A member asked:

Terrible pain left side of back under back ribs that radiates to the front but mostly the back & left side. could it be pancreatitis or spleen issues routine blood work 2 wks ago clear. how to tell the difference between muscular & serious issue?

3 doctors weighed in across 2 answers
Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

Symptoms from pancreas or stomach is often associated with nausea & vomit. Muscular problem is usually precipitated or exacerbated with movement, somewhat relieved with local massage. Nerve pain, such as shingles-related neuralgia or post-herpetic neuralgia can radiate from back to front but always ipsilaterally. Left kidney pain can't be ruled out but it usually radiate to the groin + voiding sx.

Answered 10/28/2022

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Dr. Silviu Pasniciuc answered

Specializes in Internal Medicine

Physical exam and detailed history usually guide in further selection of imaging tests that may or may not be diagnostic. Majority of cases have a musculoskeletal cause, visceral causes are ruled out if suggested by physical exam and history.

Answered 10/30/2022

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