A normal ultrasound does not completely rule out gallbladder disease.
You can consider a HIDA scan with CCK stimulation to evaluate the gallbladder ejection fraction. If low, there are some small studies that suggest that removing the gallbladder can help with the symptoms.
If that test is negative, you can consider evaluating the upper GI tract with an upper GI series or upper endoscopy. Conditions like ulcers, inflammation of the upper digestive tract or GERD can also lead to the symptoms.
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 patient education only. Please see your personal physician for further evaluation of your individual case.
Her PCP needs to order a hida scan of her gall bladder..This will show her ejection fraction. It sounds exactly like gallbladder problems. Her URQ ultra sound does not rule out a non-functioning GB. It will usually show stones if there are any.
A further note, she drinks no caffine, when the pain is bad it hurts to inhale and lastly when the pain is bad, it hurts when the doctor sticks his fingers below her rib cage on the right side (is this called a murphy sign or something?)
We were able to get her an appointment today with her GP's partner, unfortunately she said, "well the US is fine so its obviously not serious". Upon finding out my wife exercises she decided it was muscular-skeletal (We both dropped out jaw as we know it is deeper inside her than that and have both had musclar injuries before!)
The doctor did propose to schedule a CT scan incase something else might show up and to take Robacecet. Very frustrating, I am 100% certain it is not a pulled back muscle and so is my wife.
The previous commenter was right on target. A hida-scan is the next step, and make sure they give her the drug to make her gallbladder contract. This will show a lot. If that test comes back normal, INSIST on a gastrointerologist consult. If all else fails, go to the ER, and refuse to go home until they do the testsyou want, and let her see a gastro. You are right, they are wrong. Afterall, even Dr.'s are subject to the limits of their own intelligence and experience.
Another note was the last attack last about 2 or 3 hours.
Some attack can last hours or even all night. I had to take a narcotic to combat the pain. I wish I could offer more help, but I'm still waiting for my gastro appointment. I stopped having the severe pain, but I never got a diagnosis.