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Ulcerative Colitis Pain Left Side Under Ribs

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What Are The Common Causes Of Left Upper Quadrant Pain In Pregnancy

Ulcerative Colitis Diet, Treatment, Symptoms Flare Up | Nursing NCLEX Review

Any of the above conditions can cause pain in the LUQ area, whether you are pregnant or not, so you should always get checked out. However, in pregnancy a common cause of discomfort is the sheer pressure of the womb pressing on other organs, and pressing them into the diaphragm. Also problems with indigestion tend to be common in pregnancy, again at least partly due to the pressure on the stomach. Urinary tract infections are also more common in pregnancy.

Stomach Cramps With Bloating

Stomach cramps with bloating are often caused by trapped wind, or constipation. This is a very common problem that can be embarrassing, but is easily dealt with. Your pharmacist will be able to recommend a product, which can be bought over the counter to treat the problem. If problems persist, you should see your GP.

Ulcerative Colitis Right Side Pain

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How Is Abdominal Pain Diagnosed

Your healthcare provider will ask you detailed questions about your pain. Theyll want to know:

  • Where you feel it.
  • How long youve had it.
  • If it comes and goes.
  • If its getting worse.
  • If it stays in one place or moves.
  • What makes it better or worse.
  • What other symptoms you have.

From your answers, your healthcare provider will try to determine if you need emergency treatment. Sometimes your healthcare provider will be able to tell right away that your pain is temporary and not serious. Sometimes they may suspect a more serious condition and may want to run some tests. And sometimes they wont be able to solve the mystery on the first visit. Your pain may subside, or you may have to return for further investigation.

What Your Doctor Might Ask You

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To narrow the possibilities of whats causing the pain, your doctor may ask you a series of questions.

What other symptoms do you have?

  • VomitingOften occurs with viral stomach infections such as norovirus. Vomiting can also occur with an obstruction or blockage in your intestines.
  • DiarrheaCan occur with intestinal tract infections such as Salmonella, E. coli, C. difficile, or with lactose intolerance or celiac disease. Diarrhea is a hallmark of inflammatory bowel disease , and irritable bowel syndrome.
  • FeverUsually signals an infection.
  • BloodWhen in either vomit or stool, it often means you have a serious condition such as an ulcer or diverticulitis, infectious diarrhea, or inflammatory bowel disease.
  • Back painPain from abdominal organs are sometimes referred to the back. Severe or perforated stomach ulcers, pancreatitis, kidney stones, and aortic dissection can cause back pain.

Where is the pain?

  • Upper abdomen may suggest issues with your pancreas, gallbladder, stomach, or spleen.
  • Around the belly button . Appendicitis pain often starts here and then moves to your lower right abdomen.
  • Lower abdomen pain may be from your small or large intestines, kidneys, or bladder.

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Ulcerative Colitis And Crohn’s Disease Pain Locations Are Usually Different

Ulcerative colitis and Crohn’s disease pain locations are different, even though both of these conditions are classified as inflammatory bowel diseases . Also, the nature and location of pain vary from one person to the next.

This article explores Crohn’s and ulcerative colitis pain locations and types, what pain in different parts of the abdomen may mean, and how Crohn’s and ulcerative colitis pain locations can help with a diagnosis.

Jessica Olah / Verywell

Pain Under Left Rib Cage Feels Bruised

Bruised ribs can cause pain that is felt under the left rib cage. The bruising may be due to several conditions.

They include persistent coughing resulting from lung problems, e.g., pneumonia, bronchitis, pleurisy, whooping cough or another type of respiratory infection.

Pain due to bruised ribs can be accompanied with symptoms such as muscle spasms of the rib cage or pain that radiate to the shoulders.

You may even develop a fever if the bruising is caused by infection and inflammation of rib cartilage as a result of an underlying condition, such as costochondritis.

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Articles On Ulcerative Colitis Overview

Ulcerative colitis affects your colon, which is part of your digestive system. A lot of things can cause trouble in that general area, so how do you know what it feels like to have ulcerative colitis?

It depends on how severe it is, and on what part of your colon is affected.

Also, symptoms can come and go. You might not have any for weeks, months, or even years, and then they come back. Chances are about 50-50 that the effects will be mild.

Still, most people with the disease have a few common issues:

Ulcerative Colitis Questions To Ask Your Doctor

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Whether youâre worried your symptoms are UC, or you already have the condition and want more information, here are questions to ask your doctor:

  • Are my symptoms a sign of ulcerative colitis or another condition?
  • Are there different kinds of UC? Do they have different symptoms?
  • What tests will I need?
  • If I have ulcerative colitis, what will my treatment plan be?
  • Will changing my diet or lifestyle help ease my symptoms?
  • How serious is my ulcerative colitis?
  • If I take medication for ulcerative colitis, will there be side effects?
  • Should I take nutritional supplements like probiotics?
  • How often will I need to come in for checkups?
  • What should I do if my symptoms suddenly get worse?
  • How do I know if my ulcerative colitis is getting worse?
  • How do I know if I should change my ulcerative colitis medication?
  • Should I consider surgery? What does surgery involve?
  • What is my risk of getting colon cancer?

