Brief Answer:
many possible differential diagnoses can be there, mentioned below.

Detailed Answer:
Respected XXXX, Hi, I evaluated your query thoroughly.

* Present pain may or may not be related to the past surgery.

* Differential diagnosis of right upper quadrant pain include:

- Liver diseases as hepatitis from virus/alcohol induced/abscess .
- Intestinal disorders as Crohn's, Inflammatory bowel disease.

- Lung conditions ( Pneumonia Rt.lower lobe) irritating nerve endings
- Kidney conditions like stones.

- Pancreas inflammation, female reproductive organs involvement via the mechanism of referred pain mechanism.

- post surgery adhesions by scar tissue.


* Basic work up in form of Ultrasound Abdomen & Pelvis on empty stomach is needed in your case to reach the etiology at first glance.

* Additional details would be of further help to comment anything else like:

- the onset of pain in relation to surgery, its progress of severity
- pain in the relation of activity / positional changes
- associated vomiting, fever, loss of appetite, weight
- respiratory symptoms - cough / lower chest pain
- urinary discomforts
- whether getting relief by Ranitidine, Ibuprofen or not
- any history of alcohol consumption

- any other information you would like to share regarding this.

Hope this clears your query to some extent.
Thanks for using HealthcareMagic and giving me an opportunity to assist you in the time of your medical needs.

Welcome for further queries.
Regards dear
Take care.

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Brief Answer:
Respected XXXX,musculoskeletal or ulcer,needs Ultrasound at convinience.

Detailed Answer:
Respected XXXX, hi thanks for details
* According to your narrations here lung , liver , kidney possibilities are ruled
out.
* Ulcer possibility remains to very little extent
* Musculoskeletal / excess fat of local region giving pain is also one
consideration as it relieves on lying down .
* I suggest you to follow certain simple steps & later at convenience take time
for Ultrasound.
- take small amount of food at regular intervals
- chew your food thoroughly
- fix timing of breakfast, lunch , dinner
- avoid prolong fasting / overeating
- avoid sleeping for atleast 2 hours after meals
- avoid all oily / spicy / nonveg stuffs / beverages / cheese / pastas / high
caloric contents
- avoid sudden jerky movements involving that part
- have balanced diet to get smooth bowel evacuations
- remain ambulatory , do regular light exercises , deep breathing exercises,
YOGA without failure
- avoid stress / anxiety which is very vital & utmost important for your case.
- have regular sound sleep of minimum 6 - 7 hours without which all your
system will not be coming to reset status
- avoid tight clothings around umbillicus
- acetaminophen with proton pump inhibitor when more discomfort
*Hope this helps you to any extent .
Would be happy to hear more from yourside or else you can rate my answer
accordingly & close the discussion.
Wishing you fast recovery from the same.
Regards take care.

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