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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Upper Abdomen?

hi,2 years back i had gall stone surgery, now getting pain at right top of the abdomen below the ribs, i went for EUS test every thing is normal , mild echotexture formed at tail & bottom of the pancreases, and in ultra sound test, liver is in normal size ( 15.0 cm) with increase in echotexture.can you please explain is it life threaten, what care can i take in further.Please clarify
Fri, 18 May 2018
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Addiction Medicine Specialist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment. Type of pain. Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain. Location of pain. There is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it "hit a nerve" would be a possibility. Sick nerves are MULTIPLE areas and tends to be the TIPS of the nerve not the whole nerve. What hurts. Moving a particular way that triggers the pain tells what is hurting. Specifically it can distinguish outward structures like skin, muscles, tendons, joints from deep structures like organs and nerves. Can be irritation of the liver or pancreas--blood tests are quite good at indicating this. It rarely happens after gall bladder surgery.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Pain In Upper Abdomen?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment. Type of pain. Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain. Location of pain. There is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it hit a nerve would be a possibility. Sick nerves are MULTIPLE areas and tends to be the TIPS of the nerve not the whole nerve. What hurts. Moving a particular way that triggers the pain tells what is hurting. Specifically it can distinguish outward structures like skin, muscles, tendons, joints from deep structures like organs and nerves. Can be irritation of the liver or pancreas--blood tests are quite good at indicating this. It rarely happens after gall bladder surgery. Hope I have answered your query. Let me know if I can assist you further.