List possible differential diagnosis of pain in the left upper quadrant which is aggravated by eating in 20 years old female

Answer 1

Here are some possible differential diagnoses for pain in the left upper quadrant that is aggravated by eating in a 20-year-old female:

1. Gastritis: Inflammation of the stomach lining, often caused by H. pylori infection or excessive use of NSAIDs.
2. Peptic ulcer disease: An open sore or erosion in the lining of the stomach or duodenum, often caused by H. pylori infection or NSAID use.
3. Pancreatitis: Inflammation of the pancreas, which can be acute or chronic and often occurs after heavy alcohol consumption or gallstones.
4. Gastroesophageal reflux disease (GERD): Chronic acid reflux from the stomach into the esophagus, causing irritation and pain.
5. Esophagitis: Inflammation of the esophagus, often caused by acid reflux or certain medications.
6. Gallbladder disease: Conditions such as gallstones or cholecystitis (inflammation of the gallbladder) can cause pain in the upper abdomen that may be worsened by eating.
7. Splenic disorders: Conditions such as splenic infarction, splenic rupture, or splenomegaly (enlarged spleen) can cause left upper quadrant pain.
8. Irritable bowel syndrome (IBS): A functional disorder of the intestines that can cause abdominal pain, bloating, and changes in bowel habits.
9. Kidney stones: Stones formed in the kidneys can sometimes cause referred pain to the upper abdomen.
10. Left-sided appendicitis: Uncommon, but possible, especially if there is a longer appendix that extends into the left upper quadrant.