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What Causes Severe Pain In Upper Right Hand, Back And Shoulder?

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Posted on Wed, 27 Apr 2016
Question: I have a severe pain in my upper right hand back or shoulder. It feels like something is stuck there.
I do not have a gallbladder
I think I have a stone in my bile duct
What should I do?


The pain is also in the front of my body now and going straight threw to my back
Should I go to the emergency room at the nearest hospital or go to family doctor
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
Explained in detail

Detailed Answer:
Hello and welcome

Your concern is appreciated

While biliary colic may be the reason but as you said gall bladder is not there and bile duct can contain stone but it will cause jaundice and throwing up bile is more unlikely, it may happen that stone can obstruct the sphichter of oddi and cause pain and the stone ca also perforate into intestine causing gall stone ileus. Billious vomiting may be due to the fact that there is some kind
of obstruction in the duodenum or small intestine

Other caues of pain can be muskuloskeletal nature, pancreatitis rarely of cardiac origin etc

You should go to the nearest emergency room to be more sure especially if the pain worsens.

They will most likely do plain xray erect abdomen and ultrasound or if indicated CT abdomen.
Your doctor will decide whether surgery is required or not.

let me know if you have any query

Wishing you best of health

Thanks.

Dr M.S Khalil
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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What Causes Severe Pain In Upper Right Hand, Back And Shoulder?

Brief Answer: Explained in detail Detailed Answer: Hello and welcome Your concern is appreciated While biliary colic may be the reason but as you said gall bladder is not there and bile duct can contain stone but it will cause jaundice and throwing up bile is more unlikely, it may happen that stone can obstruct the sphichter of oddi and cause pain and the stone ca also perforate into intestine causing gall stone ileus. Billious vomiting may be due to the fact that there is some kind of obstruction in the duodenum or small intestine Other caues of pain can be muskuloskeletal nature, pancreatitis rarely of cardiac origin etc You should go to the nearest emergency room to be more sure especially if the pain worsens. They will most likely do plain xray erect abdomen and ultrasound or if indicated CT abdomen. Your doctor will decide whether surgery is required or not. let me know if you have any query Wishing you best of health Thanks. Dr M.S Khalil