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Uncertain Cause Of Right Abdominal Pain?

Posted By David on July 07, 1998 at 00:22:56:

Please Help.
I am a 39 year old white male that has had a past history of
IBS, but it was on my left side and I only experienced it when
3 things happened at the same time in my life.  They were my
mother passing away, a divorce and loosing a job as a policeman
due to an injury of my hand.  This initial encounter with IBS
was when I was 25 years old and cleared up within about 3 years.
During this initial episode of IBS I never had all the other
associated pains.   I also had viral hepatitus (sp?) when I was 15
years old.  My mother & father both had histories of
gastro problems and my father died 3 years ago due to colon,
liver and pancreatic cancer at the age of 75.
I have been to a few doctors over the past 4 years for pain in my
lower right abdomen, lower right ribs, lower right back, lower
right buttocks & hip and lower right pelvic area.  During this period
of time I have had a marked increase in "air" passing through my
colon as well as passing gas and reverting between normal bowel
movements to diarreah.  The end of my rectum sometimes feels sore
up inside even when I'm not having diarreah. Sometimes, very
rarely, I feel a little sick or maybe a bit of nausea.  I never
have thrown up.
The most painful areas are when my lower right-side ribs become sore
and when my lower right abdomen becomes very sore.  When sleeping,
I try to avoid laying on my right side as this causes the ribs to
become more sore.  The whole process of the different pain seems
to be siclical.  
It seems as though I may be relatively fine for about a week or
so & then my right bone in my buttocks starts getting sore.  I then
know I am starting to get the PAINS again!  After the buttocks,
then I start getting a real sore right hip & then a sore lower
right abdomen. It is sore to the least amount of pressure.  
It is about 2 inches above my hernia scar.  I had a childhood
testicular repair when I was about 13 years old.  Then my back
starts hurting on the lower right side, then my lower right ribs
get REALLY SORE!!!  The last thing is that I start getting alot
of gas on the right side colon & then I get diarreah.  The
diarrheah is then just a "dumping" form.
It seems as though the lower right abdomen, the buttocks, the
diarrhea and the back ache go away before the ribs quit hurting.
Sometimes the ribs never actually get better before it all
starts again.
I have had 2 colonoscopies over the past 3 years.  I have
had a bone scan of my right hip.  I have had 1 CT scan of my
abdomen.  I have had a couple x-rays of my back.  Numerous
blood tests, including CBC & liver profile as well as about 6
urine tests. I also had a lower GI x-ray.  All the tests have not
shown any abnormalities.  The only exception was that my
first colonoscopy revealed 2 very small polops that were
removed.  It also showed that I have quite a few very small
diverticulie.  My doctor seems to think I have IBS that causes
all of this.  He has never actually been very reassuring with
his thoughts however.  The doctor I am seeing has also recently
been having me consult with a surgeon that has palpitated my
abdomen & he has had thoughts that I may have a hernia or a
appendix(sp?)that may be the culprit.  However he is not really
sure & suggested the best thing may be to perform a laproscopy
of the lower right abdomen.
All this has me really wondering if there are any further tests
that could be performed such as a ultrasound or further specific
blood tests or the genetic marker test for the Chrohn's/Arthritis
combination.  The reason I mention the later is because of the
involvement of the bones and documentation of the VERY common
right hip, right buttocks, right rib pain???  My doctor says
"no way" that I have this because I don't have Chrohn's.
Please let me know if you have any suggestions as to what my
doctor can do? or if I could be directed to a doctor in your
facility that may have far more experience?  My doctor is a
family practice doctor.
Thank You Very Much,
This pain is very hard to live with when
I have to go to work everyday & take care
of my home.
David / Eugene, Oregon
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