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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Upper Abdomen Right Sided Pain?

Hi, I have an upper abdomen right sided pain. I have had this pain for about 3 years, had CT scan and Ultrasound results showed nothing. I have to have B12 injections. Pain flares up more when I am stressed, it feels quite deep and feels like Im winded if I press on it.
Tue, 15 Jul 2014
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General Surgeon 's  Response
Hi.
Thanks for your query.Your history says the pain is more when you are stressed .
It feels deep and like you are wounded.
This is suggestive of an internal Hernia, which is not easily picked by the CT if this is not in obstruction.
The simple test is : X-ray of the abdomen in the standing position when you are in pain, if you want the diagnosis.
Enteroclysis done under fluoroscopy guidance can occasionally help.
The possibility of IBS has to be borne in mind and discuss this specifically to the Gastroenterologist.


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What Causes Upper Abdomen Right Sided Pain?

Hi. Thanks for your query.Your history says the pain is more when you are stressed . It feels deep and like you are wounded. This is suggestive of an internal Hernia, which is not easily picked by the CT if this is not in obstruction. The simple test is : X-ray of the abdomen in the standing position when you are in pain, if you want the diagnosis. Enteroclysis done under fluoroscopy guidance can occasionally help. The possibility of IBS has to be borne in mind and discuss this specifically to the Gastroenterologist.