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Date of last update: 10/15/2017.

Forum Name: Liver Diseases

Question: Pitting edema in lower legs, RUQ tenderness, RLQ pain

 cakebaker - Mon Oct 24, 2005 10:58 am

I am a 35 yr old female, 5' 4", 125lbs, and have the following symptoms:

Pitting edema in lower legs, RUQ tenderness, RLQ pain (dull and gurgling), a stange intermittent vibrating sensation in anus, slight jaundice, ribbon like stools (4 to 6 x per day), extemely painful early AM gas, moderate nausea with occasional vomitting, moderate fatigue, moderate weakness, lack of appetite, occasional bloating, metallic taste in mouth, rapid pulse (98-110), extremely painful periods (following tubiligation 10 yrs ago; 3 live births), I do smoke a pack a day, get regular exercise, do not drink alcohol, consume caffeine. Symptoms have been daily for the past year, and seem to be getting worse.

What could be causing these sypmtoms, what sort of Doctor should I see, and what lab tests would be helpful in discovering the problems.

Would aprreciate any help and/or suggestions.

Thanks and have a great day!
 Dr. Safaa Mahmoud - Sat Aug 05, 2006 10:08 am

User avatar Dear cakebaker,

Causes of Right Upper Quadrant Pain associated with loss of appetite, nausea and vomiting- include:
- Gall Bladder or Biliary tract problems: Abdominal US, CT and ERCP are used to diagnose these diseases.

- Hepatitis: measurement of the liver enzymes and virological examination is essential. Viral Hepatitis include (HAV, HBV, HCV, etc.)

- Pancreatitis Ultrasonogaraphy and CT shows characteristic changes in the pancreas. A threefold or more increase in ALT strongly suggests pancreatitis.

- Appendicitis the pain is felt in RT lower abdomen, associated with mild fever and leucocytosis. Clinical examination is very helpful in the diagnosis.

- Renal pain are colicky pains that are felt in the upper abdomen, back and radiates down to the groin. Pelvi- abdominal US, CT as well as IVP are used in the diagnosis.

- Recurrent abdominal pain, associated with Gasl, related to meals is more likely to be due to IBS.
Diagnosis is made by exclusion of other GI problems like GERD, Gastritis and gastric ulcer.

Pitting LL edema could be due to anemia, renal and liver disease.
Complete liver, kidney function tests and CBC should be done initially in your condition.

Initially CBC, Liver and renal function tests should be done.

Only by complete history , physical examination and investigations , the correct diagnosis can be reached. I advise you to Follow up with your doctor.

Best regards,

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