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Gastroenterology  (Expert Forum)
 | 
six week stomach ache (lower right belt line) and yellow skiin?
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

six week stomach ache (lower right belt line) and yellow skiin?

by edconncerned, May 02, 2003 12:00AM
Doctor last year I had  lympnoma I had the lump removed fron neck my recent scans and blood work show no evidence of cancer. For six weeks I have had a gas type pains in my lower right abdoman. I travel in my work and have seen two doctors in the last few weeks. I have had xrays and cat scans in the area they reveal nothing only nonspecific bowel gas pattern and the blood work or urine just indicated  my liver enzine is just at its  normal limit. i take protomix to reduce acid and over the counter pills for gas reduction. The ache increases when i sit dowm. I have noticed my skin color under my arms has  a yellow tinge. I am in the boston area and will not be back home for 10 days. tHE DOCTORS so far have not helped aNY IDEAS? Regards Ed

by Kevin Pho, MD, May 03, 2003 12:00AM
Hello - thanks for asking your question.

You note gas type pains in the right lower abdomen.  Xrays and CT scans are non revealing.  Liver enzymes are normal.  You note a yellow tinge to your skin.

Causes include malabsorption, inflammatory bowel disease, gastroenterolitis or colorectal cancer.  More atypical causes include dyspepsia (although more common on the upper abdomen).  

The yellow tinge may be indicative of jaundice, although you note normal liver function tests.  A CT scan you mentioned was normal.  

Considering your history of lymphoma, I would pursue some sort of endoscopy.  Likely a colonoscopy given your right lower quadrant symptoms.  Other tests to consider include an upper endoscopy to evaluate for dyspepsia or a fecal fat test to evaluate malabsorption.

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.

Thanks,
Kevin, M.D.
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