<s>[INST] I have had constant, dull lower left quadrant pain for almost 4 months now.  I recently had a blood test that showed an elevated IgE of 2617 with the normal range being <114.  I also have had tingling in my hands and feet for over a month now.  Any ideas? [/INST] Hello and thanks for writing.I can understand your concern and would try to help you in the best possible way.The elevated IgE levels mean that you are allergic to some thing however it cannot tell you what you are allergic to. For that a skin test or allergen specific IgE test has to be done. Your abdominal pain and tingling in hands or feet may be related or even be two separate entities. A complete history and physical examination would be required for getting to a diagnosis. Some relevant examination like CBC, stool examination, USG or even scopy may be required to get to a diagnosis.I suggest you consult a physician who would help you with a diagnostic workup and appropriate management plan. </s>