Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have an enlarged spleen and I had an abdominal u/s this morning. I have been having dull pain on my left abdomen for the last week or 2 (worse after eating or drinking and thought to be spleen being crowded by other organs), but now the pain is greatly increased and radiating into the upper tip of my left shoulder (worse on lying down and on inspiration). Ideas? Thanks, Wendy
[|AI|]  HI. The spleen causing such a pain is not known unless there is a rapture or so. The pain which gets the worst on eating or Chat Doctor.  The refereed pain on the left shoulder can be due to the irritation of the under-surface of the diaphragm by perforation of the stomach ulcer/ pancreatitis/ splenic abscess. You have to really rush to the ER, get a reference/ admission in the hospital, urgent investigations like the ultrasonography/ CT scan./ Upper GI endoscopy/ blood tests.