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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Caused Upper Abdominal Pain With Occasional Nausea And Vomiting?

hi there got a query regarding a case study:

40 year old male presented with upper abdominal pain and occasional nausea and vomiting. the pain was particularly severe after a fatty meal and the patient noted dark urine and light coloured stools.

what could be the cause?
Thu, 27 Mar 2014
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General Surgeon 's  Response
Hi.
Thanks for a good history.
This is classical of an obstruction in the bile ducts, either by stone or any other cause.
I would advise ultrasonography of abdomen, blood tests including those of liver function tests , kidney function tests, Serum lipase and amylase. This will give the site of obstruction and its effects.
You may need a MRI study, ERCP and further diagnostic and therapeutic procedures.
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What Caused Upper Abdominal Pain With Occasional Nausea And Vomiting?

Hi. Thanks for a good history. This is classical of an obstruction in the bile ducts, either by stone or any other cause. I would advise ultrasonography of abdomen, blood tests including those of liver function tests , kidney function tests, Serum lipase and amylase. This will give the site of obstruction and its effects. You may need a MRI study, ERCP and further diagnostic and therapeutic procedures.