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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain Under The Right Ribs And Vomiting

I had gallblader removed 20yrs ago,have gad pain under right rib,few months ago i was vomiting about 2 liters of bile,then had pain right lower abdomen for few hours it felt like pelvic bone,then had sharp paid bladder area,then urinated dark brown urine,like cocacola, but pain went after this.have acid when I have bowel movement,went for MRI scan 6wks ago and I can t get results,bow I have to go for diagnostic endoscopy ,I wish someone would tell me what s happening,thank you for taking time to read my symptoms,Mary from Glasgow
Fri, 31 Jan 2020
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Internal Medicine Specialist,  's  Response
Hello,

As per your history, I think you had gall stones 20 years back for which you had a surgery. Now you have developed hematuria,(dark brown colored urine is mixture of blood and urine) with severe pain. Pain is severe enough to give you vomiting. Most probable cause for this severe pain and hematuria is kidney stones as you are prone to develop stones. You need work up for recurrent stones like uric acid levels, oxalate and calcium levels in urine and urine examination for any Crystal's. Serum electrolytes and arterial blood gases may also need to done. Meanwhile, if you pee on a floor you might catch a stone coming out from urethra. You can get its chemical analysis done. All this workup will reveal the cause and whole process is a time taking process. My advice would be to follow your doctor who is proceeding in your case.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Muhammad Faisal Bacha, Internal Medicine Specialist
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Suggest Treatment For Pain Under The Right Ribs And Vomiting

Hello, As per your history, I think you had gall stones 20 years back for which you had a surgery. Now you have developed hematuria,(dark brown colored urine is mixture of blood and urine) with severe pain. Pain is severe enough to give you vomiting. Most probable cause for this severe pain and hematuria is kidney stones as you are prone to develop stones. You need work up for recurrent stones like uric acid levels, oxalate and calcium levels in urine and urine examination for any Crystal s. Serum electrolytes and arterial blood gases may also need to done. Meanwhile, if you pee on a floor you might catch a stone coming out from urethra. You can get its chemical analysis done. All this workup will reveal the cause and whole process is a time taking process. My advice would be to follow your doctor who is proceeding in your case. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist