If necessary, you may need more detailed imaging tests such as a CT scan or MRI. This test requires the insertion of contrast material (barium) through the anus and an x-ray of the abdomen. This allows for a more detailed examination of the lower GI tract and can help diagnosis abnormalities affecting the large intestine. If your doctor feels further testing is needed, a barium enema test may be prescribed. The doctor will then lightly press on different areas of the stomach and ask you specifically where you feel the pain. Next, your doctor will perform a physical exam, which will require you to lie down and expose your stomach area. Remembering everything you ate in the past 24 hours will also help your doctor make a more informed decision about your current condition. INTESTINAL FLEXTURE FULLThis will often include taking a full medical history of previously diagnosed illnesses as well as reviewing all past and recent dietary habits. Your doctor will take a full history of presenting symptoms to help rule out the most common causes first. Drum-like sounds while tapping the upper abdominal area.It is most likely caused by trapped gas in the gastrointestinal system.Ĭonstipation and diarrhea: While not occurring simultaneously, these two conditions can be the result of uncontrolled episodes of splenic flexure syndrome A condition called Liddle’s syndrome may also be a causative factor.Ībdominal spasm: A common manifestation and a source of discomfort in people with splenic flexure syndrome. Increased gas production may present as bloating and could be triggered by gas forming foods and fatty meals. Splenic flexure abdominal pain has been described as being severe and lasting for a few minutes, recurring many times for weeks or months.Ībdominal distension: This is mainly due to over accumulation of gas in the splenic flexure. This pain can often be mistaken as a heart attack. This pain has the potential to radiate up toward the left side of the chest. The following signs and symptoms may accompany the syndrome:Ībdominal pain: The most common presenting symptom of splenic flexure syndrome, abdominal pain is usually located in the upper left abdominal quadrant. Symptoms of splenic flexure syndromeĭiscomfort in the upper abdominal area is the main presenting symptom of splenic flexure syndrome. Other gas forming foods include potatoes, sodas, soybeans, peas, and lactose. Complex carbohydrates composed of raffinose and fructose can increase the likelihood of developing splenic flexure syndrome. Short-chained carbohydrates-legumes, apples, and prunes-can pull water from the vessels of the intestine to the lumens after ingestion, leading to diarrhea and abdominal bloating. Infections: Examples include amebiasis, tuberculosis, and other infections that may cause irritation to the intestinal lining.ĭiet: The consumption of certain foods can lead to feelings of abdominal discomfort. Eating contaminated food items that have bacteria on them can also result in diarrhea and gas production.Ībdominal adhesions: This is a complication of previous abdominal surgery, whereby abnormal healing of the tissues near the digestive tract can lead to restriction of food or gas passage through intestines. Other disorders that affect the movement of the gut may result in small air pockets leading to discomfort. GI disorders: Inflammatory bowel conditions such as Crohn’s disease and ulcerative colitis can affect the lining of the large intestine, leading to abdominal discomfort. Swallowing too much air-called aerophagia-during times of eating, chewing, mouth breathing, and hyperventilation can also lead to abdominal discomfort due to splenic flexure syndrome. Undigested food in the digestive tract commonly produces excessive amounts of gas. This may be caused by fatty foods and gas production leading to abdominal distention. Relief of gas accumulation can be achieved by simply passing gas, but unfortunately, those with splenic flexure syndrome have difficulty doing so.Ībdominal distention: This can occur when too much space accumulates in the gastric area, leading to feelings of discomfort. The trapped air pushes on the inner lining of the gastric mucosa, putting pressure on the surrounding structures, leading to pain and discomfort. Gas accumulation: This is thought to be the most common cause of splenic flexure syndrome and it occurs due to trapped air in the gastrointestinal tract.
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