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I have had unexplained pain in my right flank area (front & back) for nine months (and for a few months 2 years ago).  I've had several test and scans.  My doctor just tested my for H.Pylori and it came back slightly elevated.  He recommended either and endoscopy for a biopsy or taking medication.  I'm not excited about an endopscopy or taking medications if I don't need to.  Should I go ahead with one of these options even if the level is just slightly elevated? Which would you recommend? And, could this cause my pain in the right flank area?

[Kevin Pho, MD]

H Pylori may cause pain in the right flank.  If the test is positive, it is reasonable to consider treatment.  Medication typically consists of a proton pump inhibitor (i.r. Protonix or Prilosec) and two antibiotics.

Other things, like irritable bowel disease, kidney disease, gallbladder or liver disease, or appendicitis can also cause pain in the right flank.  You may want to ensure there is nothing more serious (i.e. a CT scan and/or ultrasound can be considered) before settling on the H Pylori diagnosis.  

These options can be discussed 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.
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