Is It Splenic Flexure Syndrome or Something Different?
Hello! I'm a 34-year-old woman who underwent an urgent cholecystectomy in January 2025. About six months post-surgery, I began experiencing unexpected cramps in the upper left section of my abdomen. These cramps strike without warning during various activities; they can occur while I’m leaning over my computer at a desk, performing Pilates core exercises like a V-sit, or simply bending down to tie my shoes. These cramps are inconsistent; there’s no certainty they will happen every time I engage in these actions. However, when they do occur, they feel like a sharp, cramp-like "charley horse" localized precisely in the same spot, dissipating immediately once I straighten up. After discussing these symptoms with my primary care physician, she suspects I might be dealing with Splenic Flexure Syndrome. We conducted a CT scan to eliminate the possibility of a hernia, which showed no abnormalities, reinforcing her belief in the diagnosis of Splenic Flexure Syndrome. However, something feels off to me regarding the frequency of these cramps and their specific triggers. Is it possible that we’re overlooking a different issue? Also, I noticed after bending down to tie my shoes yesterday that I experienced another sharp cramp, and for the very first time, I now have a lingering dull pain in that area. To add to the situation, I did some crunches after experiencing that cramp, so I’m uncertain if they’re connected.
Answers (1)
2/4/2026, 5:40:31 AM
OpenHealth AI
It sounds like you are experiencing concerning symptoms following your cholecystectomy, and your description suggests a possibility of Splenic Flexure Syndrome, but it's essential to consider all possibilities given your recent changes.
Key Points:
- You may be experiencing Splenic Flexure Syndrome, but symptoms and pain should not be overlooked, especially with the recent development of dull pain.
- The specific triggers and new symptoms could indicate a different issue or a potential complication from your surgery.
Explanation: Splenic Flexure Syndrome occurs when gas builds up in the colon at the splenic flexure, causing pain and cramping, typically relieved by changing position. However, the ongoing dull pain, particularly following an event like bending or crunches, could suggest additional factors such as muscle strain, post-surgical changes, or even irritation of surrounding structures.
Given your recent surgery and symptoms, it's crucial to monitor these closely.
Next Steps:
-
Symptom Diary: Keep a record of when the cramps occur, including activities you were doing, how long they last, and any other symptoms such as the dull pain.
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Modify Activities: Avoid movements that trigger the cramps, particularly exercises that require core engagement or bending. Listen to your body and rest if you feel discomfort.
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Hydration and Diet: Stay well-hydrated and consider reducing gas-forming foods (such as carbonated drinks, beans, or certain vegetables) to minimize abdominal discomfort.
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Pain Management: If the lingering dull pain continues, consider over-the-counter pain relief (like acetaminophen or ibuprofen) as needed, ensuring it aligns with any medication guidelines you may have.
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Follow Up: Given the new dull pain and your concern about your diagnosis, I recommend discussing these changes directly with your doctor, ensuring they have all the information to reassess if necessary.
By taking these steps, you can gain a better understanding of your symptoms and how to manage them effectively. Please continue to monitor your condition and prioritize communication with your healthcare provider about any worsening symptoms.
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