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.

[ggreg]

H.pylori can sometimes be VERY hard to get rid of, could be you need to AGAIN be retested.  Try drinking plenty of extra water for a while, might help those bubbles in your urine go away.  But the doc is doing right by you, in making sure the bubbles aren't coming from a another source, hence the scan, etc.  I know you are sick of this whole thing, but keep at it until you feel like yourself again.  If you can get over to Vernon, you might want to schedule an appointment with an "internal medicine" doc at the exact same time, just to get another pair of eyes on the situation.  Keep in mind you may get scan results before your regular doc has a chance to explain them to you, so don't worry too much about not understanding them... it's just protocol now that they send the patient the results first.

[MeggieMae]

To Margy.
I was hoping this thread would be helpful as I know I am not the only one who scowered the net looking for kindred spirits in my pain and answers, or at least ideas to give my doctor. And hopefully when I find my answer it'll help others at least continue to pursue treatment when it seems like a diagnosis can't be found, cause it's hard.
Gggreg was very helpful, defiantly, even in just replying. I've been really watching what I eat and getting those probiotics.
Advil, i'd have to say I don't know. I didn't take it very regularly at all before the pain started and when it did doctor told me to avoid it and ibprofen cause they upset the stomach so I did, so Its never had a chance to be an instigator.
Yes I'm in canada and it seems to really depend on what the test is. I mean both ultrasounds were fairly quick, and this barium xray is booked for dec 7 so that is pretty fast though still no word from ct scan to even book a date, so it really depends on the test I think. My scope for my stomach was booked quickly with about a months wait as well as the one i had on my bladder a few months ago. I mean from how my doctors stead the wait I wouldn't consider it long in retrospect but when your in pain even a day is too long.

[margypops]

I have been reading this thread with admiration for what you are going through can you keep us updated the poster gregg gave some good advise aswell ..May I ask did you find that advil irritated and brought on the pain .Ypou live inCanada do you find you have to wait a long time for testing etc ?

[MeggieMae]

Another update. Finished antibiotics, still having pain along with random back pain. Saw my gp today. In march I was having bubbles coming out with my urine and some freqency urinating and such. I saw a urologist got a scope of my bladder, saw nothing though he had to stretch my ureatha cause it was really narrowed and infected so I also got antibiotics. He said it looked fine no worries and I cast it off as just something I had to live with. I still have bubbles and when I toldmy gp that he thinks it could be a fistula that might of been too small for the scope, specially since I've had no other particles in my urine just the bubbles. He's referred me for a barium xray now, rereffered me for ct scan and said don't stop bugging him about it and to watch out for new symptoms and to see him in two weeks. Going to call again tomorrow and see if he can refer me to Vernon too. It's an hour away but smaller city and less outside patients due so less of a waiting list. So going to try as I think fate is pushing me that way, people keep saying Vernon, so gotta pay attention to the signs.

I just want an answer! And for all the people out their battling with undiagnoised illness my advice is a squeaky wheel gets oiled so keep on squeaking!

[ggreg]

MM,
Ah-hah!  I'm glad they doublechecked H.pylori.  That can make you some kinda sick.  On the antibiotics, perhaps the doc called them in to the wrong pharmacy, this happens sometimes.  So, talk to her office people and have them make sure it was called into the correct place.  Gee whiz.  Promise me you'll make sure, even if you have to go down there in person and raise hell, or at least maybe threaten to.

I am VERY glad they got you on a fast-track for the CT scan... it's about time!  That way almost for sure they'll know it's not anything else wierd going on.  And again, if they treat you for H.pylori and do the CT scan, and after you finish the last round of antibiotics, and you still don't feel better, do as Jax said, which is have them do a Hida scan, to make sure your bile is doing right, it comes out of the liver and gallbladder, and other digestive enzymes come out of the pancreas, and it all goes down the duodenum and into the small intestine.

But I think getting rid of the H.pylori will do the trick, and you got the CT scan scheduled as a backup.  Sometimes that bacteria is hard to get rid of, but let's hope it doesn't take long for those drugs to fix you.  Whenever you completely are done with the antibiotics, since they kill both "good" and bad bacteria, you can restore normal intestinal flora by eating Activia yogurt for a couple weeks.  That'll keep you from getting too constipated.  Also, while you're on the antibiotics, drink plenty of water and get enough fiber food, and try to get in an easy walk around the neighborhood a few times a week, helps digestion move better.
GG  

[MeggieMae]

Anything not Anthony. Typing on itouch with no glasses on is a bad idea