Discussions By Condition: I cannot get a diagnosis.

abdominal pain

Posted In: I cannot get a diagnosis. 10 Replies
  • Posted By: slgroves
  • March 10, 2009
  • 04:31 PM

I have severe abdominal pain on occasion. It usuallys lasts about 24 hours. I've ended up in the ER 4 times since May 2008, had upper endoscopy, 2 CT scans, x rays, some kind of barium test of my entire digestive system, Hida-Kinevac (sp?)scan, ultrasound, blood tests, etc. Doctor says it's not pancreatitis, gall stones, gall bladder, ulcer, or cancer. The pain is in the center between my lungs right below where my ribcage meets in the center. Pain is very severe and when it gets really bad, will go around the sides, pretty much covering my entire upper abdomen. Might be brought on by certain foods, but it's not really consistent (one time after bbq, one time after Italian, one time after salsa, but other spicy food don't bother me.) I'm lactose intolerant and on Imitrex, Maxalt (not at the same time) and birth control (Camila), as well as Lactaid when I eat. One time my ca125 was slightly elevated; now it's not. One time my amylaze/lipase was elevated; now it's not. Generally no nausea or vomiting, although the last time I took a lot of Loricet & vomited numerous times. Between episodes I'm pretty much pain free as far as my abdomen. Had a C-section in 2006 as well as a partial hysterectomy (uterus didelphys). Pain is higher than uterus.

Any ideas? Should I try another doc?

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10 Replies:

  • Sounds like you might be having issues with your diaphragm. Do you breathe shallowly with your upper chest, or deep with the muscles of your abdomen? Is it worse or better when you breathe? A spasm of the diaphragm can cause pain in this area, but you will need a doctor to rule this in or out. Do you have any diagnosed conditions? Migraines, I assume from your meds? Do you have a lot of anxiety? Are you overweight?
    Harmonium 322 Replies Flag this Response
  • Migraines are really my only diagnosis. I'm not stressed, not overweight. I'm a singer, so my breathing is pretty trained, but I guess that could have something to do with it. I wondered about pulled muscles because I'm always hefting my daughter around, but the docs seemed to think the pain was more severe than that would warrant. Something to look into....
    slgroves 3 Replies Flag this Response
  • It makes sense that your diaphragm would be developed and your breathing proper if you are a singer. You are more likely to get a pulled muscle from picking up a child in your back than in your stomach, but I'm sure it's possible. Pulled muscles HURT, but they don't usually only last for 24 hours and come back intermittently. Has a hernia been ruled out?
    Harmonium 322 Replies Flag this Response
  • Has a hernia been ruled out? Would it hurt intermittently? I'll certainly mention it to my doc. I would think the tests might have picked that up, though. Never hurts to mention it to the doctor.
    slgroves 3 Replies Flag this Response
  • Yes, I'd imagine a hernia would have been ruled out with the tests you have done.....sorry, I didn't go back and look at them before I suggested that. But yes, it can only be painful intermittently. Sorry I can't be of more help. Good luck, I wish you well.
    Harmonium 322 Replies Flag this Response
  • Since you did have an elevated calcium level, the I would ask for a PTH, even if just to rule out hyperparathyroidism. Kiera
    Anonymous 42789 Replies Flag this Response
  • I have severe abdominal pain on occasion. It usuallys lasts about 24 hours. I've ended up in the ER 4 times since May 2008, had upper endoscopy, 2 CT scans, x rays, some kind of barium test of my entire digestive system, Hida-Kinevac (sp?)scan, ultrasound, blood tests, etc. Doctor says it's not pancreatitis, gall stones, gall bladder, ulcer, or cancer. The pain is in the center between my lungs right below where my ribcage meets in the center. Pain is very severe and when it gets really bad, will go around the sides, pretty much covering my entire upper abdomen. Might be brought on by certain foods, but it's not really consistent (one time after bbq, one time after Italian, one time after salsa, but other spicy food don't bother me.) I'm lactose intolerant and on Imitrex, Maxalt (not at the same time) and birth control (Camila), as well as Lactaid when I eat. One time my ca125 was slightly elevated; now it's not. One time my amylaze/lipase was elevated; now it's not. Generally no nausea or vomiting, although the last time I took a lot of Loricet & vomited numerous times. Between episodes I'm pretty much pain free as far as my abdomen. Had a C-section in 2006 as well as a partial hysterectomy (uterus didelphys). Pain is higher than uterus. Any ideas? Should I try another doc? I have B12 deficiency and my first symptom was in the same spot as yours. Do you have bloating or gastritis? I did. It only got worse until I was diagnosed. Good luck
    cyndyd 458 Replies Flag this Response
  • Reflux esophagitis? Have you tried some Prilosec or Nexium,?
    rad-skw 1605 Replies Flag this Response
  • Hi!How old are you?How old were you when it first started?Do you belong to any specific ethnic group? (I'm thinking familial mediterranian fever).Where the pain originates you'ld really think pancreas/stomach but as it later covers the whole upper abdomen it's more like peritonitis and seems autoinflammatory too. Your ~armenian right? ;)Take care! S.
    Saruman 6 Replies Flag this Response
  • No, I'm just a plain little white girl, 33 years old. I'll check into your ideas, folks. Thanks so much! My husband is also having different abdominal issues - he has a burning around his waistline. Sounds like shingles, but no rash at all. Never goes away; sometimes worse than others. Any ideas on that one?
    slgroves 3 Replies Flag this Response
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