Hello,
Causes of
Pain in the Right side of the abdomen include:
-Gall Bladder or Billiary disease, which causes
pain in the right upper quadrant or in the upper middle of the abdomen. It occurs mainly after meals (fatty) and may be associated with
nausea and
vomiting. The
pain may radiate to the back or below the right. Stones can be seen bu US or CT Scan, but abnormal emptying or dyskinesia may require other scans like HIDA scan or ERCP.
- Renal
pain 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.
- 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.
Other diseases that can give similar pictures and have to be excluded are
Gastritis,
GERD, and
peptic ulcer, colitis whether infectious or inflammatory. They are usually associated with GIT symptoms like
nausea, loss of appetite,
diarrhea. Stool analysis is helpful.
-Pancreatitis usually presents with severe acute
abdominal pain that is felt in the upper abdomen and or in the back but more to the left side. 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.
Required investigations include:
Complete blood picture
CBC Blood chemistry: like serum amylase lipase, liver enzymes. If gall bladder emptying problems are suspected HIDA scan may be helpful.
I would advise you to follow up with your doctor and to update him with your symptoms.
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.
