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Old 03-27-2007, 12:51 PM   #1
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upper right quadrant pain

Hi there,

I have been experiencing upper right quadrant pain for the past few months and finally saw the GI Specialist today. After eating certain foods like mexican, pasta, etc., I get extreme upper right stomach pain, gas, and bloating. I have also gained about 15 pounds in two months! When the doctor pressed on my upper right quadrant area it was very tender. I had an ultrasound done of my gallbladder about two months ago and it came back normal. The GI doc ordered a HIDA SCAN and also wants to do an EGD (upper endoscopy). I asked him about my weight gain and he said that I just need to watch the calories going into my mouth which I do. I couldn't believe he said that! Could weight gain be related to any of the stomach problems I am having? Does anyone know why my stomach would be tender to the touch if my ultrasound came back normal?

Thanks

 
Old 03-28-2007, 05:45 AM   #2
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Re: upper right quadrant pain

Hi,
I have gastric reflux, have done for a number years. The full works !!!
I was also having Rt sided dull aches on & off, 4 yrs ago had gall bladder ultrasound which came back negative. Am careful with food most of the time, but last month had a very bad reflux/gastritis attack mainly through stress,
since then I have been getting this dull ache. ( over where the G/B is )
It goes into my back, not severe enough to take pain tablets, but I know its there.
I am even more careful with food, and quantities and as such am decreasing in weight. Down about 4 lbs in the last month.

 
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Old 03-28-2007, 05:59 AM   #3
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Re: upper right quadrant pain

Iloveturtles, the ultrasound might diagnose gall bladder stones or other obvious physical abnormalities, but it can't tell whether the gall bladder is actually functional or not. By functional, I mean whether or not it efficiently squeezes out its bile contents when you eat a fatty meal. My ultrasound was normal, but my HIDA scan showed an ejection fraction of only 17% (normal is above 35%). So I had the gall bladder removed. By the way, the ultrasound doesn't show anything in the stomach, esophagus, or intestines because they are air-filled. Ultrasound looks at organs like the pancreas, gall bladder, liver, spleen I think, that sort of stuff. I have no explanation for your recent weight gain. Has your diet or activity level changed? Thyroid problems can cause weight gain, might want to ask your doctor for a TSH test to be sure you are not developing hypothyroidism. An aside...do you own turtles? I have five.

 
Old 03-28-2007, 06:52 AM   #4
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Re: upper right quadrant pain

I know what your going through! I've had the same type pain your descibing-but for about 2 years on and off. It all started with an appendectomy among other things. Please be sure that they rule out an appendix. I never had the typical symptoms-lower right sided pain. My pain was always on my upper right side and near my belly button. Also, I never had a fever or a high white blood cell count.
The doctors always neglect to do certain tests because of the location of your pain,bloodwork,age,and symtoms! I think that thats very foolish on there part everyone reacts differently to certain diseases! I learned that the hard way-the only way they diagnosed an abdominal infection is to open me up! I would rather have them do that than suffer through months or even years of pain. In certain situations it's the only way to get to the root of the problem.
Good luck!

Last edited by dfroman1166; 03-28-2007 at 06:52 AM.

 
Old 04-12-2007, 07:20 AM   #5
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Re: upper right quadrant pain (UPDATE)

Thanks to everyone who replied

Just a little update....I had a Hida-Scan and EGD done this past Tuesday and the Hida-Scan just noted that the bile moves slow, but the gall bladder is fine The EGD was normal (no ulcers, cysts, etc.). Get this, my GI doctor didn't take any biopsies and said the pain I am experiencing could be due to nerve endings and/or blood vessels and told me to keep taking Nexium and just to take Pepcid before meals. WHAT Can you believe he said this?? What should I do next? I am thinking about calling my primary doctor to see what can be done next. I haven't had a CT or MRI yet.

Oh, yes I do like turtles, but don't own any live ones

Thanks again, Becky

 
Old 04-12-2007, 10:38 AM   #6
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Re: upper right quadrant pain

Iloveturtles, did your doctor do any blood work? Especially liver blood work. The liver is in the upper right quadrant as is the gall bladder.

He told you the bile was moving slowly? Not sure what that means. Did he give you your HIDA scan score? Normal is above 35%. You should call and ask your doctor's office to give you that score. That could explain your pain if you have a poorly functioning gall bladder (not the same problem as stones).

 
Old 04-13-2007, 10:21 AM   #7
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Re: upper right quadrant pain

Yes, he did order some blood work and it all came back normal. He also said my Hida Scan was normal too. Not sure what to do at this point. I don't want to take Nexium, etc., if I don't have to.

