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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In The Abdomen And Back, Nausea. Hemangioma In Liver Diagnosed. Are These Related?

I have had Upper Right Quadrant pain for 2 years and getting worse. It is always in the same area and goes through to my back as well. It is constant 24/7 and never goes away. It sometimes becomes stabbing pain which is very severe and the only way I can describe it is its like a firecracker has been put in my abdomen and then explodes. I have had numerous tests and CT, Ultrasound, X Ray etc and nothing can be found. All blood tests are normal. I had CT again last week with contrast and it picked up a Haemangioma in the Liver. On a CT done 2 yrs ago without contrast there was a wedge shaped area in the Left lobe of the liver that looked different and they didn't know what it was. The pain is becoming bad. I have constant bad ache in RUQ all the time and the severe attacks are coming very frequently. I feel nauseous a lot, dont feel like eating, very tired all the time and I have also been on Estrogen since I was 29 and I am now 64 and only take it every few days now. Could it be this Haemangioma causing the trouble as I have been told they dont usually cause pain. What will happen if I dont get any medical attention for this? Is it dangerous? My Doctors can not find a cause for my pain but this Haemangioma is a new discovery only this week.
Fri, 31 May 2013
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General Surgeon,  's  Response
Hi ! The hemangioma could be an incidental finding in your investigations for pain abdomen.Those who are on continuous estrogen therapy are also found to have at times co incidental hemangiomas in the liver. The pain you have got can also be due to a duodenal ulcer which has penetrated to the posterior aspect. I would suggest you to seek the advice of a gastro enterologist who may subject you to a endoscopic examination which has not yet been done in your case. In the meantime you can go for a proton pump inhibitor and a prokinetic drug along with an antacid containing lignocaine which may relieve your symptoms. Wishing you an early recovery.
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Pain In The Abdomen And Back, Nausea. Hemangioma In Liver Diagnosed. Are These Related?

Hi ! The hemangioma could be an incidental finding in your investigations for pain abdomen.Those who are on continuous estrogen therapy are also found to have at times co incidental hemangiomas in the liver. The pain you have got can also be due to a duodenal ulcer which has penetrated to the posterior aspect. I would suggest you to seek the advice of a gastro enterologist who may subject you to a endoscopic examination which has not yet been done in your case. In the meantime you can go for a proton pump inhibitor and a prokinetic drug along with an antacid containing lignocaine which may relieve your symptoms. Wishing you an early recovery.