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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Pain In The Upper Abdomen On The Right Side Indicate?

My husband is suffering from right upper quardrant abdominal pain since Thursday evening. Went to ED yesterday US and Ct neg. WBC slightly elevated. Discharged because they couldn t find reason for his abdominal pain. Today his pain level is 4 when sitting still if he tries to move or get up it s a level 8 not sure what to do at this point.
Wed, 7 Mar 2018
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General & Family Physician 's  Response
Hello,

It looks like he is suffering from cholecystitis the information of gallbladder. Treatment of cholecystitis depends on the severity of the condition and the presence or absence of complications.

Uncomplicated cases can often be treated on an outpatient basis; complicated cases may necessitate a surgical approach. In patients who are unstable, percutaneous transhepatic cholecystectomy drainage may be appropriate. Antibiotics may be given to manage infection.

Definitive therapy involves cholecystectomy or placement of a drainage device; therefore, consultation with a surgeon is warranted.

Consultation with a gastroenterologist for consideration of endoscopic retrograde cholangiopancreatography (ERCP) may also be appropriate if concern exists about the presence of choledocholithiasis.

Patients admitted for cholecystitis should receive nothing by mouth because of expectant surgery. However, in uncomplicated cholecystitis, a liquid or low-fat diet may be appropriate until the time of surgery.

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

Regards,
Dr. Olgeta Xhufka
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What Does Pain In The Upper Abdomen On The Right Side Indicate?

Hello, It looks like he is suffering from cholecystitis the information of gallbladder. Treatment of cholecystitis depends on the severity of the condition and the presence or absence of complications. Uncomplicated cases can often be treated on an outpatient basis; complicated cases may necessitate a surgical approach. In patients who are unstable, percutaneous transhepatic cholecystectomy drainage may be appropriate. Antibiotics may be given to manage infection. Definitive therapy involves cholecystectomy or placement of a drainage device; therefore, consultation with a surgeon is warranted. Consultation with a gastroenterologist for consideration of endoscopic retrograde cholangiopancreatography (ERCP) may also be appropriate if concern exists about the presence of choledocholithiasis. Patients admitted for cholecystitis should receive nothing by mouth because of expectant surgery. However, in uncomplicated cholecystitis, a liquid or low-fat diet may be appropriate until the time of surgery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka