HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes RUQ Pain Radiating To Shoulder With Elevated Liver Enzymes?

Hi, I am a breast cancer survivor, had mastectomies and 4 rounds of chemo. Diagnosed in 2012. Finished treatment. Stage 1, ER+ My ALT, AST and triglycerides are elevated and vitamin D is low. Having RUQ pain, burning, bores through to my shoulder, R L....sometimes the pain is on the L, mostly R. Have lost 25lbs. in 8 weeks, feverish, sickly, sweet smelling sweat, urine and feces. CBC, Ca, tumor markers, glucose, thyroid WNL, urine clean. No constitutional symptoms. HTN, Depression, Anxiety colonoscopy diverticulosis 2013 S/p BSO 2012 S/p B mastectomies with immediate latissimus dorsi flap reconstruction 2012 S/p umbilical hernia repair with mesh 2011 S/p laparoscopic cholecystectomy 2006 Meds: 300mg Wellbutrin XL, 300mg Zoloft, 2.5mg Losartan/Hcz...all QD Getting Mammogram and ultrasound tomorrow. Redrawing labs in two weeks. See oncologist in 3 weeks. What are your top 3 differential diagnosis and what tests would you recommend? Thank you. H
Mon, 17 Apr 2017
Report Abuse
General Surgeon 's  Response
Hi, I had gone through your question and understand your concerns.
This may be causes by several issues and most common are choledocholithasis which suggests that there is stone in common bile duct, secondly, it may indicate cholangitis or cholecystitis and thirdly, hepatitis so you need to do liver ultrasund, check viral markers and do ERCP for a start. This will show us if I am right. By this you need to avoid hepatotoxic medications and have easier diet.
Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
I find this answer helpful

Note: For further follow up on digestive issues share your reports here and Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Causes RUQ Pain Radiating To Shoulder With Elevated Liver Enzymes?

Hi, I had gone through your question and understand your concerns. This may be causes by several issues and most common are choledocholithasis which suggests that there is stone in common bile duct, secondly, it may indicate cholangitis or cholecystitis and thirdly, hepatitis so you need to do liver ultrasund, check viral markers and do ERCP for a start. This will show us if I am right. By this you need to avoid hepatotoxic medications and have easier diet. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.