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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Upper Abdominal Pain After Triple Bypass?

Hi I am a 49 year old male who has had a triple bypass. I have been having upper abdominal back pain, so I went and saw my family doctor. I did blood work and a urine test. The urine test came up negative, but the blood work showed I was high in liver enzymes. I am scheduled for a CT scan tomoorw. I am a little nervous as to what they will find. What are they looking for with the CT scan?
Mon, 9 Mar 2015
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General & Family Physician 's  Response
Dear thanks for the question.

Although there are several causes for upper abdominal pain but if I were your treating physician I would have thought of stomach ulcers as you have had triple bypass and must be taking aspirin tablet, which can cause stomach ulcers. Since you have raised liver enzymes it could be due to hepatitis (inflammation of liver cells) but it can happen with stomach ulcers too. Your doctor is doing CT scan to look at liver mainly and adjacent organs too. I think you would require a endoscopic examination of your stomach too. Meanwhile you can take antacids tablets (omeperazole) to get rid of the pain .

I hope i have clarified your queries. Do write me for follow up queries. Please rate my reply. I wish you good health. Thank you
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General Surgeon Dr. T Chandrakant's  Response
Hi.
Thanks for your query.
Read and understood your history of triple bypass and pain in upper abdomen and back pain.
High blood liver enzymes suggest the following reasons:
Pancreatitis
Gall bladder disease or stones
Gastritis associated with .

I would advise:
Ultrasonography if the whole abdomen and pelvis.
Blood amylase and lipase, kidney functions tests
CT scan would show one of the diagnosis as mentioned above.
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What Causes Upper Abdominal Pain After Triple Bypass?

Dear thanks for the question. Although there are several causes for upper abdominal pain but if I were your treating physician I would have thought of stomach ulcers as you have had triple bypass and must be taking aspirin tablet, which can cause stomach ulcers. Since you have raised liver enzymes it could be due to hepatitis (inflammation of liver cells) but it can happen with stomach ulcers too. Your doctor is doing CT scan to look at liver mainly and adjacent organs too. I think you would require a endoscopic examination of your stomach too. Meanwhile you can take antacids tablets (omeperazole) to get rid of the pain . I hope i have clarified your queries. Do write me for follow up queries. Please rate my reply. I wish you good health. Thank you