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16 years old, terrible upper right quandrant pain, please help

16 years old, terrible upper right quandrant pain, please help

I'm a 16 year old female and i'm in desperate need of some help or advice. I've been suffering from pain in my upper right quadrant underneath my ribcage that radiates to my back. I had similar pain last year in June and had my gallbladder removed after a HYDA scan saw it functioning at 9%. The surgery seemed to have worked. This year, in May, I got a terrible attack in school, it was excrusiating and unbareable. The pain seemed to dull some but it still remained constantly there, i'd just get a sharp stabbing pain every now and then. Nothing I seemed to do would relieve the pain. My mother took me to the family docter, and ER. In the ER they did x-rays and ultrasounds and found nothing. The doctor there seemed to think it was "all in my head." I went to my pediatrician later that week and he recommended me have a CT scan to see if adhesions had formed. I had that done, and still, they found nothing wrong. They said I was perfectly healthy. But I was miserable and was missing a ton of school and nobody seemed to believe me. About a week later, the pain went away. I didn't make any changes in my diet or anything. I didn't know why it was gone, but I was very happy with it. Now, two months later, it came back again and it's horrible. It seems to be worse that before. It's just like my gallbladder pain, but it seems to have nothing to do with what I eat because it constantly hurts there. Taking Advil doesn't seem to have any affect either. I've also tried taking prevacid thinking it has to do with acid reflux, and that has no affect either. I've also tried gas-x thinking it was just gas pains, but no luck. I'm really desperate for any answers, I'm in pain and have no idea what to do. Please help me out with any advice possible.
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Allison, the problem isn't in your head, it's associated with your biliary system and it may be called SOD - sphincter of Oddi dysfunction. Here's a decent link to more information: http://www.hopkins-gi.org/GDL_Disease.aspx?SS=&CurrentUDV=31&GDL_DC_ID=320F4EDD-0021-4952-83D7-8B0C67B47BFF&GDL_Disease_ID=7AB086B0-AB01-446E-B011-2E67CAFEF96D

You're going to have to find a doc who understands SOD because most docs don't - even experienced GI people.

While you're looking for someone who understands the situation, stay on a very, very low fat diet. Fatty foods can trigger attacks in some people and there may not be a distinct pattern to when it will happen and when it won't, but the presence of fat can trigger spasms and it's not worth the pain.

You also can't take narcotic-based meds, so if the doc offers you some please try to avoid using them. Narcotic-based meds raise the pressure in the bile duct and it can make you miserable. When you finish reading through the link, ask your current doc to start you on some anti-spasm meds that can be used with SOD - and find a doc who understands the condition.
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