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When Should You Consult A Health Care Professional

It is not easy to assess the severity of abdominal pain or distinguish between what requires the immediate attention of an emergency physician from pain which can be examined later by a general practitioner. Medical emergencies are most often characterized by a significant deterioration of the individualâs general state of health and by their sudden onset. This includes the sudden worsening of chronic pain that was previously tolerable.

As a general rule, it is recommended to consult a health care professional quickly for any stomach pain that lasts longer than a week. Emergency care is also required for any sudden, very acute and severe abdominal pain accompanied by chest, neck or shoulder pain, blood in the vomit or stool, or an abdomen that is tense, hard and sensitive to the touch.

Symptoms Of Ulcerative Colitis

The main symptoms of ulcerative colitis are:

  • recurring diarrhoea, which may contain blood, mucus or pus
  • needing to empty your bowels frequently

You may also experience extreme tiredness , loss of appetite and weight loss.

The severity of the symptoms varies, depending on how much of the rectum and colon is inflamed and how severe the inflammation is.

For some people, the condition has a significant impact on their everyday lives.

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Diagnosing Uc And Crohn’s Abdominal Pain

If your abdominal pain and cramps get worse, it could be a sign that your inflammatory bowel disease is flaring up.9 It may be necessary to see your health care provider.

You may need blood or stool tests to check for signs of inflammation. Your provider may want to do procedures such as colonoscopy or upper endoscopy, computed tomography scan, or small-bowel follow-through. These procedures are done to check for inflammation, obstruction, or abscess.9

What Are The Next Steps

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Next it will depend on what examination and which tests above have suggested. In some cases no further tests will be needed – if, for example, your doctor is confident you have indigestion, or constipation or shingles.

If a heart or lung problem is suspected, a heart tracing and/or chest X-ray might be required. If a problem with your stomach or upper bowel is suspected, you may need an examination with a tube with a camera put down into your stomach . A computerised tomography scan or an ultrasound scan may be helpful to look at your spleen, pancreas or kidneys. In some cases an X-ray of the tummy may be useful. Further tests include other ‘scopes’ and other scans scan).

Nobody will need all these tests, and some people may not need any.

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How Often Do I Need A Colonoscopy

Especially when you have symptoms or are just starting or changing medications, your doctor may want to periodically look at the inside of the rectum and colon to make sure the treatments are working and the lining is healing. How often this is needed is different for each person.

Ulcerative colitis also increases your chance of developing colon cancer. To look for early cancer signs, your healthcare provider may have you come in for a colonoscopy every one to three years.

When To Seek Immediate Medical Help

Severe abdominal pain is a greater cause for concern. If it starts suddenly and unexpectedly, and persists, it should be regarded as a medical emergency, especially if the pain is concentrated in a particular area.

or go to your nearest hospital emergency department if this is the case.

If you feel pain in the area around your ribs, see the section on chest pain.

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What Treatment Will I Need

There is no single answer to this until you know what the cause of your pain is. See the relevant leaflet for the condition with which you have been diagnosed. Treatments for a few of the causes of LUQ pain are briefly discussed below.

  • Shingles. The pain and rash settle on their own in time, but some people may be advised to take an antiviral tablet to help speed this process up.
  • Kidney infections are treated with antibiotics. Mild infections can be treated with antibiotics at home. If you are very unwell you may need admission to hospital for antibiotics and fluids through a drip .
  • Kidney stones. Small kidney stones pass on their own eventually, in which case you will need to drink plenty of fluids and take strong painkillers. Larger kidney stones may need one of a number of procedures done to break them up or remove them altogether.

Pain Coming From A Problem In Your Lungs

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Problems with the lower part of your lungs may feel as though the pain is in the upper part of your tummy. The lower part of your lungs and the upper part of your tummy are separated only by the sheet of muscle called the diaphragm. Problems which might cause pain include infections such as pneumonia or pleurisy. You would usually have other common symptoms such as a cough, high temperature , or pain on breathing.

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Flares Obstructions Or Abscesses Impact Pain Levels

For many patients, abdominal pain gets worse when inflammatory bowel disease flares up.5 Active inflammation can cause pain.

Pain can also be a sign of an obstruction or abscess.3,5 However, people with IBD may have abdominal pain during remission, too. Inflammation can make the nerves more sensitive. It may cause lasting changes that contribute to pain during remission.5

Ongoing abdominal pain can impact your overall well-being.5 Fear of the pain can reduce your quality of life. Abdominal pain has been linked to depression in children and teenagers with IBD.6

Less Common Causes Of Lower Right Back Pain

The following conditions may be common in the population, but are less likely to cause lower right back pain than pain in other areas, such as in the abdomen.

