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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intermittent Abdominal Pain While Having Fatty Liver And Elevated Wbc?

For the past month, I have had intermittent abdominal pain (not centered on any one location.) It periodically gets better or worse with no real pattern. I have also had yellow stool for much of this time (with four or five days of normal stool during which the pain vanishes or reduces). I have done an ultrasound, urine test, and blood tests, and the doctor said my gallbladder, liver, and pancreas look normal and tested normal. The only things unusual was I have a bit of a fatty liver and a slightly elevated white cell count in my blood. The pain is minor, an inconvenience more then really painful, and it appears most commonly in my upper right abdomen, but can appear in any location, usually only one place at a time.
Fri, 5 Sep 2014
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General Surgeon 's  Response
HI.
Thanks for your query and an elucidate history.
This looks to be due to chronic intestinal infection ORIBS- irritable bowel syndrome as all your tests are normal except for the fatty liver and elevated WBC.

Since WBC is high, it is better to take a course of an antibiotic and metronidazole , who knows it is amoebic hepatitis as it appears the same on ultrasonography.
The most important test of stool is not done till now- get this done, helps a proper diagnosis sometimes.
Review ultrasonography after the 7 day course.
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What Causes Intermittent Abdominal Pain While Having Fatty Liver And Elevated Wbc?

HI. Thanks for your query and an elucidate history. This looks to be due to chronic intestinal infection ORIBS- irritable bowel syndrome as all your tests are normal except for the fatty liver and elevated WBC. Since WBC is high, it is better to take a course of an antibiotic and metronidazole , who knows it is amoebic hepatitis as it appears the same on ultrasonography. The most important test of stool is not done till now- get this done, helps a proper diagnosis sometimes. Review ultrasonography after the 7 day course.