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Gastroenterology (Expert Forum)
Right upper abdominal pain
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
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Right upper abdominal pain
by jfem4, Oct 25, 2006 12:00AM
I am a 40 yo female...
Lately, I have been having some on and off pain right below my rt.rib.
It doesn't happen in any consistent manner. It had been happening since Monday, on and off.
It hasn't gotten worse,just pretty much staying the same.
My stool is yellow, and on Monday, was loose. I've been eating rice, banana, etc.. and today it's formed, but still yellow.
I had an endoscopy,and abdominal US in 2005, both were negative.I had this done because last December, I had about a month of on and off nausea, feeling full, decreased appetite, yellow stool... All the tests( stool cultures, blood work etc...) came back negative.
I had some rectal bleeding in April, and the colonoscopy revealed some ulcers on my ileum, ( the biopsy was negative for Crohn's.)
However, I was diagnosed with mild ulcerative proctitis . I've been taking Canasa suppositories since APril, and I have not had any issues with it since the end of the summer.
Prior to this I've been feeling fine...normal stool color, consistency, eating fine, no pain, nothing...
My appetite is ok, a little decreased, but nothing too abnormal.
Exercising still, not affecting anything else.
It's just kind of painful, like a dull achy type pain.
is stomach cancer a possibility? Would the endoscopy a year ago decrease the chances of that?
What else could it be??
I have an appointment with my GI but not until Nov 10 th.
Thanks for your insight
Jane
thanks, Jane
Lately, I have been having some on and off pain right below my rt.rib.
It doesn't happen in any consistent manner. It had been happening since Monday, on and off.
It hasn't gotten worse,just pretty much staying the same.
My stool is yellow, and on Monday, was loose. I've been eating rice, banana, etc.. and today it's formed, but still yellow.
I had an endoscopy,and abdominal US in 2005, both were negative.I had this done because last December, I had about a month of on and off nausea, feeling full, decreased appetite, yellow stool... All the tests( stool cultures, blood work etc...) came back negative.
I had some rectal bleeding in April, and the colonoscopy revealed some ulcers on my ileum, ( the biopsy was negative for Crohn's.)
However, I was diagnosed with mild ulcerative proctitis . I've been taking Canasa suppositories since APril, and I have not had any issues with it since the end of the summer.
Prior to this I've been feeling fine...normal stool color, consistency, eating fine, no pain, nothing...
My appetite is ok, a little decreased, but nothing too abnormal.
Exercising still, not affecting anything else.
It's just kind of painful, like a dull achy type pain.
is stomach cancer a possibility? Would the endoscopy a year ago decrease the chances of that?
What else could it be??
I have an appointment with my GI but not until Nov 10 th.
Thanks for your insight
Jane
thanks, Jane
Doctor's Answer
by Kevin Pho, MD, Oct 26, 2006 12:00AM
, Oct 26, 2006 12:00AM
A normal endoscopy would make stomach cancer unlikely.
Further evaluation of the gallbladder can be considered. This can include a HIDA scan with CCK stimulation to evaluate the gallbladder ejection fraction.
More specialized testing of the upper digestive tract can also be considered. This can include a gastric emptying scan, looking for gastroparesis, or esophageal motility studies.
These options can be discussed with your personal physician or gastroenterologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Further evaluation of the gallbladder can be considered. This can include a HIDA scan with CCK stimulation to evaluate the gallbladder ejection fraction.
More specialized testing of the upper digestive tract can also be considered. This can include a gastric emptying scan, looking for gastroparesis, or esophageal motility studies.
These options can be discussed with your personal physician or gastroenterologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Any help would be greatly appreciated.
Melanie
I would ask for another US if I were you...
Good luck!