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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Caused Severe Pain In Abdomen Around Back And Right Side Of The Body?

My friend has severe pain in his abdomen wrapping around his back on right side of his body. Also pain in his right shoulder but not as bad as abdomen. It hurts sitting and laying down. Doesnt hurt as bad standing. He is unemployed and has no healthcare. I am very worried that its something severe. He is a heavy smoker, recently ate spicy food yesterday. The pain started yesterday afternoon and got progressively worse at night and today when he took heating pad off area. Help please
Sat, 8 Mar 2014
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General Surgeon 's  Response
Hi.
Thanks for a good history .
The most probable reason can be either a gall bladder inflammation or a perforated stomach ulcer.
An urgent sonograpy of abdomen and a X-ray of abdomen in a standing position to see ''gas under diaphragm '' has to be done as soon as possible.
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General & Family Physician Dr. Matija Romic's  Response
hello and thank you for asking HCM,

I studied your case and according to your description these simptoms refer to biliary colic. At first he has to change his nutrition: fat-free diet, lots of fruits and vegetables unless you add fat like butter or oil, fruits and vegetables are an excellent way to reduce your fat intake while boosting the amount of vitamins, minerals, and antioxidants you consume. Cooked, steamed, or raw are all excellent ways to include fruits and vegetables in your diet. Brown rice and other grains are also usually acceptable on a low-fat or fat-free diet.
Boneless, skinless chicken breas with the fat trimmed off is a great source of protein.
Skim dairy products – skim milk, light yogurt, fat-free cream cheese: all of these are acceptable ways to include the calcium-rich goodness of dairy into your diet.

I sugest also to take antibiotics (amoxicillin + clavulanic acid) for 10 days or cephalosporin third generation and analgetics. He should also intake a lot of fluid (water, tea...).

I suggest you to go to ER immediately if the abdominal pain is getting worse or is present to touch of the abdomen, or present nausea and vomiting or developing fever and shaking chills, this may be a signal of gallbladder infection (cholecystitis), so call your doctor immediately.

I hope this answer was helpful to you and your friend.
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What Caused Severe Pain In Abdomen Around Back And Right Side Of The Body?

Hi. Thanks for a good history . The most probable reason can be either a gall bladder inflammation or a perforated stomach ulcer. An urgent sonograpy of abdomen and a X-ray of abdomen in a standing position to see gas under diaphragm has to be done as soon as possible.