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4 months dull ache under right rib
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The gallbladder is a pear-shaped organ underneath your liver that stores bile and most often gives you trouble when something, like a gallstone, blocks the flow of this bile. Discuss topics including gallbladder attacks, gallbladder removal, gallstones, and inflammation.

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4 months dull ache under right rib

Hi Dear Doctor,
4 months ago I started to have a dull ache under my right rib.
I went to a gastroenterologist and they did a blood test and ultrasound.
From ultrasound they said i have an inflamed liver and from my blood results
the liver enzyme levels were as follows:

-Bilirubine direkt: 0.50 mg/dL (range: 0.2 - 1.3)
-Bilirubine totaal: 0.7 mg/dL
-SGOT: 97 U/L (range: 17-59)
-SGPT: 186 U/L (range: 21-72)
-Alkalische Fosfatase: 92 U/L  (range: 38-126)
-Gamma-GT: 81 U/L (range: 15-73)
-LDH: 641 U/L (range: 313-618)

Doctor suggested me to loose
some weigt. After first test, I followed a diet and exercised regulary.
One month later, I did a second blood test with the following results:

-Bilirubine direkt: 0.43 mg/dL (range: 0.2 - 1.3)
-Bilirubine totaal: 1.1 mg/dL
-SGOT: 61 U/L (range:17-59)
-SGPT: 115 U/L (range: 21-72)
-Alkalische Fosfatase: 85 U/L  (range: 38-126)
-Gamma-GT: 45 U/L (range: 15-73)
-LDH: 512 U/L (range: 313-618)

I continued diet and exercise became 68 kg from 74 kg. After two months from the second blood test, I had the following results:

-Bilirubine direkt: 0.24 mg/dL (range: 0.2 - 1.3)
-Bilirubine totaal: 0.7 mg/dL
-SGOT: 34 U/L (range: 17-59)
-SGPT: 53 U/L (range: 21-72)
-Alkalische Fosfatase: 81 U/L  (range: 38-126)
-Gamma-GT: 28 U/L (range: 15-73)
-LDH: 480 U/L (range: 313-618)

As you see there is an improvement in my enzyme levels and the levels are in the normal range in the last test.
However. the dull ache pain below liver continues: it is very irregular: it comes and goes during the day.
Recently, I have developed some other symptoms: there is bloating, constipation and a lot of wind after meals.
Also, bowel movement and rumbling. When I go to toilet, I feel a relief. Also, sometimes the dull ache region gets itching a little bit and the dull ache region
is a little bit hot. No vomiting, no blood in stool and no appetite loss.
A few days ago, my gastroenterologist ordered a CT scan for the right hand side and it was normal: normal liver, pancreas,  gall bladder, kidney and abdominal wall.
She said that she does not know the reason for dull ache pain below the liver.
What can be the reasons for the dull ache under liver and what should I do?
Thanks in advance,
4 Comments Post a Comment
Avatar dr f tn
Hi there,
Liver pain is commonly caused by swelling of the liver which causes the liver capsule to expand. Fatty liver, viral infections of the liver and alcohol all can cause elevations in liver enzymes and altered liver function tests. Since your imaging studies have demonstrated normal liver, pancreas, gall bladder, kidney and abdominal wall it is possible that you are suffering from irritable bowel syndrome. In this condition there can be liver pain and abdominal discomfort, bloating, back pain, diarrhea, headache etc. The precise causes of IBS are not known and diagnosis can be difficult. Discuss your doctor about this possibility. I hope it helps.
Best wishes and regards!
Avatar m tn
can it be due to colon cancer also? in fact, i do not feel any dull pain when i sleep. the dull pain, gas, bowel movement and rumbling starts a few hours after wake up.
Avatar m tn
i mean i  can sleep easily without any problem. i do not wake up due to any pain. i wake up at normal times.
Avatar f tn
Check your vitamins and minerals levels, I believe you have severe deficiency in calcium, vitamin D and vitamin E.
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