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Urology  (Expert Forum)
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233190?1193370436
Pain
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Pain

by nomore098765, Feb 18, 2006 12:00AM
About 6 months ago I was stricken by unexplained malaise and pain. The pain has always been in my upper right abdomen going through to the back and radiating around the side. I have had an MRI, liver function test, every blood test imagineable and still nothing. For a while they thought Pancreatitis then Gallstone then when the MRI showed nothing my doctor said that it must be Muscle/Skeletal. At the same time my eyes are very irritated all day long. I am at the end of my rope and just want to end this. What could be causing all of the symptoms I dont understand. I am 29 and in pretty good health, could you even refer a specialist in New York City who will hunt this down without making me feel crazy for suggesting that I have pain that the cause for has not been found?

by Kevin Pho, MD, Feb 20, 2006 12:00AM
The MRI of the abdomen is a pretty comprehensive test.  Other options to consider would be an upper GI series/upper endoscopy (to evaluate the upper GI tract), as well as a HIDA scan with CCK stimulation.  The latter test can evaluate the gallbladder ejection fraction.  If low, there are some studies that suggest removing the gallbladder can be of help.  



I would discuss these options with a GI specialist - your personal physician can recommend one in your area.



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_b
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by Michael MRM, Mar 13, 2006 12:00AM
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