I have had both gallbladder and appendix removed about 20 years ago. About six months ago I started experiencing pain in my right upper quadrant, just below the ribs. The first time I experienced it, I was turning over in bed and something caught inside me like the muscle in my abdomen was ripping loose. When I released the strain of turning over the pain went away. However, I was left with this constant little pain in the area that feels like a bee stinging me sometimes and sometimes just a little ache like someone penching me inside. I've had CT scan, MRI, endoscopy, colonoscopy, and blood work and everything is supposedly normal. I am overweight at 5'3" and 220 lbs. I have systemic lupus and am otherwise healthy. I am 52 years old, do not smoke or drink at all. I have low Vitamin D and take a D and calcium supplement. I also have GERD and a small hiatal hernia. I took Prevacid for about four months but have been off of it for three months now. I recently had a bout of lime-green colored stool that lasted for 24 hours and then cleared up. My primary doctor can find nothing wrong with me and I am still living with this little bee stinging sensation in my side. Can anyone help?
I'm so sorry you are suffering again after having gone through so much already. I am not a doctor and know nothing about medicine but your description almost sounds like pancreatitis and/or a Sphincter of Oddi, intrahepatic or pancreatic duct problem. These issues can sometimes happen many years after a gallbladder removal. I will put some links at the end of this post for you to research. Only you will recognize your some of the more obscure symptoms that accompany these issues. I hope they help and that you feel better soon!
All the best,
First Principles of Gastroenterology – http://gastroresource.com/GITextbook/en/Default.htm [This is my favorite of all the reference materials because it is searchable]
Clinical manifestations and diagnosis of sphincter of Oddi dysfunction – http://www.uptodate.com/patients/content/topic.do?topicKey=pancdis/8160
Digestive Disease Library – Sphincter of Oddi Dysfunction – http://hopkins-gi.nts.jhu.edu/pages/latin/templates/index.cfm?pg=disease1&disease=12&organ=3&lang_id=1
Diseases of the Pancreas NIDDK – http://www2.niddk.nih.gov/AboutNIDDK/CommitteesAndWorkingGroups/NCDD/NCDDDiseasesofthePancreasNovember192007.htm
GI Consult – Sphincter of Oddi Dysfunction – http://www.emedmag.com/html/pre/gic/consults/031505.asp
Evaluating Predictors & Interventions in Sphincter of Oddi Dysfunction – http://clinicaltrials.gov/ct2/show/NCT00688662
Gastroenterology – http://intmed.muhealth.org/gast/patient_resource/commondisorders/sphincteroddi.html
Sphincter of Oddi Dysfunction: Diagnosis and Treatment – http://www.joplink.net/prev/200111/04.html
Acute Recurrent Pancreatitis and Dysfunction of the Sphincter of Oddi: Comparison between Invasive and Non-Invasive Techniques – http://www.joplink.net/prev/200111/06.html
Idiopathic Recurrent Acute Pancreatitis – http://www.medscape.com/viewarticle/487185_2
GI Consult: Sphincter of Oddi Dysfunction by John Baillie, MB, ChB, FRCP – http://www.mdchoice.com/emed/main.asp?template=0&page=detail&type=3&id=1126
Clinical Manifestations and Diagnosis of Sphincter of Oddi Dysfunction – http://www.uptodate.com/patients/content/abstract.do;jsessionid=7690FF8E3E31A4C664267BD8276C2B86.0503?topicKey=~Sm4Jhk.9M03Fy&refNum=30
Disorders of the Biliary Tract by Guzman [Pathology Lecture] – http://www.uic.edu/depts/mcpt/curriculum/liver51_gg_lecture.html
Sphincter of Oddi Dysfunction – http://www.top5plus5.com/Sphincter%20of%20Oddi.html
International Foundation for Functional Gastrointestinal Disorders – http://www.iffgd.org/site/gi-disorders/other/sod
Sphincter of Oddi Dysfunction Pancreas and Biliary Tree Diseases MUSC Digestive Disease Center – http://www.ddc.musc.edu/public/problems/diseases/pancreas/sphincterOddi.cfm
Sphincter of Oddi Dysfunction is Associated with Chronic Pancreatitis – http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=9219783&dopt=Abstract
Systematic Review: Sphincter of Oddi Dysfunction--Non-Invasive Diagnostic Methods and Long-Term Outcome after Endoscopic Sphincterotomy – http://www.ncbi.nlm.nih.gov/pubmed/16842450
Treatment of Sphincter of Oddi Dysfunction – http://www.uptodate.com/patients/content/topic.do?topicKey=~UrVVscJQz1HYr
I'm sorry to hear all you're going through. The tests you've had are definatly the best and most accurate ones. If I may ask, how recent were these tests? If it's been a few years, I would suggest getting retested. Any chance you could have torn an abdominal muscle? I had a friend that did and he described it as a constant bee sting. Hope you feel better soon. Keep us posted
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