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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intermittent Pain In The Abdomen?

intense, intermittent pain with constant dull pain in upper right abdomen, right under ribcage. 'attacks' consist of such severe cramping or pinching or pulling pain right up under my ribs near zyphoid process that i cant breathe or talk for a few seconds. rest of the time its constant feeling of fullness, loss of appetite, ocasional nausea, RARELY vomiting.
Mon, 21 Jul 2014
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General Surgeon 's  Response
HI.
The most probable cause of pain in the right side of the abdomen are as following:
There are more chances of Liver abscess in your case.
Cholecystitis- due to gall stones or gall bladder infection and / or stones.
Or stomach ulcers or Liver swelling.
This is best diagnosed on a simple test of ultrasonography.
Return back to the hospital, get this and other blood tests for Hb, WBC, liver function tests, amylase, lipase, kidney function tests and blood sugar.
X-ray of the chest to see that the lungs for pneumonia and pleural effusion.

Upper GI Endoscopy if the ultrasonography is normal.

The treatment will depend upon the findings,
If there i sliver abscess, this needs to be aspirated under ultrasonography guidance if there is liquidation.
If cholecystitis , surgery will be the best option, rest of the problems can have medical management
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What Causes Intermittent Pain In The Abdomen?

HI. The most probable cause of pain in the right side of the abdomen are as following: There are more chances of Liver abscess in your case. Cholecystitis- due to gall stones or gall bladder infection and / or stones. Or stomach ulcers or Liver swelling. This is best diagnosed on a simple test of ultrasonography. Return back to the hospital, get this and other blood tests for Hb, WBC, liver function tests, amylase, lipase, kidney function tests and blood sugar. X-ray of the chest to see that the lungs for pneumonia and pleural effusion. Upper GI Endoscopy if the ultrasonography is normal. The treatment will depend upon the findings, If there i sliver abscess, this needs to be aspirated under ultrasonography guidance if there is liquidation. If cholecystitis , surgery will be the best option, rest of the problems can have medical management