HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Intermittent RUQ Pain, Despite Normal Colonoscopy And Endoscopy Results?

Hi. I have had intermittent URQ pain (2 on scale 1-10) for two years. Had colonoscopy and endoscopy with no findings ... other than H-Pylori ... so am now just finishing 2 week antibiotic treatment for that. Doc suggests its muscular! I think not! Dull pain quite predictable about 2 hours after dinner and lasting say 1-2 hours. I can certainly live with it, but in my mind, its still an undiagnosed pain. Thoughts on other causes or diagnostics ?
Tue, 31 Dec 2019
Report Abuse
General Surgeon,  's  Response
Hi,

Pain in right upper quadrant of abdomen 2 hours after dinner and lasting for 1 to 2 hours, normal Upper GI Endoscopy and colonoscopy, H pylori treated well.
The commonest cause I can think about is related to a stone in the common bile duct or pancreas.
This can be diagnosed by Contrast enhanced CT scan or MRCP, ERCP.
Consult a Gastroenterologist for these investigations and get treated as per the cause found.
Also needed is the tests of blood, urine and stool.
Liver function tests along with GGT and Alkaline Phosphatase helps for obstructive cause.
This is so as you are developing pain 2 hours after food indicating the food reaching the duodenum is causing all the symptoms.

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

Regards,
Dr. T. Chandrakant, General Surgeon
I find this answer helpful
Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Causes Intermittent RUQ Pain, Despite Normal Colonoscopy And Endoscopy Results?

Hi, Pain in right upper quadrant of abdomen 2 hours after dinner and lasting for 1 to 2 hours, normal Upper GI Endoscopy and colonoscopy, H pylori treated well. The commonest cause I can think about is related to a stone in the common bile duct or pancreas. This can be diagnosed by Contrast enhanced CT scan or MRCP, ERCP. Consult a Gastroenterologist for these investigations and get treated as per the cause found. Also needed is the tests of blood, urine and stool. Liver function tests along with GGT and Alkaline Phosphatase helps for obstructive cause. This is so as you are developing pain 2 hours after food indicating the food reaching the duodenum is causing all the symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon