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What Causes Back And Upper Abdominal Pain?
Question: Following up on question of 10/20. Horrible pain on right back and upper right abdomen for three weeks, have been seeing internist. Chemistry normal, WBC 12.6, lipase normal. Have seen OBGYN, and Urologist. They suggest seeing a GI. CT with and without contrast shows 10/13 1. Diverticulosis involving sigmoid colon, no evidence of acute divirticulitis, 2. Bilateral nephrolithiasis, no obstructive changes, no calculi are identified within either ureter. 3. findings suggestive of pancreas divisum. "the main pancreatic duct appears to drain predominantly via the accessory duct of Santorini consistent with a pancreas divisum." MRI w/ and without contrast of Thorascic and Lumbar spine today was normal.
Three questions:
Do I need to see a GI? I had a normal colonoscopy in Feb. 2013.
My Dr. said the Pancreas thing was a congenital thing like my backwards aortic arch, and not the cause of my pain, is this true?
What can I do for the pain?
Three questions:
Do I need to see a GI? I had a normal colonoscopy in Feb. 2013.
My Dr. said the Pancreas thing was a congenital thing like my backwards aortic arch, and not the cause of my pain, is this true?
What can I do for the pain?
Brief Answer:
further info on bowel movement needed
Detailed Answer:
Hi,
1. Horrible pain on right back and upper abdomen are related to nephrolithiasis. Your WBC are elevated, indicative for any source of infection in your body.
Have you done any urine analysis recently? Was infection present there?
2. Pancreas divisum is a congenital finding and has nothing to do with your symptoms.
3. I advise to take Buscopan or papaverin for the pain. Finding and treating the right underlying problem is the final solution.
4. As bilateral nephrolithiasis was noted, I highly recommend to consult with nephrologist. Urine analysis and urine culture are advised to rule out UTI.
5. I want to know If you are also having:
- changes in bowel movements?
- changes in stool color?
- bloating? heartburn?
before deciding if you need to see a GI specialist for the moment or not.
Dr.Klerida
further info on bowel movement needed
Detailed Answer:
Hi,
1. Horrible pain on right back and upper abdomen are related to nephrolithiasis. Your WBC are elevated, indicative for any source of infection in your body.
Have you done any urine analysis recently? Was infection present there?
2. Pancreas divisum is a congenital finding and has nothing to do with your symptoms.
3. I advise to take Buscopan or papaverin for the pain. Finding and treating the right underlying problem is the final solution.
4. As bilateral nephrolithiasis was noted, I highly recommend to consult with nephrologist. Urine analysis and urine culture are advised to rule out UTI.
5. I want to know If you are also having:
- changes in bowel movements?
- changes in stool color?
- bloating? heartburn?
before deciding if you need to see a GI specialist for the moment or not.
Dr.Klerida
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
I had a urinalysis in the urologists office yesterday, and in the Internists office last week. Urine is normal. The urologist looked at the CT scan. All kidney stones are in the kidneys, and measure between 2-3 mm. He said the pain was not from the kidneys or stones. Do I need a new urologist?
I've had kidney stones for 15 years.
I'm not having bm's because of my clear liquid diet. But there were no changes in stool color, no bloating, no heartburn.
I've had kidney stones for 15 years.
I'm not having bm's because of my clear liquid diet. But there were no changes in stool color, no bloating, no heartburn.
Brief Answer:
Yes,discuss further with another urologist...
Detailed Answer:
Hi back,
1. Although the stones are located in the kidneys, I need to know if these stones are movable. If yes, they can lacerate kidney mucosa causing the pain. If I was your caring doctor would advise to discuss it further with another urologist or nephrologist.
Urologist=specialist for urinary tract problems (surgical)
Nephrologist = specialist for urinary tract problems (clinician, non surgical)
2. I also advise to schedule another colonoscopy for this year to evaluate if any changes are present.
Hope it helped!
Dr.Klerida
Yes,discuss further with another urologist...
Detailed Answer:
Hi back,
1. Although the stones are located in the kidneys, I need to know if these stones are movable. If yes, they can lacerate kidney mucosa causing the pain. If I was your caring doctor would advise to discuss it further with another urologist or nephrologist.
Urologist=specialist for urinary tract problems (surgical)
Nephrologist = specialist for urinary tract problems (clinician, non surgical)
2. I also advise to schedule another colonoscopy for this year to evaluate if any changes are present.
Hope it helped!
Dr.Klerida
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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