What Causes Intermittent Upper Right Abdominal Pain?

Posted on Thu, 23 Mar 2017

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

Thu, 23 Mar 2017 Answered on

Fri, 14 Apr 2017 Last reviewed on

Question : Have been having on and off pain in upper right side. Also, yellow when i wipe after peeing. Had ultrasound/bloodwork/pee analysis all came back ok!

hi it can be cardiac pain alos

The pain is near my gullbladder

Answered by Dr. Rishu Saxena (9 hours later)

Brief Answer:
Folow up answer.

Detailed Answer:
Hi,
Thanks for choosing HCM for your query,
As per your history all your baseline abdominal investigations are normal.

So pain in upper abdomen can be angina also but in a female at a age of 27,Its very unlikely to have cardiac pain unless a strong smoking history is associated.
Get a E.K.G done,And if its normal most likely its non cardiac pain.
To be on a safe side a stress test can also be done to be sure that it's non cardiac.

Please answer,
How are your bowel habits?Do you ever feel constipated or loose stools?
Gases or bloating?
Any history of acid peptic disorder?
How's your appetite?
Relieving factors?
Smoker or alcoholic
Waiting.
Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Rishu Saxena (10 hours later)

Some loose stools on and off
Have been having gas
No history of acid peptic
Appetite is fine
It usually acts up more the healthier i eat
Ocassional back pain (almost like wrapping around)
Not a smoker and occasinal drinker

Answered by Dr. Rishu Saxena (1 hour later)

Brief Answer:
Gastroenteritis with gastritis.

Detailed Answer:
Hi,
Most likely you are suffering from chronic Gastroenteritis or stomach flu.In gastroenteritis the mucosa of the intestine is severely inflamed causing symptoms like loose stools,indigestion and vomiting.
Tests suggested-
Ultrasound abdomen to rule out inflammation of abdomen.
Stool test for bacterial or protozoal infection.

Treatment suggested-
Start taking metamucil. It increases bulk of stool and improves digestion.
Start taking a good over counter probiotic daily.It will gradually improve digestion.They are rich in good bacteria which assists digestion.
Take lots of banana,Apple and peaches.
Drink lots of fibrous juices.
Take light and easily digestible food.
Antibiotic therapy could be given as per the reports of investigation.
Imodium 4 mg stat dose can be taken to stop loose stools.
Dicyclomine can be taken for spasmodic pains along with Nexium 40mg.

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Above answer was peer-reviewed by : Dr. Nagamani Ng