I am a 35yr-old male who has generally never had any health issues other than being overweight with slightly elevated blood pressure.
On October 1st, while in vacation in Colorado, I began noticing an ache/discomfortable feeling in my lower right abdomen. It wasn't constant or even painful...just "there." When it didn't subside for 3 days, we went home early with the thought that it might be related to spending time in high elevations (9000 ft on vacation; only 1200 ft at home). I stopped eating anything but the blandest of foods and it did improve somewhat, but I finally went to see my GP in mid-October. He ran a urinalysis, stool cultures (blood and bacteria) and tested 2 vials of blood. Nothing abnormal at all, not even a slight elevation in white blood cell count. Poked a prodded my abdomen with no pressure or rebound pain.
He then sent me to a GI doctor, who did a fairly thorough examination of my abdomen (poked around each quadrant and did some sort of a "thump" test to find and check my liver). He couldn't really come up with anything just on history, test results and the office exam. Scheduled me for an abdominal and pelvic CT scan in early November. Drank the contract, hooked up to the IV for additional contrast, had the scan...came back completely normal; no swollen lymph nodes or anything. Next, scheduled for an upper GI barium scan (drank white chalky drink, then a fizzy liquid, followed by x-rays of stomach, small intestine and beginning of large colon)...again, completely normal.
I was still having the discomfort, so we agreed to do a colonoscopy in early December. I managed to have the procedure done without any drugs/sedation and was able to talk to the doctor and ask questions throughout. Again...everything, including the appendix area and lower section of small intestine all looked normal. Nothing that he felt required further investigation..."you're the sickest healthy guy I've ever met!" He left me with the idea that it's likely something musculoskeletal, but that it's definitely not GI-related. Hmmm...
Well, it's now past the midpoint of January and, while I don't have this every day, the past few days have been quite bad. It's almost like I have a tight or pulled muscle that stretches between my mid-right abdomen and my right hip bone. Sometimes, I can feel some discomfort while sitting down or laying in bed, but also seems to be especially noticeable when I move or stretch a certain way, and then I feel it both in my abdomen and in my lower back. Coincidently or not, it Does seem like diet affects this a little. If I'm not careful and go for an extended time eating greasy or dairy foods, it gets worse.
Any ideas? Where should I take this next? I'm going back to the GP for a follow up, but I'm wondering what exactly to ask him at this point? He has a very good bedside manner is seems very concerned that I'm not comfortable, so I think he'll be open to ideas. Initially, he wondered if I had contracted a bug, but wanted to test blood/stool/urine before just prescribing an antibiotic. Now, I'm wondering if that's worth a shot. :(