Discussions By Condition: I cannot get a diagnosis.

Please someone help... upper right abdominal pain

Posted In: I cannot get a diagnosis. 5 Replies
  • Posted By: Anonymous
  • June 26, 2009
  • 11:30 PM

For the past three years I have been having pain in my upper right side of my abdominal area. The pain is like someone is holding a ball very tight, or a sharp pain, or were the pain radiate to my upper right shoulder blade. I get with these pains a bloated or a acidy feeling in my stomach were burping or letting out gas helps but the pain is still there and i get bloated once again. I seem to have the pains when ever I eat really fatty foods, greasy foods, sometimes spicy but not all the time.
I have been to my specialist for my pain he told me that there is not much he can do for me since all the test that rule out gall bladder, ulcer, pancreis, gerd, and others are ruled out. I have taking many medications to get ride of the heart burn, but all have not been effective.
The last test that my specialist told me there was was the endo scopic scan. Since he wasn't sure what was causing my pain, he said this may get some answers. I went for my endo scopic scan which was a few days ago. The specialist doing the test told me after that everything seems to working and looking good. After going to the hospital on many occassions over the years, then dealing with the pain cause no one would give me a answer to what was wrong with me. I am left again not knowing what is the problem.
If someone can shed some light on my situation that would be much appreciated, or if you had a similiar problems as mine please shed some light.
Thank You

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5 Replies:

  • The symptoms you have described are classic for biliary colic, which is most commonly due to obstruction of the cystic duct of the gallbladder by gallstones. In your case, gallstoned have been ruled out by ultrasound and ERCP (?). When biliary colic occurs and gallstones are not found, a possible cause is a condition called biliary dyskinesia. The can be diagnosed by a test called the CCK-HIDA scan. Hope that helps. All the best.
    m3dh31p 69 Replies Flag this Response
  • See my response to a similar complaint in a recent posting. Best regards, J Cottle, MD
    JCottleMD 580 Replies Flag this Response
  • The symptoms you have described are classic for biliary colic, which is most commonly due to obstruction of the cystic duct of the gallbladder by gallstones. In your case, gallstoned have been ruled out by ultrasound and ERCP (?). When biliary colic occurs and gallstones are not found, a possible cause is a condition called biliary dyskinesia. The can be diagnosed by a test called the CCK-HIDA scan. Hope that helps. All the best. I recently went to have a CCK-Hida scan which was a month before my endo scopic ultrasound. During the test I had no pains but when the nurse told me I had to drink a glass of boost, after I had a sharp pain by my RUQ. The nurse said just try to stay still since the test was almost over. I heard back from my specialist two weeks later and he said everything looked fine. What is strange is that when I went for my regular Hida scan it showed my gall bladder filling/emptying rather slow. I talked to me regular doctor recently and he said the specialist performing my endo scopic ultrasound found a small ulcer, but he said that wasn't the main problem. I can't remember what he called it but he said I had some type of syndrome. Which to me means that there is something else wrong or causing multiple problems. He has scheduled me to go for a MRI and more blood work. Even with that said Im still getting pains on my RUQ resinating to my right shoulder blade. Sorry for the long response.
    Anonymous 42789 Replies Flag this Response
  • For my latest response the reason that I may have a small ulcer is that I have been take tylenol extra strength/T1/T3 for about 4 months to ease the pain. Yet like I said Im still getting pain on my RUQ.
    Anonymous 42789 Replies Flag this Response
  • I went for the CCK-Hida scan a few months ago, and the results were a clean bill of health. The only thing that puzzled my specialist was that when I drank my meal during the test I had a sharp pain sensation in my RUQ. He said that is strange cause of the results said that my gall bladder is working okay. Yet 3 years ago he sent me for the regular hida scan were they just inject you with the solution, the results showed that my gall bladder wasnt working as it should. The technician or doctor on duty told me that my gall bladder was filling and draining rather slow, and my regular doctor received the recults and said that is something wrong with my gall bladder. I beleive to my knowledge that the result were below 25 percent.I have just heard from my regular docter that the specialist who performed my last test actualy found a very small ulcer. This may have been caused by taken tylenol extra strength/T1/T3 to ease the pain over the past months. The specialist told my doctor that I have some sort of syndrome, I cant remember the name. Thus saying that there is something but they can pin point the actual problem with me. So my regular doctor has sent me to do more blood work and a MRI. Hopefully this will tell me if there is something wrong or if Im actually going crazy. My specialist has recently informed me that he cant do anything more since everything has been ruled out, I understand what he is saying but there is still something wrong and it is causing me alot of pain.
    Anonymous 42789 Replies Flag this Response
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