What causes pain in upper left stomach area just below ribs?
Patient: I have pain on my upper left stomach area, right below my ribs. If I am standing it really doesn t hurt but setting or leaning forward does. It also has a sensation like something there is knotting up and almost like it is moving. The pain isn t severe but it is pretty constant. I am 44 yr old female, over weight with high blood pressure. Thanks Doctor: Hi! Good afternoon. I am Dr Shareef answering your query.If I were your doctor, I would like to have a clinical examination of yours followed by an ultrasound of whole abdomen to see the status of all the intra abdominal organs or any other related lumps. Apart from this,  I would also go for some routine tests like a CBC, a blood sugar, serum amylase and lipase, and a LFT. A routine ECG would also be worth doing. I would also advise you to avoid any alcoholic beverages or smoking if you do. Further management would depend on the clinical findings, and investigation reports. Till then, you could go for a anti spasmodic and a proton pump inhibitor drug for a symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.