Right upper qudrant of abdominal pain

[MeggieMae]

Since the start of sept I had this pain in my upper right abdominals. It can get pretty severe and last for hours. There is no relief and is fairly tender just touching the area and moving. I will also have fever, sweats, chills, extreme fatigue, dizziness and vomitting. I am floored when the big attacks of pain happen and there is always a tenderness and lingering pain. I ended up in er when it got so bad I couldn't move or walk without pain and they of course ultrasounded for gallstones. There was none so the next step was ulcer buy I wasn't to be scoped till oct 13th and it was only the second week of sept. I Was given nexium and the pain had gone away for a week but soon after I felt it building up again by my scope I was once again having extremely painful episodes of this sharp constricting pain, though this time my chest would also tighten up and hurt to breathe in. Chest xray showed nothing, I did not have the virus that causes ulcers either. With my scope it showed An inflammed duodenum but no signs of ulcer. I am not on dexilant to help with that but I then had an attack of severe pain for over six hours that day, pain for the next three days and now I've had on and off attacks all day today since 8 pm yesterday.

There is an extrely tender spot to the right oft navel i'd say smack dab in the middle of that area. The slightest amount of preassure hurts. It seems to be where the pain is coming from but it radiates up into my ribs and into my back it can be hard to pinpoint during one of these attacks. I am 23 years old so I know alot of other things it could be are pretty uncommon and I don't entirely know what to do. Is an inflammed duodenum really the cause of all this pain? Should I just wait it out or be concerned? I am terrified of emerg cause I already feel like they cast me off twice and didn't take my pain seriously, like they went with what they saw and not what I was saying. I am worried because I've never felt pain like this before, I am always terrified for the next attack because it floorse. The nausea can get so bad I feel like it's choking me. I am really looking for some advice or at least someone to just say, yes your duodenum cam do that just ride it out. Though truth be told this pain is really starting to wear me down it's almost been two months and I didn't get a weeks reprive like when it started. I am worried.

[MeggieMae]

My diet hasn't changed, nor has my medication, so I am pretty sure I haven't had anything environmental to account to the change of stool color..

Did you pain move lower? Mine has localized to right about my belly button on the right side and has stuck there for almost two months, and defiantly feels like that is where the pain is coming for,. as any stress due to movement on that are is just more pain. Which doesn't seem to say gallbladder or liver.

[theclansmom]

Did you ever get the Hida scan?  I had the same symptoms as you for the longest time, with no Liver issues.  When I had the Hida scan, it turned out my Gallbladder had almost stopped functioning (down to 25%) with no stones!   My Gallbladder was removed, and as long as I don't eat high-fat foods (big no no when you don't have a Gallbladder), I suffer no symptoms and in this respect am doing well.  

Orange stool can be caused by medications as well as Gallbladder and Liver disfunction, so make a food and medication diary, keep it with you and make sure to show your physicians.

Good Luck.

[MeggieMae]

Another update just cause I don't know what to make of this, it could be a new symptom, though given what I've seen online something I ate. My stool is orange, not like neon orange, but definably orange. I've gone through everything I've ate int he past few days and nothing falls under the list of things that cause orange stool, nor am I taking any new medications. It's been two days of it, I'm going to wait for another day, or two, and see if it runs its course and maybe I overlooked something? Otherwise, should I be worried if this isn't a case of food? The pain has been pretty dormant lately there, but not in full attack, and then when this orange stool started it started again with the full blown nausea and pain, waking me up at night.

[Jax555]

Hang in there hun, take it test by test, as long as you are managing the pain in the mean time... but keep on top of the doctors to find out whats causing this for you.  Keep us posted.

[MeggieMae]

I asked my doctor about the retesting for h pylorai he said they usually wait at least three month before they check for it again. I'm still not experiencing any of the symptoms caused by that and still not having caffine or any irratamts until I know for sure it is out of my system also started taking some natural remidies just cause they can help without hurting.

As for the bubbles they have been since march, no amount of excess water has ever stopped them. The urologist said he saw nothing and there was nothing to worry about so I believed him though when my ureatha was fist stretched it felt better then when it started coming back I was too distrated by my scar revision surgery and then this pain. The bubbles arnt excactly stopping my life but I wonder if they are causing my bladder to feel full at such a small amount of urine. When they tested my bladders maximum volume it was only 220ml and this is I have to go so bad I don't care if it's at the side of the road infront of people but supposibly normal bladder can hold like 750 or somewhere like that so that's way off. Even when I had my pelvic ultrasound I felt like I was going to pee my pants and it wasn't even half full I had to drink more water!

As for the hiss scan I am just not sure if it is my gallbladder, the pain has stayed low and really feels like it is defiantly coming from that spot, truth be told it's excactly where your appendix is supposed to be. It now goes into my back at points or shoots down to my leg sometimes. It's like a bolt of electricity.

Also I can't say I remember the last time I had a normal bowel movment, I havnt seen any black or signs of bile problems but it hasn't been normal for awhile. It goes from liquid to almost a sludge, it ribbons or comes out in small pieces, the diareaha got so bad I ended up with a pretty gnarly fissure. I have told my doctor this and I've been tested recently for blood in stool which came back fine.  

I'm glad things are looking up for you jax and I hope your surgery goes well!

As for Vernon since I got the barium xray schedualed we are going to see what that shows before then and hopefully it shows something. The thing I'm confused about is from what I read drinking it, which is the one I am doing is for upper gi track and my doc is looking for a hole between my intestine and bladder. Will it show that with only the upper shown? As I said the paiin is down by where my appendix would be so I am concerned they might just miss that crucial spot again with a test cause both my ultrasounds the wand went nowhere near the tender spot or epicenter of the pain. I realise abdominal pain can present in one place while somewhere else is the problem but it really feels like it localized here , hasn't moved from the spot since oct. The pain feels like something doesn't belong , like a rock is just sitting and growing in my gut sometimes.

Though right now I am really just trying to getby test by test and not try to worry about what it is cause I've already had a bit of a breakdown because of it, so I've been trying to just distract albeit it's extremely hard to do. I also suffer from pretty severe depression which I just was starting to find answers for when this happened, not to mention the season changE doesn't help it. So I just gotta do it step by step and just hope this next one is the answer. If not I think it's time for vernon cause I still havnt recieved any contact about that ct scan.

Thankyou for the responses again guys. <3

[Jax555]

Hey, glad you have finally been getting somewhere, and yes the wait times here in Canada are quite long... I still think you should ask about the HIDA scan, at this point it cant hurt you to have it.  How has the nausea been?  I finally got through all the tests myself after 6 months of this BS and they figured out its my Gallbladder not doing its job, no stones but doesnt work properly... I am now scheduled for surgery and hope I can put this behind me... yes you almost have to be pushy to get answers, hang in there...