Discussions By Condition: I cannot get a diagnosis.

Doctor can't diagnose me? Pain in right quadrant

Posted In: I cannot get a diagnosis. 13 Replies
  • Posted By: Zorro01
  • July 24, 2010
  • 10:37 PM

Hello all I am new here so go easy on me.
I hope this is the correct place to post?

To cut a very long story short. I noticed a pain in my right side just under my ribs. It got worse until I had to go to the hospital.
Whilst in hospital for a couple of weeks with the pain intensifying what felt like everyday, I underwent every scan & test possible to help diagnose the problem.
They found a couple of things wrong.
1. My Liver wasn't working the way it was suppose to.
2. I have chronic Gastritis.

The doctor susspected that my gaul bladder might have been the issue so he removed it 4.5 weeks ago.
The trouble is that the origional pain is still there and is no better than before.
One thing that is making me worry is that when the doctor suggested it could be my gaul bladder he did say the following " I am not 100% sure this will fix the problem and there may be one more thing that it could be but I don't want you to worry about that right now"...
Anyone got any idea or similar story as to what could be causing the pain or what the doc might have been refering to when he mentioned "the other thing".
I am on 25 tablets a day at the moment, tramadol, paracetomol, Omeprazole, Spazmonal, Antacids, plus things for depression and my tinnitus, diclofenic and could do with out taking them but I am in agony all the time.
Any help welcome.

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13 Replies:

