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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Upper Abdominal Pain Radiating To Lower Back. Reports All Normal. Reason For Pain?

For almost 2 weeks I have been experiencing severe upper right abdominal pain with pain on my right and it radiates to my lower back. I went to the ER and they ran blood work, a CT scan with contrast and a chest x-ray . They said they just don t know what is going on. Meanwhile, the pain is getting worse and am not able to live m daily life with the pain i am in. Any ideas what may be going on? At first I thought it was pancreatitis since I had gallstones in 2000 i had pancreatitis and it reoccurs every so often. They said my Lypase levels were fine.
Wed, 16 Jan 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

Neither CT scan or chest X-ray wont visualize gallstones. And your symptoms should be checked with it, as this is the most often reason of such symptoms. The pain usually starts after a meal. Gallstones can be easily seen in abdominal ultrasound. You should also have checked amylase, AST,ALT,GGTP, AP to see if there is no bile ducts obstruction.
And it seem that it is time for you to have your gallbladder removed.

Hope this will help.
Regards.
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Severe Upper Abdominal Pain Radiating To Lower Back. Reports All Normal. Reason For Pain?

Hello! Thank you for the query. Neither CT scan or chest X-ray wont visualize gallstones. And your symptoms should be checked with it, as this is the most often reason of such symptoms. The pain usually starts after a meal. Gallstones can be easily seen in abdominal ultrasound. You should also have checked amylase, AST,ALT,GGTP, AP to see if there is no bile ducts obstruction. And it seem that it is time for you to have your gallbladder removed. Hope this will help. Regards.