so I doubt it will have changed much since then. I will make sure to bring it up at my next appointment though!
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  • Posted

    This could be costocondriasis, particularly so if you have been under stress recently. It is, if you like, a diagnosis of exclusion and you have been well checked out for other things at this stage.
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