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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Abdominal Pain

Hi, Please help me. For the past year and a half ive been experienceing pain in my abdomen, which is now in a definate area ie: from the mid abdomen to just under my right rib cage. I have no appetite, sometimes wake up with chills and a fever and feel very bloated. I have had a hida scan and CT Scan done with no abdormalities detected. My homeopath picked up something wrong with my caecum bowel placing pressure on my appendix and liver. I am feel extremely tired and lethargic and i have a constant aching pain in my right abdomen area whether i eat or not. My back and neck get very sore when the stomach ache begins..does this sound like a colon problem?

                                                  
Mon, 16 Feb 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query.

This may be a colon problem as you have a persistent pain in the right side of the abdomen.
This is one and half year that your pain is persistent, CT and HIDA scan normal.
The area of the of the pain in the right upper quadrant with chills and fever are more suggestive of Cholangitis.
I would advise you the following:::
Get an ERCP done for - knowing the architecture of the bile and pancreatic duct system, sphincter of odd function, probably to put in a stent and most important is to get the sample of the bile for gram staining, culture and sensitivity. Upper GI Endoscopy and barium meal may also be required.

Another reason of caecum inflammation causing this problem is a possible diagnosis Typhlitis.

Get a course of an antibiotic, metronidazole and probiotic to see the results.

I would advise you the following"
Colonoscopy as the first investigations.
Tests of blood, urine and stool.
CT scan of the abdomen.

All these investigations will help us to get a perfect diagnosis to get a proper treatment plan as you have been suffering for the last one and half year.

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Suggest Treatment For Persistent Abdominal Pain

Hi. Thanks for your query. This may be a colon problem as you have a persistent pain in the right side of the abdomen. This is one and half year that your pain is persistent, CT and HIDA scan normal. The area of the of the pain in the right upper quadrant with chills and fever are more suggestive of Cholangitis. I would advise you the following::: Get an ERCP done for - knowing the architecture of the bile and pancreatic duct system, sphincter of odd function, probably to put in a stent and most important is to get the sample of the bile for gram staining, culture and sensitivity. Upper GI Endoscopy and barium meal may also be required. Another reason of caecum inflammation causing this problem is a possible diagnosis Typhlitis. Get a course of an antibiotic, metronidazole and probiotic to see the results. I would advise you the following Colonoscopy as the first investigations. Tests of blood, urine and stool. CT scan of the abdomen. All these investigations will help us to get a perfect diagnosis to get a proper treatment plan as you have been suffering for the last one and half year.