Discussions By Condition: I cannot get a diagnosis.

Persistent pain under bottom left rib after colonoscopy

Posted In: I cannot get a diagnosis. 6 Replies
  • Posted By: alveolar21
  • May 14, 2010
  • 09:08 PM

I had a colonoscopy 2+ months ago due to blood in my stool. It turned out to be hemorrhoids. The doctor stated that I was "squirming throughout the procedure." As soon as I woke up, I had pain in my left side, under the bottom left rib. The pain persisted, I went back to the doctor and they recommended I get a CT scan and blood work. Everything came back normal. It was then stated I should I have an endoscopy. I then had an endoscopy with another doctor, it too, came back normal. The doctor then stated "there is nothing else I can do for you." I have never had pain in my left abdominal area, until the colonoscopy. The CT scans, blood work and endoscopy were normal. I do not feel sick, I do not have any blood in the stool or any other symptoms at this time. The pain persists under the bottom left rib to this day, more than 2 months after the colonoscopy, in addition, I still cannot lay down on my left side without pain. I have been two different GI doctors, they have seem to run out of ideas. I suggested another colonoscopy to see if something happened during the first one, they shrugged at the idea. Can someone help me?

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6 Replies:

  • I think it would be good for you to insist on more tests! You should not be having pain and the fact that you suddenly do after them preforming an invasive procedure means something is not right!
    lulu22 4 Replies Flag this Response
  • Good and bad news:Good: Recently, I had a diagnostic laparoscopy and an adhesion was found between the colon and the lateral abdominal wall, it was removed and the painful, sharp stabbing pain is now gone.Bad: Due to the HIDA+CCK scans last year (for the LUQ pain), I still have RUQ pain under the right rib cage; on a scale from 1-10 it is generally a 0-1 while sitting and 4-6 if I lay on my right side, depending on the angle. When jogging, after 1-2 miles the pain will shoot up to 8-9 and 10 if I have to stop running because of it. I’ve had almost every scan and test one can think of: CT, MRCP, EUS, VQ LUNG SCAN ENDOSCOPY, SECOND COLONOSCOPY, ULTRASOUND, all results came back normal. My RUQ does not hurt if I eat fatty foods. From what I can deduce it is either my liver or gallbladder causing this pain. Running out of options, I also went to an acupuncturist, recommended by my PCP; he said my liver was “tight.” I do not drink or smoke and am desperately looking for thoughts or ideas that could lead me to a solution.Does anyone have _any_ thoughts at all what could be causing this RUQ pain?Recall:1. The first CCK injection (which caused EXCRUCIATING pain and then burning for 3-4 weeks after; was injected in 30 seconds) @ 22% ejection fraction rate.2. The second CCK injection (a few months later) was done by a different nurse/technician who had been doing this procedure for ~20 years; she had stated that 30 seconds was too fast and a normal injection is done over a period over 2 minutes, which is how she did it and the ejection fraction was 56% and I had no pain.Current situation:1. With the LUQ pain; prior to the colonoscopy I never had any pain, it turned out to be an adhesion stuck between the colon/lateral abdominal wall, no scan or test showed this problem, it was only at the last resort of surgery that found and removed the adhesion.2. With the RUQ pain; prior to the HIDA+CCK scan, I never had any pain, I've had almost every test (except ERCP which carries a lot of risk) and the pain has not gone away. During the laparoscopy the RUQ of the abdomen was also searched and no problems were found.Can anyone offer any suggestions or insight into this issue?
    alveolar21 4 Replies
    • September 10, 2011
    • 01:38 PM
    • 0
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  • Hi,There may be several possible causes of your RUQ pain. Taking into account your problems with intra-abdominal adhesions, there is a probability of the similar problem - fibrous connective tissue overgrowth: something like adhesions over the liver bed or fibrosis of the gallbladder/bile_duct which causes cholecystitis and pain symptoms. Usually such conditions can not be noticed by CT/MRI/Xrays/Ultrasound. Another possible disorder is a dysfunction of the sphincter of Oddi (biliary dyskinesia).I can not say more definitely without my diagnostics.
    alltimatehelp 128 Replies
    • September 15, 2011
    • 09:19 AM
    • 0
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  • Hi,There may be several possible causes of your RUQ pain. Taking into account your problems with intra-abdominal adhesions, there is a probability of the similar problem - fibrous connective tissue overgrowth: something like adhesions over the liver bed or fibrosis of the gallbladder/bile_duct which causes cholecystitis and pain symptoms. Usually such conditions can not be noticed by CT/MRI/Xrays/Ultrasound. Another possible disorder is a dysfunction of the sphincter of Oddi (biliary dyskinesia).I can not say more definitely without my diagnostics.Thank for your reply, I've investigated SOD but the only way to test for that is w/ERCP+manometry and I've been told that has 30-50% complication rate, so I'm not sure if I want to go through with that.Also, regarding the adhesion, I cannot prove it but I never had stabbing pain in the LUQ before the colonoscopy in which I "almost jumped off the table," once it was removed, it went away.After the colonoscopy however, I did not have RUQ pain, it was not until the Hida SCAN with CCK injection in a 30 second period that caused the pain, arg, I really wish I knew what it was (as far what happened during that first CCK injection), it is so frustrating...
    alveolar21 4 Replies
    • September 15, 2011
    • 03:49 PM
    • 0
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  • I suppose, you can get preliminary estimation of the biliary dyskinesia by usual ultrasound real-time scanning (hypotonus/hypertonus). But it's difficult to scan adhesions problem that affects bile duct & liver.Pain starts when adhesions become braking. Internal rupture often accompanied by pain.??: male, female? age?Other (less possible): pancreatitis? Fitz-Hugh-Curtis syndrome? etc...
    alltimatehelp 128 Replies
    • September 20, 2011
    • 10:30 AM
    • 0
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  • I too had a colonoscopy and endoscopy just 2 days ago. When I can out off having the procedure, I was in excruciating pain, from gas (to much air). I began to vomit. I was finally able to release some gas. The problem now is that I have pain under my left rib and lower abdominal pain and tender to touch. All test were positive. Is this common?
    Anonymous 1 Replies Flag this Response
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