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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Pain In The Upper Abdomen Be Treated?

I have stomach pain which feels like a huge cramp just below my breastbone & radiating to each side of my ribs, usually happening up to 3 hrs after eating. Labs show inflammation of the liver. I won t seethe gastrologist fora possible scope until nov 1. In the meantime, I m still having this pain. My gallbladder was removed may 18.
Wed, 4 Oct 2017
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
Feeling of huge cramp below breastbone radiating to each side of ribs is usually indicative of a neurological pain which might have caused by nerve entrapment through the incision for gall bladder removal.
Since lab reports are showing liver inflammation and the pain happens up to 3 hours after eating associated gastritis, gastric ulcer, liver edema etc should be ruled out by the following:
Upper GI endoscopy.
CT scan of the whole abdomen.
All the blood tests including review liver function, pancreas, kidney function.
Once the proper cause is found the treatment fan be specific for which you need to consult your Doctor till you can see a Gastroenterologist for clinical evaluation, examination and preliminary management.
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How Can Severe Pain In The Upper Abdomen Be Treated?

Hi. Thanks for your query. Noted the history and understood your concerns. Feeling of huge cramp below breastbone radiating to each side of ribs is usually indicative of a neurological pain which might have caused by nerve entrapment through the incision for gall bladder removal. Since lab reports are showing liver inflammation and the pain happens up to 3 hours after eating associated gastritis, gastric ulcer, liver edema etc should be ruled out by the following: Upper GI endoscopy. CT scan of the whole abdomen. All the blood tests including review liver function, pancreas, kidney function. Once the proper cause is found the treatment fan be specific for which you need to consult your Doctor till you can see a Gastroenterologist for clinical evaluation, examination and preliminary management.