I am a 28 year old female, average weight and generally in good health. Approximately 4 years ago I ended up in the ER due to severe upper abdominal pains. I had been sick with what seemed like a stomach virus or food poisoning (nausea, violent vomiting, and diarrhea) when the pains in my abdomen began. The pains were very sharp and would come and go. When I was admitted to the hospital, I was quite jaundiced. Blood tests showed very high bilirubin and white blood cell count. An abdominal ultrasound showed no gallstones. A follow-up HIDA scan however, showed very low functioning of my gallbladder. The doctors concluded that it was my gallbladder that had been the cause of the pain and other symptoms.
In the past 4 years since this, I have never again had an attack like that, however I often have bouts of discomfort in my upper abdomen that will last for a few hours to a few days at a time. Usually months go by in between these times. When this happens, it's never sharp pain, just a feeling of discomfort - almost as though that part of my abdomen (above my stomach, but at least a few inches below the sternum) is bloated. Along with the bloated feeling, I usually feel very nauseous, gassy, and sometimes achey. I've always assumed that these symptoms were related to gallbladder and that there was nothing I could do aside from being careful about fat intake. At a recent doctor's appointment, I mentioned these symptoms to the doctor who suggested that this may actually be heartburn and gave me a prescription for Nexium. I'm a little reluctant to start taking meds on an ongoing basis for heartburn, largely because I'm not really sure that's the problem and if it is, I'm not sure it's bad enough or consistent enough to warrant taking them. I've had what I thought was heartburn only a couple of times in my life, and it felt much different than this abdominal discomfort. Any thoughts or suggestions?