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What Causes Right Upper Quadrant Pain With Nausea?

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Posted on Thu, 17 Jul 2014
Question: I have had RUQ pain for over a month now with nausea. I have had a ct, scope, ultrasound (all normal) and hida scan. My hida scan came back with 74% function. Is it possible my gallbladder is overactive?
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Answered by Dr. Ashish Verma (2 hours later)
Brief Answer:
no its not

Detailed Answer:
Hi,

Welcome to HealthcareMagic.

A gall bladder ejection fraction more than 35% is normal. So your gall bladder is very much normal and not overactive.

Other possibilities for the cause of your pain can be pancreatitis or gastritis (despite normal scopy).

So i would suggest that you try taking a ppi like pantaprazole or omeprazole for 2-3 days on empty stomach. If pain improves, then its gastritis only and so you continue the ppi for a few weeks.

Else get your serum lipase levels done to look for pancreatitis.

Hope i have been helpful.

Regards,
Dr. Ashish Verma
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Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Ashish Verma

General Surgeon

Practicing since :2008

Answered : 1290 Questions

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What Causes Right Upper Quadrant Pain With Nausea?

Brief Answer: no its not Detailed Answer: Hi, Welcome to HealthcareMagic. A gall bladder ejection fraction more than 35% is normal. So your gall bladder is very much normal and not overactive. Other possibilities for the cause of your pain can be pancreatitis or gastritis (despite normal scopy). So i would suggest that you try taking a ppi like pantaprazole or omeprazole for 2-3 days on empty stomach. If pain improves, then its gastritis only and so you continue the ppi for a few weeks. Else get your serum lipase levels done to look for pancreatitis. Hope i have been helpful. Regards, Dr. Ashish Verma