
What Causes Pain In The Upper Abdomen When Suffering From Jaundice?

My fiancee is suffering from jaundice with billirubin,sgpt and sgot level 14.8,2880 & 3000 respectively.he also has upper abdominal pain.as per ultrasound of upper adbomin he has mild Hepatosplenomegaly and also gall bladder is oedematous.he has little pain all the time in his upper abnomin..he is under the diagnosis of a physician and as per the physician the pain and swelling of stomach is because of liquid in his stomach,but I just want to confirm whether the pain is due to jaundice or is there any other reason for this.please advice me what to do next..whatever he eats or drinks,he is unable to digest that..he always vomit whenever he eats or drinks something.please advice me is there anything serious..please advice me precautions.please help me..I need your suggesstions..
give him bland diet
Detailed Answer:
Hi XXXXXXX
Thanks for writing to HCM.
The pain in the upper abdomen is due to enlarged liver and distended and edematous gall bladder. These will subside as the jaundice resolves.
Till then you need to give him a ppi like omeprazole or pantaprazole to ease off his gastritis, preferably with the antiemetic he has been prescribed. Continue rest of the medication.
Diet needs to be strictly bland with no oil or milk products. And boiled or filtered water only.
Give him ppi and antiemetic on empty stomach and after half an hour give him a light drink. If he tolerates it, slowly increase the quantity and frequency. Give the ppi and antiemetic twice a day for a week and then make it once a day as he improves.
Hope i have been helpful.
Regards
Dr. Ashish Verma

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