 
Old 09-10-2007, 09:37 PM   #8
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Re: upper right quadrant pain

Hmmm, I think I am in the same boat as you all, and could use some feedback. Heres the gist: Upper Rt quad pain, more of a knawing for over a year. Liver fine pancreas fine, gall bladder has small but insignificant polyp. Gastroscopy revealed seriously nasty erosion of my stomach lining. GI guy said "you smoking the ganga?" I said no. He stopped me from drinking alcohol and coffee, and gave me nexium. He arrogantly said "drop me an e-mail in a month and let me know you are better". A month passed, and I was not better. Got referred to another specialist and hour and a half away. Was put on amoxil and biaxin to try kill off H.pylori . . . still the pain didn't go away. Stopped the nexium, and the pain went away, not completely, but I would say 90% better. Follow up GI revealed my stomach was healed, but still inflamed. Biopsies showed that I was still full of H. pylori. Been on a nasty combo of antibiotics for 4 days now. Still, pain is there. Tonight I ate pork chops and they hurt me dammit! I'm worried that the bacteria may not be the problem. Strangely, it also hurts a lot when I sing (singer I am), and my doctor said that likely wasn't because of my gastritis. Maybe muscular?
So here I am one year in, two months into treatment, and no irradication of symptoms. I'm zantacing instead of nexiuming and full of pepto bismol and antibiotics that I have to take 4 times a day.

Anywho, I hate this and I want it to end. Thought I would share it with the world.

 
Old 09-12-2007, 01:09 AM   #9
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Re: upper right quadrant pain

Like yourself I have never had good results from the doctor, and they never even did all the tests you have had, they just shrug it off as you are normal. So I started studding. There are so many books I still need to read. I learnt that your liver is SO IMPRTANT when it comes to the food you put in your stomach, it works on cholesterol, blood proteins, clotting and more. It also breaks down hormones, and regulates blood sugar. And it is a natural detox, takes away the bad things in food that you donít even know that are there, and sends it to your intestines, to be ďeliminatedĒ or sends liquid to your kidneys.

If your bile is moving slowly, then that means you do not have optimal liver function. And when your liver gets tired, and over worked, it will send these toxins (poisons) it normally eliminates with a bowel movement, but rather then that it will send it to your fat cells, which is like saying ďhey, Iím so tired, I will get back to you later when Iím not so busyĒ but you have to help it by getting your liver back on track, if your bile is moving slowly, then it makes the kidneys and bladder also move slowly, since they all work together .. and that is why you are gaining weight when you are not even eating much. Its not how much you eat, it is what you eat. Lets say you are eating lots of veggies, yet still why are you gaining weight. Ask yourself where are you buying your veggies, is it possible they have toxins or something on them that you canít see, and washing isnít eliminating them? If you think it is possible, I would switch your food store, and start looking for organic stuff. That is a start, to helping your liver get back on track, and there are many other things you can do. Like a liver detox, but if I were you I would start with small detoxing, and move up to that.
Also to help the liver, kidneys and bladder get rid of the things they need, AND MOVE IT OUT.. you need to add some more fibre to your diet, you liver has so many things to do, but it is relying on you to make sure you have the right intake of fibre.

 
Old 09-12-2007, 01:44 AM   #10
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Re: upper right quadrant pain

Just a little more about me. My mother died 3 years ago. But I watched her fall apart for 10 years, visit the doctor regularly and they never knew what was happening to her. Her stomach gained so much weight she looked about 9 months pregnant. The doctors said it wasnít her liver, she was retaining water. So she took meds for that, AND IT NEVER DID ANYTHING.

She had SO MANY different diagnosis. Fibromyalgia, lots of pain problems. The list was huge, and she took LOTS of medicine from the doctors, but she still never got better. My mother was VARY spiritual, and I often wonder why she put so much trust in the doctors and not in listening to her own body. I tried to get her to try Chinese medicine, since it has a history of 5000 years, but she refused, she would only rely on the doctors. She was afraid of that kind of stuff... and I can understand that, we are afraid of things we do not know about.

Then she got SUCH BAD PAIN in her right side. She was diagnosed with gall stones, and gall bladder problems so they did surgery. But as soon as she got out she was in MASSIVE pain, on a scale of 1- 10 it was an 11. They messed something up, miss diagnosed her. So back to the hospital, and that is when they found cancer all over her liver. It was never there before. Its like I saw it coming... yet I was shocked and I was VARY upset, I think mostly for years and years, she cried out for help, they did all the tests, and she was normal. So it was left alone... when something was wrong, that the doctors understood, but it was too late. It moved fast all over her body. Also that water retention, moved from her stomach into her legs, and they got so huge so fast she couldnít even lift them in to her bed.

