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Coughing with Pain in Upper Right Quadrant
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Coughing with Pain in Upper Right Quadrant

My boyfriend recently had pneumonia about 5 weeks ago. The coughing he experienced during (and since) the illness has led to pain in the upper right quadrant of his abdomen. That area is "hard" -- as if he was contracting his stomach muscles... almost like the muscles are cramped and knotted up. Also, the area is tender to the touch; he describes it as feeling sore like a bruise feels when it's touched. It also just aches in general. Otherwise he feels fine -- no nausea, fever, etc.

He has been to the doctor for tests. When the results came back, all the doctor said was that he needed to come back for more tests but wouldn't give any indication as to what he thought it could be. Could you provide some possibilities? His next round of tests are scheduled 7 days from now, but in the meantime I'm very worried.

Any guidance would be extremely helpful. Thank you.
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The cough itself, or pneumonia, can lead to pain in the right upper quadrant.  A chest CT scan can look for other pulmonary cases leading to these symptoms.  

You can also consider GI causes - specifically problems with the liver or gallbladder (i.e hepatitis or gallstones).  Blood tests can be considered to evaluate for these possibilities.  You can also consider an abdominal ultrasound which can image the area.  

I would consider these tests and discuss them with your personal physician.

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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