sever pain in upper abdominal pain for a month

[sueann93]

hi im 19 year old female. i 2 months back i was admitted into the hospital for gastritis. 2 week after discharge i was admitted in again for sever upper abdominal pain just below the centre of my ribs it made me feel nausea. i did blood test, ct scan and endoscope. and nothing was found. the doctor gave me omezole and said it was probably due to indigestion.
it has been a month since the last discharge and the pain is still constantly there for a month be it morning or afternoon. i would rate it 4 out of 10 pain point. sometimes it gets worst after food.

i really hope that someone out there can explain to me the cause of my symptoms.

[sueann93]

Just called my on doctor check if a hida scan with cck is needed. But apparently he said that through ultra sound my gallbladder is alright. Please help me Dr. I feel really worst today.

[sueann93]

So for my next follow up session with my doctor if the biopsy show nothing then I should suggest him with sucralfate am I right? sucralfate will help to eliminate the noxious stuff inside my stomach?

[Christopher R Watters, MD]

As noted above, formally ruling out celiac disease through small bowel biopsy would also be reasonable. Another possibility would be alkaline reflux gastritis which would actually be made worse by the omeprazole. Because the gastritis adversely affects the function of the stomach, the delay in emptying leads to noxious stuff sitting in the stomach longervand delays any healing of the gastritis. This results in a Catch-22 where the problem itself is blocking the stomach's ability to heal itself. This is better treated wirh protective agents such as sucralfate with or without a motility agent like metaclopramide.

[sueann93]

I actually did an utral sound as well. Forgotten to metion.and the results were negative. So the next step I guess would be hida with cck. But what other procedure can I do if the result is still negative?  

[Caryopteris]

Besides your gallbladder, maybe a food intolerance, Celiac disease, or perhaps splenic flexure syndrome, which causes trapping of gas.  

[Christopher R Watters, MD]

Doesn't sound like they have considered your gallbladder as a possibility. Given the negative CT and endoscopy this should certainly be considered. An ultrasound and, if negative, a HIDA with CCK would be appropriate.