What Causes Pain In The Upper Abdomen On The Right Side?

Liver and gallbladder disease Liver disease is usually only painful if it stretches the capsule of the liver, as in congestive heart failure. The liver can be damaged by blunt trauma. Hepatosplenomegaly can occur with malignancy such as lymphoma or chronic myeloid leukaemia or with autoimmune disease including primary biliary cirrhosis. The Budd-Chiari syndrome can present with RUQ pain.[1] Gallstones are common and become more common as years advance. Most are asymptomatic but they can cause pain at any time. Other gallbladder disease includes carcinoma of the gallbladder, which is always associated with stones too. Ascending cholangitis has a classic triad of pain, fever and jaundice. Bowel lesions Lesions of the hepatic flexure include carcinoma, diverticular disease, ischaemic colitis, constipation and Crohn s disease. Atypical acute appendicitis must be considered. Recurrent symptoms can be caused by irritable bowel syndrome. Meckel s diverticulum can present in a variety of ways, usually in children. The diagnosis is usually made at laparotomy. There is often blood loss per rectum. Endocrine or exocrine disease Diabetic ketoacidosis. Addisonian crisis. Adrenal tuberculosis. Metastatic carcinoma. Pain from the pancreas tends to be central and higher in the back, often between the scapulae, although it can be atypical and misleading. Amylase is raised in intestinal obstruction but in acute pancreatitis it is very high. Carcinoma of pancreas tends to produce an aching pain between the scapulae, eased on leaning forward. Infections Herpes zoster can present as pain before the typical vesicles appear on the skin. It is the skin that is tender rather than deeper structures. Subphrenic abscess or even gas after laparotomy or, more often, laparoscopy. Again pain may be referred to the shoulder. A rare condition is Fitz-Hugh and Curtis syndrome.[2]There is inflammation of the liver capsule associated with genital tract infection. It is said to occur in up to one fourth of patients with pelvic inflammatory disease. Classically it presents as sharp, pleuritic RUQ pain but signs of salpingitis can be absent. and you said, you already done with gallbladder removal. so in your case post gallbladder removal complications may be also one of reasons.. kindly visit surgeon. I hope you happy with information kindly rate it.