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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In The Upper Right Abdomen?

intermittent pain in upper right quadrant of abdomen...usually worse after eating...for several months now... abdominal ultrasound only showed fatty liver. Now, for the last 8 days, I have had an aching pain just below my left shoulder blade... it started as intermittent but is now constant, but does not seem to be associated with arm movement so wondering if this is referred pain from gall bladder or pancreas?
Mon, 19 Aug 2019
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General & Family Physician,  's  Response
Hello,

Most of gall bladder stones are visible in abdominal ultrasound unless they are moving in the bile ducts towards the bowel. In this case, the US examination may not identify them due to the gas around the stones. You may first have an upper endoscopy to rule out stomach problems as these may cause similar pain. If this is normal, an MRI or CT scan may be considered and if this does not identify any abnormalities, ERCP may be another alternative to examine the bile ducts.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj, General & Family Physician
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What Causes Severe Pain In The Upper Right Abdomen?

Hello, Most of gall bladder stones are visible in abdominal ultrasound unless they are moving in the bile ducts towards the bowel. In this case, the US examination may not identify them due to the gas around the stones. You may first have an upper endoscopy to rule out stomach problems as these may cause similar pain. If this is normal, an MRI or CT scan may be considered and if this does not identify any abnormalities, ERCP may be another alternative to examine the bile ducts. I hope this answers your query. I remain at your disposal in case further medical assistance is needed. Regards, Dr. Antoneta Zotaj, General & Family Physician