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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Sharp Pain Under Rib Cage Due To Bent Small Intestine

I had gastric bypass 6years r and y.since April 2014 I have had extreme nausea,pain,weakness and during egd s, found some staples, sutures that my gi pulled out..about 6sutures and 3staples so far...Now over the holiday weekend I have had increase pain,nausea and now the gi told me he found a bend in small intestine 15cm from gastric pouch...now I have upper right burning to sharp pain on right side under rib cage. Ct shows nothing and blood work is good today in ER any thoughts..
Mon, 11 Apr 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted your history of gastric bypass surgery 6 years back, pain in abdomen for which upper GI endoscopy was done and 6 sutures and 3 staplers were pulled out. Over the weekend started having increased pain and nausea and the GI told that you have a bend in the small intestines 15 cm from the pouch. CT scan is normal.
I would advise you the following:
Get a review done by a Gastro Surgeon, a medical Gastroenterologist may not find something of surgical importance.
Barium study and if required Laparoscopy can give you the correct diagnosis and a plan for the treatment and Laparoscopy gives the advantage of diagnosis as well as therapy.
Till then have liquid diet only.
X-ray of the abdomen in standing position when you are in pain also gives the best possible diagnosis.

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Suggest Remedy For Sharp Pain Under Rib Cage Due To Bent Small Intestine

Hi. Thanks for your query. Noted your history of gastric bypass surgery 6 years back, pain in abdomen for which upper GI endoscopy was done and 6 sutures and 3 staplers were pulled out. Over the weekend started having increased pain and nausea and the GI told that you have a bend in the small intestines 15 cm from the pouch. CT scan is normal. I would advise you the following: Get a review done by a Gastro Surgeon, a medical Gastroenterologist may not find something of surgical importance. Barium study and if required Laparoscopy can give you the correct diagnosis and a plan for the treatment and Laparoscopy gives the advantage of diagnosis as well as therapy. Till then have liquid diet only. X-ray of the abdomen in standing position when you are in pain also gives the best possible diagnosis.