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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes upper abdominal pain during 24th week of pregnancy?

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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 1877 Questions

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Posted on Fri, 20 Jul 2018 in Pregnancy
Question: lastly, I have been having some dull gallbladder like pain. i am 24 weeks pregnant. I have read that your gallbladder may be sluggish during oregnancy. I do not have fever or jaundice but just some dull upper quadrant pain. are there natural things I can do for this. even not pregnant I do not want to take the surgery route.
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Answered by Dr. Ramesh Kumar 1 hour later
Brief Answer:
Investigations have to be done.

Detailed Answer:
Thank you for asking at healthcaremagic.

I carefully read your question and understand your concern.

Upper abdominal pain is caused by a few conditions. A very common one in women over 30 years of age is gallbladder stones. When a XXXXXXX is pregnant hormones produced in the stomach stimulate production of another chemical (hormone) that causes the gallbladder to contract and bring out the fluids. If a stone is at the neck of the gallbladder can cause blockage and a lot of pain.

Another cause would be if you have stomach ulcer. Due to the food irritating the stomach mucosa directly as it touches it, we get pain soon after eating. Stomach ulcer causes pain soon after eating and is better a couple of hours after eating.

Another more rare cause but important one is bowel ischemia. This happens when the bowel arteries are narrow and can not provide the needed amount of blood when we eat (normlly when we eat the bowel needs more blood- it is similar to the heart having ischemia when we run) and causes bowel ischemia. When we stop eating bowel demands for blood go back to the basic level and we feel better.

What can you do?
1. you need to see your doctor
2. your doctor might order some tests like:
- abdominal ultrasound (easily diagnosis gallbladder stones),
- ECG and heart ultrasound to identify for heart problems that might cause thrombi that might move and cause blockage including the bowel arteries,
- general health tests if you have not had them in the last year: lipids, sugar tests, creatinine and electrolites
- if all these are normal your doctor might order a tests to examine your stomach with a camera through the throat and esophagus called fibrogastroscopy.

I hope this is helpful and answers to your question but please reply to this message in case more clarification is needed on this.

Kind regards,
Above answer was peer-reviewed by : Dr. Kampana
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