I posted in Oct 2012 - below is updated case w/questions:
I started having URQ pain 5 months ago-a cramp/dull ache under right ribs. The pain comes and goes-here for a day, gone for several, here for a day. On a scale of 1-10, pain's been between 1-4. Pain sometimes feels like it's wrapping around my right back a little, but I also have a back injury. Occasional pain to the right of my belly button and rarely a pinching in ULQ under ribs. Pain seems unrelated to eating. I'm having a lot of gurgling after eating in URQ and above belly button. No blood in stool, no vomiting, no shoulder pain, no nausea, rare mild heartburn. I was diagnosed with IBS 15 yrs ago, but my IBS presents as LRQ pain.
Tests within the last 5mo:
1) Two rounds of bloodwk - CMP, amylase, lipase, CBC - all normal
2) Abdominal ultrasound - normal
3) HIDA scan with EF - normal (50%). Some pressure/pinching in URQ after the CCK injection but didn’t really reproduce my symptoms. Infused over 30mins.
4) Upper endoscopy: Biopsies showed mild irritation in stomach.
Since endoscopy in Nov, GI put me on Prilosec 1xday. GI believes stomach acid is cause of pain. Prilosec seemed to help a little-I'd have more days without pain but the pain would still occur.
Over the last week pain has jumped to a 6 on 1-10 scale. Pain is constant aching - might wane for an hour then return. GI still thinks it's acid, increased Prilosec to 2xday and 40mg Pepcid/day. I think I feel a little relief after taking Pepcid but not a lot.
1)Do you agree with diagnosis of stomach acid given location/nature of my pain? Can stomach acid result in fairly localized URQ pain? I'd expect acid to result in more diffuse pain.
2)What additional/repeat tests if any should I get? If a CT-scan, I have already had 2 CT-scans in my life. Would you recommend a 3rd CTscan to your wife/daughter given radiation risks?