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Diagnosed with Bile ducket enlarged, biopsy showed ulcer, duodenitis and Gastritis. Solution for pain?

Hello my name is theresa I I was in the hospital lastweek they thought i had gallbladder problems such as vomiting ,diarehha, severe pain in my right upper quadrant and everytime i eat it hurts worse and everytime i take a deep breath it rally hurts. they did a hida scan that was normal my ultrasound said my bile ducket was very inlarged. so they did a endoscopy with a few biopsys they found that i have a ulcer and gastritis and also duodenitis . long story short. how long with duodenitis will it take before the pain stops? its very draining on me its like a knife under my right rib cage thank you for your help theresa
Asked On : Sat, 16 Mar 2013
Answers:  1 Views:  97
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General & Family Physician 's  Response
Dec 2012
Hello Tammy,

Thanks for posting,

Per your description of the location of your pain (below the right upper quadrant) and associated symptoms + CT scan results (enlarged gall bladder), the origin of your pain is due to cholecystitis (inflammation of the gall bladder) and it might be associated to pain from the ulcer (duodenitis is less likely given that the pain will be located more lower around the periumbilical area). Since from the scan you apparently do not have gallstones meaning that the origin of your cholecystitis is probably not due to gallstones, your treatment will be purely non-surgical with antibiotics (for infection), low-fat diet (when food tolerated) and pain medications (avoid NSAID) such as paracetamol or better still stronger tramadol or opiate derivatives such as codein and it may be associated to antispasmodic medication such as hyoscin butyl. Also required will be antiulcer medication to treat both the ulcer and the duodenitis such as proton pump inhibitors such as omeprazole and/or antacids.
It will be worthwhile to discuss treatment options with your doctor after he is settled with the exact cause of your pain.

Hope this helps and wish you the best
Answered: Sun, 17 Mar 2013
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