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Suggest Treatment For Lower Right Abdominal Pain
Question: I am suffering with lower right abdominal pain It started 1 yr ago and I have been to G.I DR and to the ER Everyday I am in pain and no one can tell me what is going on Then 2 months ago I got a lump on the right side of my neck so I went to ENT Dr and of course everything looks good so I am going to Neurologist this week Meanwhile I have discomfort on right side of neck where it feels like their is something their and it makes me XXXXXXX at times I also have developed diarrhea and I start gagging every morning to the point I'm coughing really bad . I am a mother of 3 and I just started working 3 months ago I have a really good job, but I suffer everyday I wake up and no one can help me
Brief Answer:
Please give details and post actual reports.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/30 - lower right abdominal pain for 1 year - GI Doc - gave drink and took pictures - no endoscopy - primary 3 times and ER 5 times - pain every day - developed diarrhea - gagging every morning - bad coughing - lump right side of neck 2 months ago - ENT - going for Neurologist - Mother of three - good job 3 months ...
Please give additional information for me to assist you better:
What is the type of pain in abdomen: Burning, twisting, throbbing, burning or ?
Any associated bloating, nausea, vomiting?
Diarrhea details please: How many times in 24 hours? Is it more often in the morning or any other time?
Do you need to go for passing stool after having food?
Consistency, color, odor of stool? Mucus or blood?
What are the factors that instigate or enhance your problems?
What are the factors that reduce the problems?
Amount of stress and/or anxiety?
Reports of investigations pleas.
Any other details that you would like to share.
Awaiting for your detailed feedback as proper and complete history can guide for clinical diagnosis.
Please give details and post actual reports.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/30 - lower right abdominal pain for 1 year - GI Doc - gave drink and took pictures - no endoscopy - primary 3 times and ER 5 times - pain every day - developed diarrhea - gagging every morning - bad coughing - lump right side of neck 2 months ago - ENT - going for Neurologist - Mother of three - good job 3 months ...
Please give additional information for me to assist you better:
What is the type of pain in abdomen: Burning, twisting, throbbing, burning or ?
Any associated bloating, nausea, vomiting?
Diarrhea details please: How many times in 24 hours? Is it more often in the morning or any other time?
Do you need to go for passing stool after having food?
Consistency, color, odor of stool? Mucus or blood?
What are the factors that instigate or enhance your problems?
What are the factors that reduce the problems?
Amount of stress and/or anxiety?
Reports of investigations pleas.
Any other details that you would like to share.
Awaiting for your detailed feedback as proper and complete history can guide for clinical diagnosis.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
burning now on both sides of rib cage and i have the sharp pain on the right side above belly button to the right next to rib cage i am in a lot of pain. its a throbbing squezing burning feeling on both sides of rib cage no cough and i have been tired more than usual. the pain on both sides of rib cage is different than the pain on the right side of belly button but started with this pain first.no blood in my urine or stool. my white count is good no sign of infection diareah is orange\yellow.
Brief Answer:
As detailed below.
Detailed Answer:
Thanks for your feedback.
Noted the additional history.
Since you have varied symptoms for such a long time and you have already been seen by many Doctors, it is time for the following:
First of all, get a clinical evaluation from another Gastroenterologist as a second opinion and insist for the investigations:
CT scan of the whole abdomen and particularly with the reference of to the sites with pain.
Tests of stool as it is orange/yellow; tests of blood and urine if not done yet.
Colonoscopy as there is diarrhea.
Upper GI Endoscopy as you have pain above belly button to the right next to the rib cage.
All these things will help to confirm or rule-out any disease and give guidelines for further management .
If a particular disease or disease is found it can be treated with proper line of management.
If all the investigations are normal, this can be treated as IBS, that is irritable bowel syndrome and the other symptoms related to to stress an/or anxiety can be solved well. For example the rib cage pain can be due to costochondritis and the neck pain related to fibromyalgia - obviously after being examined by an ENT and now the Neurologist.
Medical science depends upon the facts and hence the need to have proper diagnosis so that a proper treatment can be instituted to get a possible cure and reducing the need to rush to ER and Doctors frequently.
I hope this answer helps you to get an early and proper diagnosis and proper management.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
As detailed below.
Detailed Answer:
Thanks for your feedback.
Noted the additional history.
Since you have varied symptoms for such a long time and you have already been seen by many Doctors, it is time for the following:
First of all, get a clinical evaluation from another Gastroenterologist as a second opinion and insist for the investigations:
CT scan of the whole abdomen and particularly with the reference of to the sites with pain.
Tests of stool as it is orange/yellow; tests of blood and urine if not done yet.
Colonoscopy as there is diarrhea.
Upper GI Endoscopy as you have pain above belly button to the right next to the rib cage.
All these things will help to confirm or rule-out any disease and give guidelines for further management .
If a particular disease or disease is found it can be treated with proper line of management.
If all the investigations are normal, this can be treated as IBS, that is irritable bowel syndrome and the other symptoms related to to stress an/or anxiety can be solved well. For example the rib cage pain can be due to costochondritis and the neck pain related to fibromyalgia - obviously after being examined by an ENT and now the Neurologist.
Medical science depends upon the facts and hence the need to have proper diagnosis so that a proper treatment can be instituted to get a possible cure and reducing the need to rush to ER and Doctors frequently.
I hope this answer helps you to get an early and proper diagnosis and proper management.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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