I remember her lying in bed with a blanket over her MASSIVE belly, and a tube in her pulling out her pee, since her bladder was no longer working she couldnít pee with out pain. which the kidneys were not longer processing, so it was a dark brown. With the liver cancer, everything was shutting down.

At the end, at the hospital, she had been sleeping for 5 days, in 1 day she was going to die, I asked the doctor ďTO DO SOMETHINGĒ and he said I canít look at the size of her liver, she IS CANCER.

To call my mother cancer, that hurt... she IS CANCER. Arg... And then to say Look at the size of her liver. YET She had a HUGE stomach for 10 YEARS and they couldnít find anything. Alonge with tones of different problems. My mother got sick in her 20ís really sick in her 30s and died at age 44.

Now my stomach is getting so big, I keep getting asked, (is it a boy or a girl?) so what Iím at the size now that I can know the sex of my baby? That I have been pregnant with for 5 years? People ask me if I need to sit down on the train. Lol and the different symptoms...

and I have pain like you, along with many other things... and I have had test after test, like my mother, and you, and yet, no answers. I feel like my mother might be with me give me the motivation to really study about the body on my own. I feel like she is with me, helping me where the doctors cannot. To look at different things like Chinese medicine, and try it, detoxing, the food Iím eating, acupuncture, and holistic doctor..ect... sometimes if I canít afford it, I study twice as hard. And try natural remedies like detoxing, from home.. that anyone can do, because its not going to cure cancer, but it may prevent it. and MANY different other issues.. Iím not going to keep all my faith that the doctors will one day figure out what is wrong with me. I need to figure it out. With the help of my mother, god, myself.. Whatever. My body is my temple.

And learning about all this stuff, its amazing what we are learning we are exposed to everyday. If you read ďhealth board, healthy lifestyleĒ or any of these board, lots and lots of people are dealing with their illness, but also taking more action to change some things in their environment. I think its a good thing, and I think we can all support each other with the knowledge we are learning.

 
Old 12-09-2007, 08:41 PM   #11
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Re: upper right quadrant pain

miyu, boy can i relate with the unknown. I am sorry to hear of your loss and i hope some learn from your post. I have been experiencing stomach issue for months now. Drs"say" that they think it's an ulcer but i'm not gettingny relief from the nexium they gave me or anything else, i am very worried as they just keep telling me, i will be curious to see what the GI says. My symptoms are abdominal fullness swelling whatever, nauseau, doesn't matter what i eat, upper right side discomfort feels like there nodes or somethings, weird sensation in the upper abdomen like a baby especially when i do or don't eat. Had an ultrasound blood work, hidiscan all per say normal, very worried but not giving up! I forgot to add that when i went to the dr.s of the start of all this they said when they did the ultrasond they saw something, but couldn't make it out and did the hidiscan and left it at that and make me wait months to see a GI dr. what do or can you make of this?
Love, Monkey

Last edited by monkey5; 12-10-2007 at 06:20 AM. Reason: more info

 
Old 12-10-2007, 05:13 AM   #12
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Re: upper right quadrant pain

Miyu,
So sorry to hear about your Mom. I can't even imagine....

Like you, I've gone the natural treatment route. I've had GERD for a couple of years and started having on-and-off upper right abdominal pain and flank pain about 8 months ago. I did an elimination diet and found that I was intolerant to gluten, corn, dairy, and refined sugar. I've since eliminated those from my diet and the reflux has almost completely gone. It only pops back up when I eat something I shouldn't. Problem is the abdominal/flank pain has been coming more often and lasting longer. I'm wondering if the food intolerances were masking something else. Had an abdominal ultrasound last week and everything's fine, execept for a 5mm polyp in the gallbladder. Haven't talked to the doc yet, so don't know what he has in mind next. I'm looking into doing a liver flush to see if that will help. There might be small stones that didn't show up on the ultrasound. Have you ever done one?

Iloveturtles,
Have you ever been tested for Celiac, gluten intolerance, or other food intolerances? They don't just cause weight loss, they can cause weight gain too. And SadTummy is right - thyroid problems can cause weight gain as well. In addition to the TSH test, I'd also suggest getting a full panel done including FT3, FT4, and TPO and Tg antibodies. TSH can be well within normal range, but you can have antibodies counts through the roof. Btw, my brother in law has turtles. His pride and joy is a snapping turtle named Yunior. The thing's huge!

Softwallcave,
Wow! Sounds like you're going through the wringer. Let's hope this round of abx works. Once you're done, it might be a good idea to start taking probiotics to help replenish your beneficial digestive bacteria. They're getting killed off along with the bad stuff.

 
Old 12-10-2007, 06:21 AM   #13
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Re: upper right quadrant pain

I wanted to add to the thyroid things also that even if your having trouble with this your antibodies can come back normal found this out first hand!
Love, Monkey

 
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