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What Causes Upper Right Quadrant Pain With Bloating?
Question: I am a 50 y old woman. pain in my right side of my stomach for about 2 y.i pass an ultra sound they did t see anything. very bloating. what can it be? I wait hoping it go away by itself but...it did t. it hurt 24/7
Brief Answer:
Investigations required
Detailed Answer:
Hello,
Causes of Pain in the Right side of the abdomen include:
-Gall Bladder or Billiary disease, which causes pain in the right upper quadrant or in the upper middle of the abdomen.But they would have been appreciated in ultrasound.Abnnormal emptying or dyskinesia may also cause right sided pain. It occurs mainly after meals (fatty) and may be associated with nausea and vomiting. The pain may radiate to the back . Stones can be seen bu US or CT Scan, but abnormal emptying or dyskinesia may require other scans like HIDA scan or ERCP.
- Renal pain is usually felt as colicky pains and radiates down to the groin. It is commonly associated with other urinary symptoms, like burning micturition or urine frequency. CT scan can detect renal stones as well as kidney changes.They can be missed in ultrasound.
- Commonly people who have IBS complaints of abdominal pain or colic, gaseous distension, either Diarrhea or constipation or an alternating between both of them and mucus containing stool. Diagnosis is made by exclusion of other causes.
Other diseases that can give similar pictures and have to be excluded are Gastritis, GERD, and peptic ulcer, colitis whether infectious or inflammatory. They are usually associated with GIT symptoms like nausea, loss of appetite, diarrhea. Stool analysis is helpful.
-Pancreatitis usually presents with severe acute abdominal pain that is felt in the upper abdomen and or in the back but more to the left side. In mild cases the pain is mild and becomes more severe with eating and is associated in many cases with nausea and vomiting, fever and tachycardia. Ultrasonography and CT Scan show characteristic changes in the pancreas. Serum amylase and alkaline phosphatase are usually elevated.
Do you feel constipated?
Required investigations include:
Complete blood picture CBC Blood chemistry: like serum amylase lipase, liver enzymes. If gall bladder emptying problems are suspected HIDA scan may be helpful.
I would advise you to follow up with your doctor and to update him with your symptoms.
Please keep us updated.
Best regards.
Investigations required
Detailed Answer:
Hello,
Causes of Pain in the Right side of the abdomen include:
-Gall Bladder or Billiary disease, which causes pain in the right upper quadrant or in the upper middle of the abdomen.But they would have been appreciated in ultrasound.Abnnormal emptying or dyskinesia may also cause right sided pain. It occurs mainly after meals (fatty) and may be associated with nausea and vomiting. The pain may radiate to the back . Stones can be seen bu US or CT Scan, but abnormal emptying or dyskinesia may require other scans like HIDA scan or ERCP.
- Renal pain is usually felt as colicky pains and radiates down to the groin. It is commonly associated with other urinary symptoms, like burning micturition or urine frequency. CT scan can detect renal stones as well as kidney changes.They can be missed in ultrasound.
- Commonly people who have IBS complaints of abdominal pain or colic, gaseous distension, either Diarrhea or constipation or an alternating between both of them and mucus containing stool. Diagnosis is made by exclusion of other causes.
Other diseases that can give similar pictures and have to be excluded are Gastritis, GERD, and peptic ulcer, colitis whether infectious or inflammatory. They are usually associated with GIT symptoms like nausea, loss of appetite, diarrhea. Stool analysis is helpful.
-Pancreatitis usually presents with severe acute abdominal pain that is felt in the upper abdomen and or in the back but more to the left side. In mild cases the pain is mild and becomes more severe with eating and is associated in many cases with nausea and vomiting, fever and tachycardia. Ultrasonography and CT Scan show characteristic changes in the pancreas. Serum amylase and alkaline phosphatase are usually elevated.
Do you feel constipated?
Required investigations include:
Complete blood picture CBC Blood chemistry: like serum amylase lipase, liver enzymes. If gall bladder emptying problems are suspected HIDA scan may be helpful.
I would advise you to follow up with your doctor and to update him with your symptoms.
Please keep us updated.
Best regards.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Kampana
Answered by
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