Since Lastnight I%E2%80%99m Having Abdominal Pain In Upper Right Region

Posted on Sun, 1 Sep 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 1 Sep 2019 Answered on

Last reviewed on

Question : Since lastnight I%E2%80%99m having abdominal pain in upper right region of stomach, no loss of appetite, but also just had quick watery diarrea after dinner. My stomach is also very distended. wondering if I should wait this out or go to the ER.

Answered by Dr. Bhagyesh V. Patel (29 minutes later)

Brief Answer:
infection via pre formed toxin in food stuff.guidelines below.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* As per my clinical experience, current episode of abdomen pain with
diarrhea after dinner indicate intestine infection most likely due to some
bug ingested through food stuff which may be causing formation of some
sort of toxin responsible for intestine upset.

* Depending upon the clinical presentation and symptomatic severity, one
has to choose management option for ER visit.

* If the intensity of infection is not severe, frequency of diarrhea settles over
next 24 hours gradually, with following care

- plenty of liquids orally
- anti spasmodic as dicyclomine for spasm relief
- antacid as ranitidine for stomach upset control
- probiotics with lacto bacillus for supporting GI flora
- dietary measures to avoid spices, non veg, junk items
- add fresh yogurt in diet
- GI specific antibiotic as metronidazole may or may not be needed

* If the load of infection is high, condition continues despite above measures
and one has to seek for another options of care in hospital.

As a summary, I would recommend first option right now, wait for next 12- 24 hours as per the frequency of stool, pain and other features ; can decide very well accordingly.

Wish you best recovery.
Feel free to discuss further regarding the same.

Regards.
Dr Bhagyesh ( MS consultant surgeon )

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Bhagyesh V. Patel (1 hour later)

Ok, I hope that is all that it is. My concern was my stomach is painful to the touch in the upper right area. And that pain has been there since last night so its been almost 24 hours. My worry is Appendicitis, of course I got that information from the Internet, the symptoms seem similar but I don’t believe I have a fever and I haven’t vomited or anything.Just want to play it safe. I’m doing exactly as you said. I just ate some yogurt. And I will be drinking fluids as I go to bed.

Answered by Dr. Bhagyesh V. Patel (14 minutes later)

Brief Answer:
appendix problem is not likely in your case.

Detailed Answer:
Hi
Thank for the follow up.

* Appendicitis pain usually present at middle of upper abdomen, shift to
area around umbilicus and localise to right lower abdomen once there is
peritoneal irritation by pathology.

This possibility does not sound with your case as history of pain after dinner, loose motions, absent vomiting and fever.

Continue current precautions and relieve your stressful thoughts of appendix problem.
Have a great day.

Regards.

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Kampana