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]

I've been playing phone tag with this surgeon to get antibiotics. They keep saying she's there, they will get her to call it in, then nothing, for over a week now. I didn't think it'd be this hard.

In other news I got another weeks reprive from the pain, well it seemed to move to my back and I was really dizzy and nauseous bur the abdominal pain and even the tender spot seemed to dissaper besides a few pangs, though as it's done this before I didn't get my hopes up and once again today I can feel that familiar preassure of it building. It's like when you shake a pop bottle you can feel it get bigger even before you attempt to open it kinda deal.  So anyways it's a waiting game, surgeon said she put me on urgent waiting list for ct scan but this fight for just antibiotics that she had said she called in makes me wonder. Scedualed an apt with my gp but it's not till the 22nd, so I am hoping the surgeon actually did what she said and we get somewhere before then, if not I'm going to see if my gp can refer me to someone else. I understand doctors are busy but this is kinda ridiculous. I may end up going to a ultrasound clinic that's in Vernon because I've heard stories of people not finding Anthony at this hospital and then go to Vernon and they find what our hospital missed. I mean I'm getting desperate for an answer, and Boone seems to care.

[MeggieMae]

So surgeon called today, turns out I do have h.pylorai so she's putting me on antibiotics. Weird it actually felt good to hear that. But she also schedualed me for a ct scan now and put it as urgent so hopefully that won't take to long. She says it could be chrones or something with my appendix ot something else, so hopefully the scan shows something when it happens. According to my doc it's a long waiting list.

[MeggieMae]

Doc never got back to me. Guess I am calling my gp again on Monday as a trip to the er just has been so pointless the last few times. :(

[ggreg]

MM,
I'm SO relieved to hear you will hopefully see your gastro down at the ER... today now.  And I'm glad you will mention gallbladder and retest of H.pylori and, since you'll be where the CT machine is, I also hope they'll go ahead and scan your abdomen.  You should not be in the pain you are, something is amiss, no doubt about it.  I'll be thinking of you and look forward to hearing back how things go.  I take those Tyl#3's also, I take them right after I eat, it's for my legs that hurt from a car wreck, but they make the rest of me feel tolerable, too.  Hang in.
GG

[MeggieMae]

Well my gp actually just called, he contacted my original gastro doc who did the endoscopy she will be in the er on call tomorrow so he is having her call me for a time to meet her there so hopefully this will get some results and perhaps she will now listen.
My doc actually took me off the percaset cause it can upset the intestines and since he doesn't know what's wrong he doesn't want to aggregate anything more then it already is, I have t3's they don't help as much but they do at lest take some of the edge off the attacks. I had another this morning, woke me up, and it gets hard to move.

Yeah I really think they should just scan everything, the abdominals have a way of having pain in one place while the cause is somewhere else and as my dic says after the ct we step into the uncommon problems, though really I think it's something common presenting itself uncommonly. I'm kinda fed up just letting the docs drive my car so I think I'm going to take your advice and bring up the gsllbladder.
To tell you the truth I've not had any heartburn or ingestion or any kind of burning pain, they didn't see an ulcer forming just that it was a lil inflammed. Though getting restested for h. Pylorai couldn't hurt.
Thankyou so much for the thoughtful reply it means alot.

[ggreg]

Dear MM,
Usually an inflammed duodenum happens from H.pylori, but you said they did not find that in the blood test, so you could get retested for that.  If you happen to take Ibuprophen, that can also cause it, so immediately stop taking any if you do, no excuses!  Also, sometimes the gallbladder doesn't work correctly, even tho the ultrasound didn't show any stones, which is how come the poster Jaxx told you about the Hida scan to check on how the bile is moving around, so that is something you can mention to the doctor.  And you said a CT scan would be next if they didn't find anything on the pelvic ultrasound, and so I think they should scan your whole abdominal area, from arms to legs.

When you get your pain now, since they gave you the Percocet prescription a week ago, I'm hoping that when you take that medicine, it keeps you from experiencing so much pain... it should help a lot.  If it doesn't, don't hesitate to talk to your doc about that... it can indicate some rather severe problems they've missed, especially since you had some bruising in the area where it's been hurting.

While you wait for your CT scan, I think you should schedule an appointment to see your gastroenterologist for the week or so after the CT scan's date, set it up now, so you won't have to wait yet again for him to go over and explain the scan results.  Now, if the pictures show nothing, then you can discuss at length with him what else could possibly be going on, and if he thinks a gallbladder problem of SOME kind might be a problem here, like the poster Jaxx told you about, and you can ask to be retested for H.pylori, and lastly request that he please consult with some other folks about what in the world is going on with you or refer you to someone who does.

I feel for you, I'd be SO upset and frustrated if I had the severe kinda pain you have, and here the docs are, all these piddly tests and no one knows what is really happening.  I do think they did you a favor when they prescribed Percocet and the acid-reducer Dexilant, and I'm glad they said they'd do a CT scan next.  That's about the extent of what I know might be going on and how to proceed.  We'll be thinking of you and hoping somebody gets to the bottom of this soon.  Keep us posted.
GG