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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Right Upper Abdominal Pain And Constipation?

I'm a 47-year old female, 5'6, 200 lbs (way over weight, I know!), type 2 diabetes, high cholesterol, hypothyroidism, tachycardia, fibromyalgia, neuropathy, and hiatel hernia. Endoscopy and colonoscopy in 2008, normal other than hiatel hernia. Told to repeat in 10-years. As far back as I can remember, I have never had regular B/Ms. For the past month, I have been in severe pain in the URQ region. I have had x-rays, US, Hida-Scan, and CT. Dx, is constipation in right colon (area of pain). This past weekend, my dr put me on a liquid diet and typical colon cleanse for f/u x-ray. I am still having serve pain and have not had a B/M in 5 days. Dr said to take Dulcolax every other day until I have B/M every day and to take Miralax every day. F/u in 2 week, said may have to repeat colonoscopy if pain is still there. Does it sound like my doctor is doing everything necessary to determine source of pain? I am miserable! Please help!
Thu, 10 Jan 2019
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General Surgeon,  's  Response
Hi,

Noted your detailed history and understood the concerns. Since colonoscopy was normal way back in 2008, it is time for revision Colonoscopy and Endoscopy as per the schedule of 10 years. Since constipation and pain in right upper abdomen is present the probable cause can be a problem with colon like stricture, or cancer.

Hence I would advise you the following: Visit a General or Gastroenterology Surgeon for clinical evaluation, examination and investigations s follows. Blood tests for cancer markers. Contrast enhanced CT scan. Colonoscopy and biopsy after preparation with bowel wash and/or enema.

All these will a proper diagnosis and a plan for further management.

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

Regards,
Dr. T Chandrakant,
General Surgeon
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What Causes Right Upper Abdominal Pain And Constipation?

Hi, Noted your detailed history and understood the concerns. Since colonoscopy was normal way back in 2008, it is time for revision Colonoscopy and Endoscopy as per the schedule of 10 years. Since constipation and pain in right upper abdomen is present the probable cause can be a problem with colon like stricture, or cancer. Hence I would advise you the following: Visit a General or Gastroenterology Surgeon for clinical evaluation, examination and investigations s follows. Blood tests for cancer markers. Contrast enhanced CT scan. Colonoscopy and biopsy after preparation with bowel wash and/or enema. All these will a proper diagnosis and a plan for further management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon