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Splenic Pain: When Your Side Tells a Story
Published: Feb 29, 2024
Pain in your left upper abdomen could be a sign of splenic issues. But what causes this discomfort, and when should you be concerned?
Locating the Pain: It's All About Position
Splenic pain typically occurs in the left upper quadrant of the abdomen, just under the rib cage. Sometimes, it can radiate to the left shoulder. This unique location is due to the spleen's position in your body, nestled between your stomach and your left kidney.
Common Causes of Splenic Pain
Several conditions can cause splenic pain. Infections like mononucleosis can cause the spleen to swell, leading to discomfort. Blood disorders, such as sickle cell disease, can cause painful episodes. In rare cases, splenic infarction (loss of blood supply to part of the spleen) or rupture can cause severe, sudden pain.
When Pain Means Danger
While some splenic pain can be managed at home, certain symptoms warrant immediate medical attention. Severe, sudden pain in the left upper abdomen, especially if accompanied by lightheadedness or shortness of breath, could indicate a splenic rupture. This is a medical emergency that requires immediate care.
Diagnosing the Source of Pain
To determine the cause of splenic pain, doctors may use various diagnostic tools. Physical examination can reveal tenderness or swelling. Imaging tests like ultrasound or CT scans can show the size and condition of the spleen. Blood tests can help identify infections or blood disorders that might be causing the pain.
Frequently Asked Questions
Intense exercise can sometimes cause temporary splenic discomfort, especially in endurance athletes.
Not always, but persistent or severe pain should be evaluated by a healthcare provider.
Mild discomfort might be managed with rest and pain relievers, but always consult your doctor.
Yes, it can be mistaken for conditions like gastritis or kidney stones.
Duration varies based on the cause, from a few days for infections to longer for chronic conditions.
Listen to Your Body
While not all splenic pain is serious, it's important to pay attention to your symptoms and seek medical advice when needed.
References
- Schattner A, et al. Acute Splenic Infarction at an Academic General Hospital Over 10 Years: Presentation, Etiology, and Outcome. Medicine (Baltimore) 2015; 94:e1363.
- O'Reilly RA. Splenomegaly in 2,505 patients at a large university medical center from 1913 to 1995. West J Med 1998; 169:88.
- Renzulli P, et al. Systematic review of atraumatic splenic rupture. Br J Surg 2009; 96:1114.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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