  • You're taking a lot of meds that can make your liver unhappy... I would look into each drug to see if they are known to affect the liver and try to substitute the worst offenders with something different until you find which one is causing you problems. I would start with the Tramadol as this drug has a bad reputation already and their are substitutes available. If you're taking an effective pain reliever, you shouldn't need the paracetamol, which is a known liver toxin. The safety testing these drugs go through is done on healthy young animals that are not exposed to any other drugs at the same time, and many doctors don't realize when they mix these together in older patients with health problems, they can overload the liver. There are also supplements which can help protect your liver from damage which you might try... PPC (polyenylphosphatidylcholine) Brand names: Essentiale Forte, PhosChol and HepatoPro. This polyunsaturated form of Lecithin has been shown to be such a powerful liver protectant it even works against carbon tetrachloride poisoning in laboratory tests on animals. PPC is also been found to be very effective for gastritis, so this may help you in more ways than one! If you can't find/afford the PPC supplements, simple Lecithin might help, but you would need to take more than a couple of these a day. Look for the new "triple strength" Lecithin and take a couple of these with every meal. NAC (N-Acetylcysteine) taken with vitamin-C can protect your liver from the paracetamol too. It won't affect the effectiveness of the drug, but will control the damage it can do. Run this past your doctor before you try them, but he/she shouldn't have any problems with these supplements if he/she takes the time to look into them. They are non toxic and have little or no side effects. The PPC or Lecithin is quite good for you too! Environmental toxins can stress your liver too... Do you work with solvents of any kind? Drink at all? Mixing this sort of thing with the meds you take is not a good thing. You'd need to reduce/eliminate either the environmental toxins, or the toxic meds. Good Luck and GodSpeed to you! Keep looking and you will find your answers.
    synesthesia 87 Replies Flag this Response
  • thanks for all this info. I have been taking himalaya Liv 52 for liver support. I am going to cut out the paracetemol deffinatly. The Tramodol is the only pain med that I have tried that does anything to manage the pain so I don't think I could drop that.Everything else is for my stomach, depression, and tinitus.I will use the info you provided and see if there is anymore changes that I can make.Any ideas on what might be causing the pain if not my gaul bladder???
    Anonymous 42789 Replies Flag this Response
  • thanks for the advice.any idea on what causing my pain anyone :-(.
    Zorro01 4 Replies Flag this Response
  • Doctors say there are no pain transmitting nerves in the liver, and therefore the liver itself can not hurt; but if you read hepatitis forums and listen to liver patients, they all speak of upper right abdominal quadrant pain. Hard to know what to make of this, but the liver does swell when inflamed, and this swelling does stretch the membranes that surround it. These membranes have a lot of nerve endings and can cause a lot of pain. This swelling can also displace the ribs a bit and cause pain, particularly in the back, where the ribs attach to the spine. There's not much else in the upper right quadrant besides the liver, so swelling of the liver is what we are left with. Get the inflammation in your liver down and the swelling will go down. The PPC I mentioned is the single best thing you can do for your liver, aside from eliminating whatever medication or combination of meds are inflaming your liver. SAM-e is also another well documented liver tonic... It is expensive, and must be taken on an empty stomach, but many have found it can fix an unhappy liver. Best of Luck to You!
    synesthesia 87 Replies Flag this Response
  • I have the exact condition. I am sitting here in extreme frustration and pain. I let a friend read your post and the thought it was something I had written. Please keep me posted of your findings. I am on the exact path as you. They also removed my Galbladder which also accomplished nothing. I now take Dauldid for pain which has now stopped working. The only thing different is that I have spells where I pass blood in my urine. My urine will be 50% blood for about a week then go back to normal. The last "specialist" I saw apologized and said how sorry she is that they can't diagnose my conditon that she knows something is wrong. How high were your liver enzymes? At one point mine were 7000...
    Anonymous 42789 Replies Flag this Response
  • I have the exact condition. I am sitting here in extreme frustration and pain. I let a friend read your post and the thought it was something I had written. Please keep me posted of your findings. I am on the exact path as you. They also removed my Galbladder which also accomplished nothing. I now take Dauldid for pain which has now stopped working. The only thing different is that I have spells where I pass blood in my urine. My urine will be 50% blood for about a week then go back to normal. The last "specialist" I saw apologized and said how sorry she is that they can't diagnose my conditon that she knows something is wrong. How high were your liver enzymes? At one point mine were 7000...I don't know how high my liver enzymes were but I will ask when I see the specialist again. I am so frustrated, i truly am at the end of my tether with this. I am in constant pain, my gaul bladder removal did nothing to relieve the pain I am in and I can't get proper nights sleep cause the pain wakes me up as the pain killers wear off.I went to see my GP yesterday and explained that I am still in the same agony (just like the very first day I went to A&E except slightly worse) and I must admit he made me feel like a fraud, he said. "It is possible that this problem could be phsycologica and all in my head". Then he went on to tell me that I have probably got a bad back. I am not sure were he pulled that diagnoses from.I really don't know what to do now as the GP made me feel a bit like a fraud.Any help?
    Zorro01 4 Replies
    • August 11, 2010
    • 06:28 PM
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  • Essentiale Forte is a preparation of essential phospholipids. Essentiale Forte normalizes the metabolism of lipids and proteins, improves the detoxification function of the liver, restores the cellular structure of the liver and retards the producing of conjunctive tissue. Essentiale medications are indicated for the treatment of fatty degeneration of the liver, hepatitis (including toxic hepatitis, liver damage caused by medicines or alcohol abuse), cirrhosis of the liver, disturbances in liver function associated with different illnesses.Pharmaceutical actionPhospholipids are essential structural components of all cellular membranes. Essential phospholipids (substance EPL) - are the complex substances of natural origin (ethers of cholinephosphoric acid (phosphatidylcholine) and unsaturated fatty acids (linoleic, linolenic, olein)). Essentiale medications possess the membranotropic properties, metabolic and hepatoprotective action; regulates lipid and carbohydrate metabolism. Essential phospholipids increase functional status of the liver.While the disturbance of the liver metabolism essential phospholipids ensure the entering the high energy phospholipids, which are ideally combined with the endogenous phospholipids. Under the Essentialle phospholipids influence clinical and biochemical liver indexes are improved.Combination of Essentiale with cordiamin (nikethamide) and