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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes RLQ Abdominal Pain In A Diabetic Person?

My 60 yr old diabetic male friend has been having intermittent episodes of RLQ pain. Negative CT/X-rays. (At the VA) . But, for the first time he had the abd pain and it radiated up into his heart region.. he described it as excruciating. It resolved eventually. I realize that this is far too limited of information to come up with anything definite..gall bladder, gallstones or liver issues come to my mind. Any further speculative ideas?
Fri, 23 Jun 2017
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General & Family Physician,  's  Response
thank you for using HCM
i understand your queries...
if a patient like him come to my place. initially i would give him some analgesic for pain relief temporarily which would be easier for further evaluation...
1. there are a few reason for RLQ pain like gall stones. liver infection.stomach ulcer
2.i would do a few test like LFT ,to evaluate liver function.
3. An usg to rule out any abnormalities in liver and gall bladder stones.
4.some time it could be due to acid pain...
5.you already said that his x ray was fine so then there in no problem in lungs..
i hope you got sufficient information
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What Causes RLQ Abdominal Pain In A Diabetic Person?

thank you for using HCM i understand your queries... if a patient like him come to my place. initially i would give him some analgesic for pain relief temporarily which would be easier for further evaluation... 1. there are a few reason for RLQ pain like gall stones. liver infection.stomach ulcer 2.i would do a few test like LFT ,to evaluate liver function. 3. An usg to rule out any abnormalities in liver and gall bladder stones. 4.some time it could be due to acid pain... 5.you already said that his x ray was fine so then there in no problem in lungs.. i hope you got sufficient information