Discussions By Condition: I cannot get a diagnosis.

Dr jcottlemd or medhelp please help me...

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: Anonymous
  • July 6, 2009
  • 08:34 PM

As per my other thread in regards to having RUQ pain after all the test, I went to see my regular doctor to get my latest test results. He said that I have a non peptic ulcer. He told me this isn't something that you want, thus it affects your nervous systems in your abdominal area where your digestive system contracts inproperly. My gi specilist said this is what was causing my pain before, and the medication he gave to me didn’t help. The specialist who did my test put me on novo-domiperidone to help my nervous system contract properly. Yet I doubt it will work since this is a similar medication I had before. So I will try to see if the medication will work, since they say it can’t be my gallbladder.
They are also sending me to do some more tests to see if there is a chemical unbalancement, since this doesn’t show up on any test or it is hard to diagnose. My question is after all this and all the test say that I am fine and the pain is still consistent with having gallbladder, what else is there to do? I went off all high fatty foods, and this somewhat helped with the pain. Yet I still get the sensation that something is being squeezed under my right rib cage or a stabbing pain that radiates to my back.

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  • As per my other thread in regards to having RUQ pain after all the test, I went to see my regular doctor to get my latest test results. He said that I have a non peptic ulcer. He told me this isn't something that you want, thus it affects your nervous systems in your abdominal area where your digestive system contracts inproperly. My gi specilist said this is what was causing my pain before, and the medication he gave to me didn’t help. The specialist who did my test put me on novo-domiperidone to help my nervous system contract properly. Yet I doubt it will work since this is a similar medication I had before. So I will try to see if the medication will work, since they say it can’t be my gallbladder. They are also sending me to do some more tests to see if there is a chemical unbalancement, since this doesn’t show up on any test or it is hard to diagnose. My question is after all this and all the test say that I am fine and the pain is still consistent with having gallbladder, what else is there to do? I went off all high fatty foods, and this somewhat helped with the pain. Yet I still get the sensation that something is being squeezed under my right rib cage or a stabbing pain that radiates to my back. Hi cdubs,A GI diagnosis of "non peptic ulcer" isn't tremendously enlightening. It seems that that's an over-used catch phrase for GI symptomology that's inconclusive.It's interesting that your discomfort decreased when you reduced nutritional fat intake. That's usually indicative of cholecystitis...gall bladder disease/inflammation. The pain in your right upper abdomen, radiating to your back, is also consistent with cholecystitis.It's more than a bit disturbing that "they" are saying it isn't your gall bladder that's causing your pain. If you've yet to do so...ask FIRMLY for a definitive gall bladder study...at the very minimum an ultrasound.Best,John<
    JonMac 165 Replies Flag this Response
  • I believe Dr Cottle had much greater foresight than I and already diagnosed your condition earlier, which is non-ulcer dyspepsia ("duodenal stasis" per Dr Cottle). I think you can rest assured that the pain is not related to your gallbladder. I think the additional tests your doctor is ordering are for Helicobacter pylori (?). If this is found, therapy for H. pylori eradication will be helpful. Also, as Dr. Cottle suggested, evaluation for psychological factors such as stress, anxiety, or depression is warranted. For additional information, I would like to refer you to a patient information article:http://www.mayoclinic.com/health/stomach-pain/DS00524 I recommend you pay particular attention to page 9 of the article, titled "Prevention."
    m3dh31p 69 Replies Flag this Response
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