Question: Been seeing internist for 3 weeks for really bad pain in my right abdomen and right back. The abdominal pain is sharp, cramping, comes and goes and the back pain is constant and burning, pain wakes me up every night and the daytime pain is keeping me from doing the things I need to do. Advil, tylenol, percocet, tums, zantac, ice, heat, none help. Usually healthy, but history of migraine h/a, kidney stones, right hydronephrosis, cysts, but this pain is different than stones. CT with and without contrast on Mon. showed mild diverticulosis, anatomic abnormal shape/size pancreas, small stones, but nothing to explain the pain. (also have a "mirrored" aortic arch.) CBC, Chemistry, in office on Mon. showed an WBC in the 20's, everything else normal, incl. lipase. Repeat lab on Tuesday completely normal, including WBC. BP is running 155/80, even when not uncomfortable, (I'm usually 105/60) Urinalysis is normal. Current plan to see urologist, then GI Doc., but last colonoscopy, normal, was in Feb. 2013. Saw OBGYN yesterday, she said the pain isn't female-related. No GI symptoms, no nausea, no vomiting, no heartburn, normal unchanged BMs.Three questions:
1. Any ideas for non-narcotic pain relief? Nothing has helped, and frankly I have kids and need to drive them around.
2. Do I really need to see all these specialists and are these the right ones in the right order?
3. I've been a smoker for about 30 years. Is there any chance this pain could be referred from my lungs? (I do peel a pulse of pain in front and back shortly after a deep breath.) I can't recall the last time I had any imaging done of my lungs.