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What Causes Pain Under Right Rib Cage And Bloating After A Gallbladder Surgery?
Question: Pain under right rib cage, bloating to the point that I look pregnant, and weight gain. I know it is not my gallbladder because I had it removed 3 yrs ago. i know I'm not pregnant, had a hystercoptomy also
Brief Answer:
Most probably sub-acute intestinal obstruction.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/45 - hysterectomy and cholecystectomy - pain under right rib cage - bloating to the point of looking pregnant - weight gain - script of Zantac and Prilosec 2 weeks - if not better go back ...
With the history of 2 major intra-abdominal surgeries, the most probable cause for your symptoms of pain, bloating look to be as follows:
- sub-acute intestinal obstruction.
I would advise you the following in such a situation:
- X-ray of the abdomen in standing position, particularly when you are in pain and have bloating too.
- tests of stool, blood and urine as routine
- ultrasound of abdomen.
- enteroclysis with barium on X-rays or Contrast enhanced CT scan of abdomen doing enterography can help the most to get an appropriate diagnosis.
- clinical evaluation by a General Surgeon to do the physical examination and to correlate with investigations to get the most probable diagnosis and an appropriate treatment.
I hope this answer helps you, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Most probably sub-acute intestinal obstruction.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/45 - hysterectomy and cholecystectomy - pain under right rib cage - bloating to the point of looking pregnant - weight gain - script of Zantac and Prilosec 2 weeks - if not better go back ...
With the history of 2 major intra-abdominal surgeries, the most probable cause for your symptoms of pain, bloating look to be as follows:
- sub-acute intestinal obstruction.
I would advise you the following in such a situation:
- X-ray of the abdomen in standing position, particularly when you are in pain and have bloating too.
- tests of stool, blood and urine as routine
- ultrasound of abdomen.
- enteroclysis with barium on X-rays or Contrast enhanced CT scan of abdomen doing enterography can help the most to get an appropriate diagnosis.
- clinical evaluation by a General Surgeon to do the physical examination and to correlate with investigations to get the most probable diagnosis and an appropriate treatment.
I hope this answer helps you, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks. I had an ultra sound, it said normal , no gallstones,
except for fatty liver and that the pancreas couldn't be visualized fully. Does it make a difference that both surgeries were lap and not open? At one time a radiologist made mention of a gastrointestinal mal rotation, but nothing was ever done.
except for fatty liver and that the pancreas couldn't be visualized fully. Does it make a difference that both surgeries were lap and not open? At one time a radiologist made mention of a gastrointestinal mal rotation, but nothing was ever done.
Brief Answer:
Further investigations as mentioned above.
Detailed Answer:
Hi.
Thanks for your feedback.
Ultrasound is a preliminary investigation and can give limited evaluation.
It does not make whether the surgery was open or Lap.
Radiologist mentioning Gastrointestinal mal-rotation indicates the intestinal problem that needs the investigations as mentioned above.
Further investigations as mentioned above.
Detailed Answer:
Hi.
Thanks for your feedback.
Ultrasound is a preliminary investigation and can give limited evaluation.
It does not make whether the surgery was open or Lap.
Radiologist mentioning Gastrointestinal mal-rotation indicates the intestinal problem that needs the investigations as mentioned above.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you. I will mention that when I go back next week
Brief Answer:
Awaited.
Detailed Answer:
Surely. Will be waiting to know the results.
Awaited.
Detailed Answer:
Surely. Will be waiting to know the results.
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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