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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In The Ribs, Nausea, Bloating And Belching. Had Colonoscopy And Endoscopy. Stent Placed In The Bile Duct. Inconclusive Reports

I am experiencing pain in my upper right side right below my rib cage. I do not have an appendix and experience nausea, bloating, distention, and belching. I have loss of appetite, eating very small amounts but have not lost weight. I am a female age 49. I Have had a colonoscopy, endoscopy, stint placed in bile duct, sonogram, and ct scan. Results are inconclusive. I take omeprazole 40mg daily, to no avail. Please help me.
Mon, 27 May 2013
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General Surgeon 's  Response
HI ! From your history, it seems that you had undergone appendicectomy. You have mentioned about stent in the bile duct, but you have not mentioned anything about your gall bladder. If it could not be, then may be your gall bladder is getting inflamed which caused the pain. Presuming that your gall bladder is also removed, there is a possiblility of the stent getting partially blocked or there could be inflammation of pancreas. Your doctor may advise you for a serum amylase and serum lipase test.
In the mean while, you can go for a bland diet without any fat and lot of roughage in it, and continue with the omeprazole. You can add a prokinetic drug after consulting your doctor. Good luck
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Pain In The Ribs, Nausea, Bloating And Belching. Had Colonoscopy And Endoscopy. Stent Placed In The Bile Duct. Inconclusive Reports

HI ! From your history, it seems that you had undergone appendicectomy. You have mentioned about stent in the bile duct, but you have not mentioned anything about your gall bladder. If it could not be, then may be your gall bladder is getting inflamed which caused the pain. Presuming that your gall bladder is also removed, there is a possiblility of the stent getting partially blocked or there could be inflammation of pancreas. Your doctor may advise you for a serum amylase and serum lipase test. In the mean while, you can go for a bland diet without any fat and lot of roughage in it, and continue with the omeprazole. You can add a prokinetic drug after consulting your doctor. Good luck