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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Right Abdominal Pain With Nausea And Vomiting?

I've been having pain in the upper right portion of my abdomen just under my rib cage. I've had blood tests done and an ultra sound to rule out gallstones however the pain is still there. My ER doctor recommended a HIDA scan and said it may have something to do with the placement of my gallbladder. I'm looking for another opinion on what it might be. I haven't had any fever, have had some nausea and vomiting.
Fri, 30 Jan 2015
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General Surgeon,  's  Response
Hello!

Thank you for the query.

Before HIDA scan gastroscopy would be a good idea. Upper right abdominal pain along with nausea and vomiting can be also caused by peptic ulcer. Such pain does not radiate to the back (gallstones pain radiates to the back). It starts after a meal. It is usually dull and does not go away after painkillers.
Pancreas inflammation can also give similar to gallstones pain. Stone in bile ducts can appear in the same way as well.

I suggest you to consider gastroscopy if peptic ulcer seems possible.

Hope this will help.
Regards.
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General Surgeon,  Dr. T Chandrakant's  Response
Hi.
Thanks for your query, read and understood your problems...
The ultrasonography is normal. HIDA scan can show the condition of the gall bladder.
If the pain is persistent in the right upper portion of the abdomen along with nausea and vomiting, other possibilities are Gastric Ulcer /Cancer/ Pancreatitis, Liver problems, Colitis in the upper part at the hepatic flexture and so on.
Contrast enhanced CT scan can help to get further information.
Occasionally even a diagnostic Laparoscopy can help .
The treatment will obviously be based on the findings.
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What Causes Right Abdominal Pain With Nausea And Vomiting?

Hello! Thank you for the query. Before HIDA scan gastroscopy would be a good idea. Upper right abdominal pain along with nausea and vomiting can be also caused by peptic ulcer. Such pain does not radiate to the back (gallstones pain radiates to the back). It starts after a meal. It is usually dull and does not go away after painkillers. Pancreas inflammation can also give similar to gallstones pain. Stone in bile ducts can appear in the same way as well. I suggest you to consider gastroscopy if peptic ulcer seems possible. Hope this will help. Regards.