What Causes Upper Abdominal Pain?

Posted on Thu, 4 Sep 2014

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

Thu, 4 Sep 2014 Answered on

Fri, 26 Sep 2014 Last reviewed on

Question : Wanted to follow up on previous history. Day 9-11 were terrible. Upper abdominal pain became unbearable. Pain becomes severe 1 hour after any meal even if small. Pain is virtually untolerable for 9 hours then dissipates without intervention. Problem is ive lost 10 lbs in 11 days. Gi specialist feels repeat ercp is in order. Not sure what to do.

Answered by Dr. Deepak Kishore Kaltari (13 hours later)

Brief Answer:
MRCP will be preferable

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Sir,

i have gone through your previous questions and also through your history.

It is important to have assessment for finding out cause of pain in abdomen by non invasive investigation before one precedes to invasive investigation like ERCP.

I would suggest to get the following investigation

1. Serum Amylase and Lipase level
2. Biochemical analysis of Enzymes: SGOT,SGPT
3. Magnetic resonance Cholangiopancreatogram(MRCP): It is non invasive investigation and may even replace ERCP. many individuals may have exacerbation of symptoms after ERCP.
4. Stool examination: To rule out Pancreatic insufficiency
5. Lipid profile: Elevated lipid profile may cause transient Pancreatitis and present with pain.

Do get back to me if you need any further assistance, will be glad to assist you.

Keep me updated about progress.

Best Regards
Dr Deepak Kishore
MBBS,MS,MCh

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar