What Causes Right Upper Quadrant Pain With Nausea?

Posted on Sat, 21 Jun 2014

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

Sat, 21 Jun 2014 Answered on

Thu, 17 Jul 2014 Last reviewed on

Question : I have had RUQ pain for over a month now with nausea. I have had a ct, scope, ultrasound (all normal) and hida scan. My hida scan came back with 74% function. Is it possible my gallbladder is overactive?

Answered by Dr. Ashish Verma (2 hours later)

Brief Answer:
no its not

Detailed Answer:
Hi,

Welcome to HealthcareMagic.

A gall bladder ejection fraction more than 35% is normal. So your gall bladder is very much normal and not overactive.

Other possibilities for the cause of your pain can be pancreatitis or gastritis (despite normal scopy).

So i would suggest that you try taking a ppi like pantaprazole or omeprazole for 2-3 days on empty stomach. If pain improves, then its gastritis only and so you continue the ppi for a few weeks.

Else get your serum lipase levels done to look for pancreatitis.

Hope i have been helpful.

Regards,
Dr. Ashish Verma

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Above answer was peer-reviewed by : Dr. Raju A.T