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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Discomfort, Belching Up Food Particles, Chest Pain, Under Rib Cage, Shoulder Blades. Hiatial Hernia In Endoscopic Test. Treatment?

I have daily severe abdominal discomfort, including belching up food particles, etc. chest pain radiating to the back. Occasional sharp pain under right rib cage upon inhaling & pain under shoulder blades. Many years ago (30+) I was diagnosed with gall bladder "sludge", and approx. 15 years ago endoscopic exam revealed a hiatial hernia. I've gone many years without any digestive symptoms and now, all of a sudden, these symptoms have returned. I'm very uncomfortable.
Fri, 26 Apr 2013
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General Surgeon,  's  Response
Hi ! From the history of gall bladder disease and a hiatal hernia, it seems probable that your present pain under your right rib cage and right shoulder most likely is due to acute/chronic cholecysititis.
The daily abdominal discomfort, including belching and chest pain radiating to the back could be both due to gall stone cholecystitis, and hiatal hernia.
In my opinion you should consult a gastro enterological surgeon, who may advise you for a repeat ultrasound to see the status of the hepato-biliary system, and also may do a repeat endoscopic examination.
Possibly you may have to undergo a laparoscopic cholecystectomy first, after which you may become symptom free. If not the hital hernia has also to be dealt with.
For immediate purpose, you may also need to be hospitalised for intial conservative management of your problem and getting investigated throughly. Wishing you a fast recovery.
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Abdominal Discomfort, Belching Up Food Particles, Chest Pain, Under Rib Cage, Shoulder Blades. Hiatial Hernia In Endoscopic Test. Treatment?

Hi ! From the history of gall bladder disease and a hiatal hernia, it seems probable that your present pain under your right rib cage and right shoulder most likely is due to acute/chronic cholecysititis. The daily abdominal discomfort, including belching and chest pain radiating to the back could be both due to gall stone cholecystitis, and hiatal hernia. In my opinion you should consult a gastro enterological surgeon, who may advise you for a repeat ultrasound to see the status of the hepato-biliary system, and also may do a repeat endoscopic examination. Possibly you may have to undergo a laparoscopic cholecystectomy first, after which you may become symptom free. If not the hital hernia has also to be dealt with. For immediate purpose, you may also need to be hospitalised for intial conservative management of your problem and getting investigated throughly. Wishing you a fast recovery.