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What Causes Right Upper Quadrant Pain, Nausea And Back Pain?
Brief Answer:
Functional bowel IBS likely, needs management
Detailed Answer:
Thank you for asking
right upper quadrant pain has multiple etiologies. If CT scans have cleared any mass or stone then cancer should be the last thing to be worried about. SIBO positivity makes it a functional bowel disease like IBS and diet and lifestyle modifications you are already on. Nutritional supplements, like B 12 and fat soluble vitamins and prokinetics are advised .
Nut shell, RUQ pain is IBS likely in your case in which SIBO is common presentation.
Antispasmodics for the pain relief and a little work up for biliary and pancreatic profile is advised to rule out any complications. One thing is sure and that is that its not cancer.
Diet and lifestyle modifications for the functional Gi troubles, More fibres, less fats and carbohydrates, small meals of frequent durations that few larger ones, use of healthy lifestyle and exercise, losing weight if an issue, controlling lipid profile in a limit and compliantly using hypertensive medicines and staying in touch with your doctor is advised.
Fiber supplementation improve symptoms of constipation and diarrhea. Polycarbophil compounds (eg, Citrucel, FiberCon) may produce less flatulence than psyllium compounds (eg, Metamucil).
Judicious water intake is recommended and should be followed. Minimum of 2 litres in a day is advised.
Caffeine avoidance may limit anxiety and symptom exacerbation. Legume avoidance may decrease abdominal bloating. Lactose and/or fructose should be limited or avoided Take care to supplement calcium in patients limiting lactose intake.
Gluten intolerance has been further associated with irritable bowel syndrome. so try gluten free diet and see if it helps.
Meanwhile some prokinetics like metoclopramide and domperidone and erythromycins would keep the propelling work and make the bloating less but it needs a work up as i mentioned to sort out the most likely functional cause as IBS etc.
Seek a gastroenterologist for further management.
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
May the odds be ever in your favour.
Regards
Khan
Functional bowel IBS likely, needs management
Detailed Answer:
Thank you for asking
right upper quadrant pain has multiple etiologies. If CT scans have cleared any mass or stone then cancer should be the last thing to be worried about. SIBO positivity makes it a functional bowel disease like IBS and diet and lifestyle modifications you are already on. Nutritional supplements, like B 12 and fat soluble vitamins and prokinetics are advised .
Nut shell, RUQ pain is IBS likely in your case in which SIBO is common presentation.
Antispasmodics for the pain relief and a little work up for biliary and pancreatic profile is advised to rule out any complications. One thing is sure and that is that its not cancer.
Diet and lifestyle modifications for the functional Gi troubles, More fibres, less fats and carbohydrates, small meals of frequent durations that few larger ones, use of healthy lifestyle and exercise, losing weight if an issue, controlling lipid profile in a limit and compliantly using hypertensive medicines and staying in touch with your doctor is advised.
Fiber supplementation improve symptoms of constipation and diarrhea. Polycarbophil compounds (eg, Citrucel, FiberCon) may produce less flatulence than psyllium compounds (eg, Metamucil).
Judicious water intake is recommended and should be followed. Minimum of 2 litres in a day is advised.
Caffeine avoidance may limit anxiety and symptom exacerbation. Legume avoidance may decrease abdominal bloating. Lactose and/or fructose should be limited or avoided Take care to supplement calcium in patients limiting lactose intake.
Gluten intolerance has been further associated with irritable bowel syndrome. so try gluten free diet and see if it helps.
Meanwhile some prokinetics like metoclopramide and domperidone and erythromycins would keep the propelling work and make the bloating less but it needs a work up as i mentioned to sort out the most likely functional cause as IBS etc.
Seek a gastroenterologist for further management.
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
May the odds be ever in your favour.
Regards
Khan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for the reply. My understanding of IBS is that symptoms may be relieved by bowel movement. Mine is temporary relief if at all. My concern is that the symptoms limit my enjoyment of life as I am not sure when I will feel unwell. The sick feeling is nearly constant unless sleeping. This has created a lot of depression which I am being treated for with meds and counseling. My vitamin B-12 levels were normal. Can IBS cause such debilitation?
Brief Answer:
presentation vary in IBS
Detailed Answer:
Thank you for getting back to me
Yes IBS can cause all that. Debilitating IBS can cause depression and all associated symptoms like insomnia and deranged bowel habits induced complications.
Relief and symptoms resolution vary and is not absolute rule of thumb and different cases reported in a variety of presentations.
I suggest you do as directed. Diet and lifestyle is the key here. Get a gastroenterologist for further management.
Take care.
Khan
presentation vary in IBS
Detailed Answer:
Thank you for getting back to me
Yes IBS can cause all that. Debilitating IBS can cause depression and all associated symptoms like insomnia and deranged bowel habits induced complications.
Relief and symptoms resolution vary and is not absolute rule of thumb and different cases reported in a variety of presentations.
I suggest you do as directed. Diet and lifestyle is the key here. Get a gastroenterologist for further management.
Take care.
Khan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Functional bowel, diagnosis possible
Detailed Answer:
Thank you for getting back
Medications and dietary modifications may relieve symptoms and IBS is a functional bowel disease and yes it can still be diagnosed. On and off symptoms are part of the IBS. One stop gastroenterologist visit will ease the mind and sooth the nerves.
I hope it helps.
Take care
Khan
Functional bowel, diagnosis possible
Detailed Answer:
Thank you for getting back
Medications and dietary modifications may relieve symptoms and IBS is a functional bowel disease and yes it can still be diagnosed. On and off symptoms are part of the IBS. One stop gastroenterologist visit will ease the mind and sooth the nerves.
I hope it helps.
Take care
Khan
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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