Stomach Pulsation, Abdominal Pain, Weight Loss. Advised Ultrsound. What Are Your Thoughts?
Pulsations felt in the middle of the abdomen are usually the aortic pulsations which may be pathological of an increased perception.
Increased perception may be due to -
1) A thin abdomen so that the normally posterior aorta is close to the abdomen
2) In people with hyperdynamic circculation as in hyperthyroidism, anemia, aortic regurgitation, anxiety disorder
Pathological causes may be due to -
Aortic aneurysm, a lump over the aorta so that the aortic pulsations are transmitted
Since your wife has a history of a significant weight loss she may just be having an increased perception only. However it will be a good idea to do a doppler ultrasound examination to rule out other causes.
Hope I have answered your query. Please accept my answer in case you do not have further queries.
Regards
Dr XXXXXXX
Abdominal discomfort and nausea of such long duration could be secondary to hiatus hernia and reflux disease. Any increase in abdominal pressure increases the reflux and produces pain and nausea.
Other causes like an inflammatory mass are unlikely to persist for 3 years.
Mild Right upper quadrant pain is usually due to -
1) Fatty liver with or without inflammation - most likely cause considering the weight and the recent weight loss
2) Gall stone related - usually there will be a history of sudden onset significant pain before the nagging symptoms.
3) Gastritis and peptic ulcer
4) Rarely colonic disorders - are usually associated with bowel abnormalities
Hope I answered all your questions. Please accept my answer in case you do not have further queries. Wish you Good Health.
Regards
Dr XXXXXXX