<human>: I frequently get pain on my upper left side similiar to pleurisy, which I had about 30 yrs ago, oddly enough this seems to happen when I over work my self or, belive it or not it or not, when I over eat. I am not over weight I weigh 112 and am a 5fi1in female. I am on meds for high blood p. and cholesterol. Which is under control. Thank you.
<bot>: Hi. Thanks for your query. Read your history and understood your problem. You have a problem for over 30 years, you say. Pain in the left upper side of the abdomen, like Pleurisy, increases on overwork and over eating. The probable causes are: Looks to be affection of the intercostal nerves which gets exited on the factors you mentioned. The overwork can exhaust the muscles of the lower chest and / or upper abdomen causing stretching of the intercostal nerve causing this typical pains. Full stomach acts in the same way. I would advise you to consult a General Surgeon, discuss this issue as I mentioned. He may have a clinical examination and may ask you to over-eat and see what the problem like. If required CT scan of the upper abdomen and lower chest may find some abnormality of the ribs. Local injections for intercostal nerve block can be tried as a diagnostic and therapeutic test. Ct will help to prove or to rule out other causes.