severe abdo pain under right rib and nausea

[kimmy717]

Hi My partner has an ongoing abdominal problem that the doctors cant seem to get to the bottom of, Hes 24 years old and has had this problem for around about 4 years. It used to be a couple of times a month it would flare up for around about a week but for the past 2 months at least he has been in pain with it everyday i have written his symptoms etc underneath and really hope you could possibly shed some light on the matter.

Toms symptoms:

* Cronic ongoing Abdominal pain under bottom of right rib cage( used to  be a couple of times a month, now the pain does not
stop from day to day.)
* nausea
* excessive weight loss
* dizzy when standing up
* variable bowel movements
* Dark urine
* Headaches
* difficulty breathing mostly at night

History:

* went jaundice for about a week about the age of 12

* Got tested for leukima as a child

* Had enimia as a child

* Got tested for malnutrition as a child

* Had problems with his joints growing up

* Problems with the abdominal area run in the family, (Grandad, Mum, Sister, Nephew) None have had any conclusive outcome.
toms abdo problems are worse than the family have explained.


Procedures that have been done:

* Ultra sound on bowel and stomache - negative
* blood tests to outrule: * glucose
                          * Amylase
                          * bone profile
                          * c reactive protein
                          * full blood count
                          * liver function
                          * thyroid function
                          * urea and electrolytes
                          * coeliacs disease          - All came back negative

* B pylori test - Negative

*Lactose intolorance test - negative

* sigmoidoscopy - negative

* endoscopy - negative (Biopsy results x 6 not recieved)


*Tom used to drink a bit but has since stopped and smokes.

Medication prescribed and taken with no effect:

* Lanzoprazol
* Paramax
* Buscopan
* Gaviscone
* ibuprofen

[bjm1970]

I would have gallbladder test done and hepatitis test...good luck..

[kimmy717]

Hi
Thankyou so much for your reply, we just feel like we are getting no further into finding out what the problem is but i will definatly ask the gp to test him for the things you suggested. We are just worried that they will put it down to IBS and it ends up being something they miss thats more serious.
Thanks so much.

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
Your partner has undergone extensive testing for all possible causes. Malabsorption syndromes as seen in intestinal tuberculosis, HIV, tropical sprue, parasites in stool and Whipple’s Disease should also be ruled out. Other causes like liver, pancreas, gall bladder, H pylori, duodenal ulcer have all been ruled out. It can even be a case of IBS.
Please consult your GI doctor regarding these possibilities.
Take care!