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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain Under The Right Rib Cage, Report Shows No Gall Stone. Any Other Problem With Gall Bladder?

Have pain/discomfort under right rib cage for several days pain has also spread to left have had a scan (no gallstones found) recently went through a 2 week eradication treatment for h pylori ( subsequent breath test proved negative) wondered if pain and nausea related to this treatment or some other problem with my gall blader
Tue, 26 Feb 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

Such pain can also appear with stones present in bile ducts, pancreas inflammation, peptic ulcers. Nausea can be caused by antibiotics prescribed for H.Pylori. Moreover, in this area there is a transverse colon located and sometimes such symptoms can appear due to some lesions in this area. Sometimes urinary tract infection or stones can also gove such symptoms.
I suggest you to have some more tests. Blood work, liver tests (AST,ALT,GGTP,AP), amylase, lipase, urine amylase, urine analysis, FOBT (fecal occult blood test) if you are below 50, or colonoscopy if you are above 50; upper GI endoscopy.

Hope this will help.
Regards.
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Severe Pain Under The Right Rib Cage, Report Shows No Gall Stone. Any Other Problem With Gall Bladder?

Hello! Thank you for the query. Such pain can also appear with stones present in bile ducts, pancreas inflammation, peptic ulcers. Nausea can be caused by antibiotics prescribed for H.Pylori. Moreover, in this area there is a transverse colon located and sometimes such symptoms can appear due to some lesions in this area. Sometimes urinary tract infection or stones can also gove such symptoms. I suggest you to have some more tests. Blood work, liver tests (AST,ALT,GGTP,AP), amylase, lipase, urine amylase, urine analysis, FOBT (fecal occult blood test) if you are below 50, or colonoscopy if you are above 50; upper GI endoscopy. Hope this will help. Regards.