Hello,
Causes of
Pain in the Right side of the abdomen include:
-Gall Bladder or Billiary disease cause right upper quadrant or in the upper middle of the abdomen and occur mainly after meals (fatty) and may be associated with
nausea and
vomiting. The
pain may radiate to the back or below the right. US, CT scan and HIDA scan are the tests used for diagnosis.
- Other diseases that can give similar pictures and have to be excluded are
Gastritis,
GERD, and
peptic ulcer. They are usually associated with GIT symptoms like
nausea, loss of appetite,
diarrhea. Upper
endoscopy would confirm diagnosis.
- Colitis whether infectious or inflammatory may give similar clinical picture. Stool analysis would be a good initial test.
-Pancreatitis usually presents with severe acute
abdominal pain that is felt in the upper abdomen and or in the back. In mild cases the
pain is mild and becomes more severe with eating and is associated in many cases with
nausea and
vomiting,
fever and
tachycardia. Ultrasonography and CT Scan show characteristic changes in the pancreas. Serum amylase and alkaline phosphatase are usually elevated.
- IBS:
Commonly people who have IBS complaints of
abdominal pain or colic, gaseous distension, either
Diarrhea or
constipation or an alternating between both of them and mucus containing stool. Diagnosis is made by exclusion of other causes.
- Renal
pain (less likely) is usually felt as colicky pains and radiates down to the groin. It is commonly associated with other urinary symptoms, like burning micturition or urine
frequency. CT scan can detect renal stones as well as kidney changes.
Required investigations include:
Complete blood picture
CBC, Blood chemistry: like serum amylase lipase, liver enzymes and stool analysis. Upper
endoscopy may be needed if symptoms persist.
I would advise you to follow up with your doctor, update him with your symptoms and discuss with him your concerns.
Please keep us updated.
Best regards.
This answer does not substitute for direct medical consultation.
Dr. Safaa Mahmoud.
MB BCh, MSc Internal Medicine. MD Medical Oncology.
PhD Experimental Medicine and Biochemical Science.
