Re: Upper Right Quadrant Pains

Posted By HFHSM.D.-rf on August 03, 1998 at 23:31:12:

In Reply to: Upper Right Quadrant Pains posted by Trina on August 03, 1998 at 10:51:00:






I have had urq pains for over two months now.  I have seen a gi doctor who has no idea what the problem could be.  I have had a normal upper gi, normal ultrasound, normal CT scan.  Normal stool sample, urine test and blood test.  Normal liver function test.  However pain persists.  I have tried Prilosec, Levsin, Naproxen and now Librax.  Nothing seems to help.  I had my gallbladder out last year.  What other options exist to determine this pain?  I do not have any other symptoms besides burping after heavy meals quite a bit.  I do not have diarehha, or cramping or constipation.  That area is just fine.  No nausea or throwing up, no fever.  Just pain.  It hurts to even lay on that side to sleep.  I am getting very disgusted, while trying to find out the problem. No one, including my primary care doctors or the gi doctor are in any hurry to find the problem, and just keep saying I don't know.  What possiblites and further test do you recommed be done?  I am exhausted mentally with this.  I am 25 years old, average weight, good health! What could cause this problem that is getting overlooked by the doc's? Is an internalist doc better that a gi doc, if he can not find the problem? I appreciate any info!!!!! Is spincter of the odie a possiblity?  If so, what test can identify that?



Dear Trina,
Identifying the cause of pain can be a difficult task for physician and patient when the pain characteristics do not suggest a specific etiology.  You have already undergone an extensive evaluation.  My only suggestion for an additional test is to have a radioisotope gastric emptying study to exclude gastroparesis as the cause of your symptoms.
Pain and burping after heavy mrals can be the result of aerophagia (swallowed air).  I suggest that you avoid talking when eating as well as eating slowly.  Passing gas, taking simethicone may help the symptoms.  Finally, if your bowel pattern is irregular, I suggest that you add fiber to your daily regimen.  Regulation of bowel pattern freuently improves abdominal pain.
This information is presented for educational purposes only.  always consult your personal physician for specific medical questions.
HFHSM.D.-rf
*keywords; abdominal pain
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