HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Pain On Right Side Of Abdomen With Ejection Fraction Of 17%?

default
Posted on Sat, 17 Jan 2015
Question: In March, I was having heartburn issues and the doc. prescribed me Omeprazole. That didn't seem to do much over the following few months, so I stopped taking it.

Back in October, I had bad stomach pain (in the center) and felt nauseous. I had Omeprazole, from the previous treatment and started taking it again. It was the most painful week of my life. I went back to my doctor and they gave me panteprazole. Over the course of a month, they did an endoscopy which only showed some gastritis and duodentis. They ran a bunch of tests, B12, Folic acid, Ultrasound of the abdomen, CDC, all normal. We then did a HIDA Scan and it showed my EF was 17%. And said I needed surgery. The pain over that month "moved" from being in the center of my abdomen to the right side under my ribs.

I decided to stop taking the PPI and immediately felt significantly better, but still not right. (Basically from missing work to being able to travel to Puerto Rico). Over the last two months I sometimes have mild right side pain, some bloating and a lump in my throat. My stomach feels "off" most of the time. Before the last week of PPI therapy, I had never in my life experienced right side pain. It seems like the PPI caused the gallbladder issues (Which I have found a few medical studies that show this.).

Any ideas on what is going on? Could this improve and fix itself? Is there something I could do to "help it". Or is it that my gallbladder needs to come out? I've been taking probiotics to try and reset the gut flora. I got way better when I got off the PPI. I've never had right side pain. I am 35, male, 5' 9", 130 lbs. (i.e. thin) and very active, going rock climbing a few times a week until all this happened. I don't fit any of the risk factors for gallbladder disease.

Thanks!
doctor
Answered by Dr. Dr.P.Ratnakar Kini (12 minutes later)
Brief Answer:
Poorly functioning GB and also features of GERD

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

I went through your post.
Your EF of 17% is very low. It definitely contributes to the discomfort you have in the right upper abdomen.
In addition to that, the feeling of lump in the throat could be due to GERD and you have abdominal bloating too.
Check your blood glucose levels and also get tested for H.pylori as these can cause some of the symptoms you have.
You need to take PPI. You can continue taking probiotics.
And repeat HIDA and if it still still shows a low EF, get the GB out.

Let me know if I can assist you further.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr.P.Ratnakar Kini (26 hours later)
I got my blood glucose tested as well as H.pylori. The BGL was 80 and I was negative for H.pylori. They did a full CBC on me and everything was normal. Thyroid was normal as well. Ultrasound, normal, no wall thickening, etc.

It got so bad on the PPI and I felt so much better off of it, is there an alternative? Also, before the PPI, I never had these symptoms. Seems like the two are connected.
doctor
Answered by Dr. Dr.P.Ratnakar Kini (10 hours later)
Brief Answer:
Take H2RA

Detailed Answer:
Hi,
It is unlikely that these symptoms could have been precipitated by PPI.
If you feel PPI is causing these symptoms and want an alternative you can try H2RA like Zantac twice a day. It is also very effective in controlling GERD symptoms.

Let me know if I can assist you further.
Regards,
Dr.R.K.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2215 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Pain On Right Side Of Abdomen With Ejection Fraction Of 17%?

Brief Answer: Poorly functioning GB and also features of GERD Detailed Answer: Hi, Thanks for posting your query. I am Dr.R.K and I am pleased to assist you. I went through your post. Your EF of 17% is very low. It definitely contributes to the discomfort you have in the right upper abdomen. In addition to that, the feeling of lump in the throat could be due to GERD and you have abdominal bloating too. Check your blood glucose levels and also get tested for H.pylori as these can cause some of the symptoms you have. You need to take PPI. You can continue taking probiotics. And repeat HIDA and if it still still shows a low EF, get the GB out. Let me know if I can assist you further. Regards, Dr.R.K.