vitamin E (50 mg/kg for 35 days) considerably activates the mono-oxigenase, glucoro- and glutathione transferase systems of the liver: and as a result the free-radical processes became less intense .The spectrum of essential phospholipids' activity in chronic degenerative liver diseases can be described in the following properties:recovery and maintaining the consistency of the hepatocytes;activation of the phospholipid-depending ferments;improvement in the lipids metabolism caused by accelerated synthesis of lipoproteins in the liver;activation of synthesis RNA and as a result the normalization of the proteins metabolism;increased synthesis of glycogen in the liver;improvement in the detoxification function of the liver;the conversion of neutral fats and cholesterol into the easily metabolizing forms;decreased the fatty infiltration of the hepatocytes.Common useEssentiale is used to treat the following diseases:Hepatitis(acute and chronic), toxic hepatitis, medicinal and alcoholic hepatitis, poisonings. Hepatic steatosis of different aetiology(in 53.6 % of patients the effect of six-month treatment with Essentiale forte was very good (improvement of all investigated parameters) diabetes(the data suggests that Essentiale protects and improves liver function in diabetic subjects with non alcoholic fatty liver ) and chronic infections);Disturbance in liver function in somatic diseases;Hepatic cirrhosis;Necrosis of the liver cells, liver failure, liver coma;Pre- and Post- surgical treatment, especially in hepatobiliary area;Hyperlipoproteinemia, hypercholesterolemia, hypertriglyceridemia;Diseases of the cardiovascular system: coronary heart disease, stable stenocardia , post-infarction condition, disturbance of the cerebral and peripheral circulation, Hypertension, thrombembolia prophylaxis, atherosclerosis, diabetic angiopathy, thrombembolia prophylaxis and fat embolism(solution for injection);Digestive system diseases (chronic pancreatitis, gastric and duodenum ulcer;Toxicosis of pregnancy(edema, proteinuria и and blood pressure disorders);Radiation sickness (radiation syndrome);Psoriasis, atomic dermatitis, eczema;Pyelonephritis Prophylaxis of micromegaly.AvailabilityEssentiale medications are manufactured under 4 trade names:ESSENTIALE- solution for intravenous injections in vials 5 ml. Essentiale contains essential phospholipids(EPL substance) 250 mg, Pyridoxine chidrochloride 2,5 mg (Vitamin B6), Cyanocobolamine 0,1 mg (Vitamin B12), Sodium Pantothenate 1.5 mg, Nicotinamide 25 mgESSENTIALE FORTE N- Capsules N30 or N100. One capsule contains essential phospholipids (EPL substance) 300 mg.ESSENTIALE N. -solution for intravenous injection in vials 5 ml. Essentale N contains essential phospholipids(EPL substance) 250 mg.ESSENTIALE FORTE – capsules N50. Essentiale forte contains essential phospholipids(EPL substance) 300 mg, Thiamine mono nitrate(Vitamin B1)6 mg, Riboflavine(Vitamiin B2) 6 mg, Pyridoxine chidrochloride 6 mg(Vitamin B6), Cyanocobolamine 0.06 mg (Vitamin B12), Nicotinamide 30 mg, Tocopherole acetate 6 mg(Vitamin E).
    synesthesia 87 Replies
    • August 13, 2010
    • 08:16 AM
    • 0
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  • For Use In Acute and Chronic Disorders of the LiverEvery year doctors around the world prescribe polyenylphosphatidylcholine (PPC) to millions of patients with liver disorders. The positive experience doctors and patients have with PPC, the main ingredient in PhosChol, is due to its unique mode of action.PPC corresponds in its chemical structure to endogenous phospholipids. Due to its high content of bound polyunsaturated fatty acids, however, they are much superior to these.PPC is incorporated into all cell membrane systems of the cells and organelles, and thus constitutes an integrative component of the membrane.PPC plays a decisive role in membrane dependent metabolic processes as well as in cell regeneration.Phospholipid-dependent, membrane-located enzyme activity increases in the presence of PPC.The polyunsaturated fatty acids released from a part of the molecules constitute prostaglandin precursors.PPC co-regulates immunological processes.PPC stabilizes the membranes and counteracts lipid peroxidation due to free radicals.A loss of phospholipids is seen irrespective of the etiology in liver disorders in which there is damage to the hepatocyte membranes and organelles. Exogenous substitution of phospholipids in the form of PPC leads to the incorporation of PPC into the membranous structures of the liver cell and thus to membrane regeneration. The proof of the unique mode of action and thus the therapeutic relevance of PPC was primarily demonstrated by a large number of different pharmacological studies carried out all over the world and now is continually completed on the basis of new scientific methods.Clinical Studies ConfirmIn numerous international clinical studies with more than 10,000 patients, well-known clinicians checked the therapeutic possibilities of PPC in the treatment of liver disorders of different etiology and confirmed the knowledge gained during pharmacological examinations.
    synesthesia 87 Replies
    • August 13, 2010
    • 08:30 AM
    • 0
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  • I also have pain on my right side just under my ribs. Haven't been able to find anything for it. The urologist said it can't be my kidney stones but thats what my dr keeps thinking. Tramodol, hydros and darvos don't stop the pain. Do you know your platelet count by chance? Best of luck and hope they figure it out!
    Anonymous 42789 Replies
    • August 17, 2010
    • 00:04 AM
    • 0
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  • I also have pain on my right side just under my ribs. Haven't been able to find anything for it. The urologist said it can't be my kidney stones but thats what my dr keeps thinking. Tramodol, hydros and darvos don't stop the pain. Do you know your platelet count by chance? Best of luck and hope they figure it out!My tramadol only help relieve my pain slightly as well.I don't know what my platelet count is? Will have to ask docs.
    Zorro01 4 Replies
    • August 23, 2010
    • 09:44 PM
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  • have they ruled out a ductal stone. just because your gallbladder has been remove doesn't mean there is not a stone still mucking up the works. This is not at all uncommon.
    Anonymous 42789 Replies
    • August 24, 2010
    • 02:25 PM
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  • have they ruled out a ductal stone. just because your gallbladder has been remove doesn't mean there is not a stone still mucking up the works. This is not at all uncommon.Yeah they ruled that out already. I am just going to have to wait until I see the Gastoentorologist --> (spelling poor).It is possible that it could be inflamatory bowel or crohns disease that is all I have been told so far. I will update after I see the consultant next week.Just one more thing to add. Isn't it strange that there are so many people with the same types of pain yet about 60% of them can't get a diagnosis?Anyway speak soon. ;- )
    Zorro01 4 Replies
    • August 25, 2010
    • 11:47 AM
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  • hi, my mums having these problems and she can't get diagnosed as of yet.i've been having a look and these symptoms (including my mothers) show alot of similarities with pancreatitis.could be wrong, but take a look.Good Luckhttp://www.umm.edu/altmed/articles/pancreatitis-000122.htmlinks on that site also show alot of other stomach diseases, and several refer to blood in stools.
    Anonymous 42789 Replies
    • November 18, 2010
    • 10:20 PM
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