Lower right back pain may be an early symptom of the following:

  • Gallbladder inflammation. Gallbladder inflammation or dysfunction is typically marked by severe indigestion, particularly following meals. Gallbladder dysfunction typically causes upper right abdominal pain and right-sided back pain.
  • Liver problems. Pain related to the liver may be caused by inflammation , an abscess, liver scarring , or an enlarged or failing liver. Symptoms of liver problems include pain in the upper right abdomen and/or back, fatigue, nausea or lack of appetite, and jaundice. Liver problems are relatively rare in persons not already at risk.

If the above conditions are the suspected cause of troubling symptoms, seeking prompt medical attention is advised.

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Complications Of Ulcerative Colitis

Complications of ulcerative colitis include:

  • primary sclerosing cholangitis where the bile ducts inside the liver become damaged
  • an increased risk of developing bowel cancer
  • poor growth and development in children and young people

Also, some of the medications used to treat ulcerative colitis can cause weakening of the bones as a side effect.

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How To Treat Pain


There are various treatment options for UC, and the best approach for a person will depend on the severity of their symptoms. Over-the-counter medications can sometimes help relieve the pain that UC can cause. However, severe cases require stronger pain relievers.

Medications for the treatment of UC include:

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What Are The Usual Tests

Your doctor will narrow the field of possible diagnoses by talking to you and by examining you. They may be able to find the cause simply from doing so. For example, if they find the typical rash of shingles, you will need no further tests to find the cause. If they find your spleen to be enlarged this suggests the problem is related to your spleen or blood. If examination is normal, that already rules out quite a few possible diagnoses. The doctor will certainly need to feel your tummy in the area you have the pain, but may also need to examine other parts too, such as the rest of your tummy and your chest.You will probably be asked to provide a sample of urine, to check the colour and to rule out kidney problems.You may well have to go for blood tests. These might include tests to:

  • Check the function of your pancreas, liver and kidneys.
  • Rule out any inflammation or infection in your system.
  • Screen for lymphomas and leukaemias and to look for anaemia.
  • Check your sugar level.

What Are The Common Causes Of Left Upper Quadrant Pain In Children

In young children it is often quite difficult for them to show exactly where the pain is. If this is the case, the field of options widens to almost any cause of tummy ache. In children common causes include:

  • Gastroenteritis.
  • Mesenteric adenitis. In children with infections such as colds, glands within the tummy commonly become inflamed giving them tummy ache.
  • Appendicitis. Usually this gives pain in the lower right part of the tummy, but if a child can’t show you exactly where the pain is, or if the appendix has burst , appendicitis may be a possible diagnosis to consider.
  • Pneumonia. Infections in the lower parts of the lungs can cause pain in the tummy.

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How Is The Disease Diagnosed

Physicians make the diagnosis after taking a careful patient history, examining the patient and ordering a series of tests. The first goal of these tests is to make sure that an infection is not causing the diarrhea. Stool specimens are taken, blood tests are analyzed and a barium enema X-ray of the colon may be ordered if the patient is not too sick. The barium shows up white on the X-ray, providing a detailed picture of the colon. Finally, the patient may have a colon evaluation through a sigmoidoscopy or a colonoscopy.

In a sigmoidoscopy, the doctor passes a flexible instrument into the rectum and lower colon. The doctor then can see how much inflammation is in those areas. A total colonoscopy is similar, but it looks at the entire colon to detect bleeding, inflammation or ulcers on the wall. During these procedures, the physician usually takes a sample called a biopsy.

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How Is Left Rib Pain Diagnosed

What Causes Back Pain Only On The Left Side?

To figure out whats causing pain in your left rib cage, a doctor will give you a physical exam that includes feeling the affected area. This will help them check for any signs of swelling or inflammation that might be caused by conditions such as costochondritis.

If they suspect the pain could be due to a heart problem, a doctor might use an electrocardiogram to measure the electrical activity in your heart. This will help to rule out any serious underlying condition.

Next, they may take blood, stool, or urine samples for testing. Analyzing these results can alert a doctor to signs of kidney problems, pancreatitis, or gastritis.

If the cause of your rib cage pain still isnt clear, you may need an imaging test, such as:

This will give a doctor a better view of your bones, organs, and tissues.

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Where The Pain Occurs

Pain is a common symptom of UC. According to the Crohns & Colitis Foundation, 33% of people with UC experience chronic abdominal pain. Pain management is, therefore, an important part of the treatment plan.

Pain due to UC occurs most commonly in two regions: the rectum and the lower left side of the abdomen. Doctors associate the areas of inflammation with a certain type of UC.

The severity of the symptoms can vary over time, with people often experiencing periods of mild or no symptoms, known as remission, alternating with periods of more severe symptoms, known as flare-ups.

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