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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Dull Upper Quadrant Pain Below Ribs

Having dull left upper quadrant pain just below ribs. Dull but painful. Feel bloated after eating even the smallest meal. Doesn t hurt with deep breath. ER diagnosed me with chest wall pain and elevated TSH. They ruled out all heart issues as at first I thought heart attack as my first symptoms started as severe, sharp chest pain with tachycardia. I do have hypothyroidism, migraines, asthma, and chronic knee pain. Had hysterectomy, 3 total knee replacements on left knee, appendectomy, and c section. 42 yrs old and active. Take synthroid, topomax, vit D, loratadine, melodicam daily. No falls, or injuries recently. No illnesses. WBC have been little elevated but they didn t seem worried.
Fri, 14 Aug 2020
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General Surgeon 's  Response
Hello,

Dull right upper quadrant pain may be in relation with gall bladder dysfunction particularly when it is increasing after meals. In my clinic, I do suggest:
- Small, frequent meals intake
- Avoidance of high cholesterol or fat containing meals
- Proton pump inhibitors as Omeprazole
- Anti-spasmodic as Drotaverine or Dicyclomine
- Prescription of ultrasound of the abdomen and pelvis

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Dull Upper Quadrant Pain Below Ribs

Hello, Dull right upper quadrant pain may be in relation with gall bladder dysfunction particularly when it is increasing after meals. In my clinic, I do suggest: - Small, frequent meals intake - Avoidance of high cholesterol or fat containing meals - Proton pump inhibitors as Omeprazole - Anti-spasmodic as Drotaverine or Dicyclomine - Prescription of ultrasound of the abdomen and pelvis Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon