I have had an MRCP, a colonoscopy, and an EU in the past 18 months..All look normal exept for a relatively mild hiatal hernia first diagnosed 3 years ago by simple endoscopies(2). My blood work is fine. I have been experiencing upper abdominal " charley horses" following certain moves, or under certain conditions.Tying shoe laces, or bending/crouching down to do something.Bad coughing. Anything like" crunches"Standing up and stretching hard, relieves it, but the area stays quite sore for at least a day afterwards. I call it a " charley horse" because the muscle-diaphragm?-- draws up in a ball just as a calf muscle does--about the size of a golf ball-- Absolutely cannot vomit bending over as most people would. Have to stay standing in a bath tub or, at best tilting slightly over sink. No, nausea is NOT a problem,---but have had severe food poisoning abroad-also the flu- etc. over a period of time. Most recently I have frequent pain in an area under my right rib-s and now,-the cramp has begun to happen if I strain at all on the toilet. It has been a slow progression but whatever triggers this spasm seems to be getting worse and more frequent.-- I have mild IBS -like symptoms, am 66 years old. generally in good health 5' 7&3/4"- 165 lbs.-. The extra lbs(25 ?) are unfortunately around my waist. Since I have had the tests I mentioned,--and the time period is pretty long even if it is getting worse--.as a layperson--my thought is that it might be vascular--something pushing against a vein.,and briefly causing ischemia. I am reluctant to have further tests unless they are truly non-invasive.
There has been a pretty comprehensive GI workup, which would have ruled out many of the major disorders.
I agree with the imaging studies as well as endoscopy.
You can consider a metabolic panel and thyroid tests, since imbalances here can lead to muscle cramps.
Pain on straining may be indicative of an abdominal hernia. An examination by a surgeon as well as CT scan may be helpful.
Another option would be to further evaluate the gallbladder with a HIDA scan with CCK stimulation, which would evaluate the gallbladder ejection fraction. If low, this may be responsible for the symptoms and small studies suggest that removing the gallbladder can be helpful.
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 patients education only. Please see your personal physician for further evaluation of your individual case.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.