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Suggest Treatment For Pain When Suffering From Hiatal Hernia
Posted on
Mon, 9 Feb 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 9 Feb 2015
Answered on
Thu, 12 Mar 2015
Last reviewed on
Question : ive noticed that when i bend over sometimes i will get an excruciating pain in my right upper quadrant and this hard lump forms. its like a very bad cramp . lasts for a couple minutes then subsides. ive had like a ache for 2-3 days because of it.. ive been told i may have a hiatal hernia. how serious is this?
Brief Answer:
May be a local problem as discussed.
Detailed Answer:
Hi.
Thanks for your query.
Read and understood the history:
To recapitulate: Female / 62 - excruciating pain in upper right quadrant and '' hard lump'' on bending over sometimes - bad cramp - subsides within a couple of minutes - like a ache for the last 3 days - told as hiatal hernia -Doctor wants to run tests - no medical insurance till March 1 - wants to know how serious is this...
With the history you have provided, this does not looks to he Hiatal Hernia as no such lump can be seen or palpated in this condition.
My probable diagnosis would be :
- Local muscular problems in the said area as your history says about a hard lump and pain like a cramp on bending over sometimes for last 3 days.
- Can think of Costochondritis of the lower ribs. This can be confirmed by pressing fingers on the lower ribs and see for local tenderness. In costochondritis, the local inflammation spreads to the upper abdominal musculature as they originate from the lower ribs.
- Underlying inflammation of the gall bladder / liver / colon or so.
All these conditions can be diagnosed on careful history and careful local examination. Ultrasonography and other tests may be required to confirm or rule out a certain diagnosis.
You may please discuss this with your Doctor and / or take a second opinion by a Doctor to get a careful history taking and complete physical examination.
Can you please give the details about the exact area affected / the area of the lump / any other associated symptoms.
I hope this answer helps you to get a clinical diagnosis on proper history taking and careful local examination ... If done then you may wait till you get the insurance. If inner organ problem is felt then you may need to undergo the tests of ultrasonography, X-ray Chest , upper GI endoscopy and whatever is needed as per the physical findings.
Please feel free to give the feedback, ask for further relevant queries or if you feel that there is a gap-of-communication.
May be a local problem as discussed.
Detailed Answer:
Hi.
Thanks for your query.
Read and understood the history:
To recapitulate: Female / 62 - excruciating pain in upper right quadrant and '' hard lump'' on bending over sometimes - bad cramp - subsides within a couple of minutes - like a ache for the last 3 days - told as hiatal hernia -Doctor wants to run tests - no medical insurance till March 1 - wants to know how serious is this...
With the history you have provided, this does not looks to he Hiatal Hernia as no such lump can be seen or palpated in this condition.
My probable diagnosis would be :
- Local muscular problems in the said area as your history says about a hard lump and pain like a cramp on bending over sometimes for last 3 days.
- Can think of Costochondritis of the lower ribs. This can be confirmed by pressing fingers on the lower ribs and see for local tenderness. In costochondritis, the local inflammation spreads to the upper abdominal musculature as they originate from the lower ribs.
- Underlying inflammation of the gall bladder / liver / colon or so.
All these conditions can be diagnosed on careful history and careful local examination. Ultrasonography and other tests may be required to confirm or rule out a certain diagnosis.
You may please discuss this with your Doctor and / or take a second opinion by a Doctor to get a careful history taking and complete physical examination.
Can you please give the details about the exact area affected / the area of the lump / any other associated symptoms.
I hope this answer helps you to get a clinical diagnosis on proper history taking and careful local examination ... If done then you may wait till you get the insurance. If inner organ problem is felt then you may need to undergo the tests of ultrasonography, X-ray Chest , upper GI endoscopy and whatever is needed as per the physical findings.
Please feel free to give the feedback, ask for further relevant queries or if you feel that there is a gap-of-communication.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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