Discussions By Condition: I cannot get a diagnosis.

911... Upper abdominal pain on the right side when i eat....

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: rose2bee
  • November 11, 2008
  • 08:35 PM

I have been having pain for going on 3 weeks now... It is a little weird though... It is mainly in the center just below my rib cage... but it radiates to both the left and right side...The pain only accures about 15 minutes after eating (when I mean eating I mean eating a decent amount of food. Not too much and not too little, right about when your about to feel full). The pain feels like pressure and a major ache...I also have been having diarreha (watery, sometimes with a little texture), and very nauseated. Now the kicker to all this is that I had my gall bladder taken out Feb 2005. I went to the E.R. Oct 31 I had blood tests and a Cat scan, and they said my white blood cells were a little high so they put me on anitbiotics (2 to be exact; Flagyl & Cipro), other than that they could not find the cause for my pain. Nov 4 (4 days after going to the E.R.), I went to my primary physician about this.... He said he thought it might be C. difficile (I had been on antibotic about a month or so ago for UTI). So anyway my primary physician put me on 2 anitbiotics (Flagyl & Vancocin these primarily take care of C. difficile). Nov 7 I called my doc oncall and told him I can not take the pain that it really hurts after I eat and I had actually gotten myself to only eating a snack during the day wich would give me pain but it was tollerable, but when I ate at night it would be agonizing. He told me to go to the E.R. after spending 4 hours in the waiting room I finally got to the back and they did blood test and X-Ray (did not want to do a Cat Scan since I had just had one a wekk prior). Well once again they could not find anything, they called my primary Physician and he told them to admit me. I was put on a clear liquid diet with no lactose. It about killed me!! I was in for 3 days total (I got out yesterday), I had a Gastroscope & Endoscopy, and once again they could not find anything. Now during the time I was in the hospital I had alittle pain but the only thing I was eating was chicken broth, jello, juice; mainly things you culd see through. Well my doctor release me... needless to say I was really really hungry, the last time I had eaten was Friday for dinner. my husband took me to eat. I told my self to eat slowly since it had been a while since I ate solid foods, well I got halfway through my plate when it all started back up again. I sat there for a while hoping it would go away because I was still hungry. I went to see what else I could get off the buffet, but I had a hard time walking, I was dizzy, and the pain was so bad. I really did not each much after all this started so we went home. My pain lasted about 6 hours total. I felt fine when I got up..... :confused::mad::(:eek:

If anyone can help me with this I would greatly appreciate it!!! I am desperate!!! I can not seem to get any diagnosis.... and I am to the point where I wont eat at all. I can not handle the pain. Might I mention I am also on pain pills and they don't do much help either. And when I say pain pills I am talking about percocet.

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2 Replies:

  • Was your CT performed with contrast? If not, then I'd suggest that you have an imaging study performed with contrast to determine whether diverticulitis may be present, depending upon your age. Your symptoms are consistent with the disease and I would have them avoid a colonoscopy since it has been known to be problematic in the presence of diverticular disease. The other possibility is that a root stone has formed in the biliary duct where it connects to the duodenum. They are quite difficult to detect on imaging and can even be missed with the scope if not careful. I think this less likely to be the case, but still is a possibility. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • November 11, 2008
    • 11:25 PM
    • 0
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  • Well I am 29 years old and I indeed had the contrast CT done (1 week ago). Thanks for the help! If you have any other suggestions please feel free to help!:confused:
    rose2bee 2 Replies
    • November 11, 2008
    • 11:46 PM
    • 0
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