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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Upper Abdomen Pain With Skin Itching?

a few days ago I was nauseated with pain in my upper abdomen.Over the next few days my urine has turned a bright orange and my skin is itching horribly.I haven t done or eaten anything unusual nor gone anywhere different.I was told many years ago that I had gallstones but haven t ever had a problem with them,since I do avoid fried foods.I drink a lot of water but was vomiting yesterday but not today.Skin is still itchy.
Mon, 14 Jul 2014
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General Surgeon 's  Response
Hi.
Thanks for your query.
Your history is self -explanatory.
All the symptoms go in favour of obstructive juandice.
The reason is apparent. The small gallstones might have raversed and got impacted into the bile ducts causing all the problems.
I would advise in such a case the following:
Urgent ultrasonograph, if this is obstruction = to go for ERCP for confirmation of diagnosis and therapeutic too as we can remove the stones.
Removal of the gall bladder once everything is settled.
I would advise further tests like::
Blood -Routine- BT CT PT , liver funstion tests and kidney function test.
Urine: routine, microscopy m bile salts and pigments.
Urine: routine and for bile salts and pigments.
Stool-- routine and for sterobilinogen.
The surgery and medical management will depend upon the reports.

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What Causes Upper Abdomen Pain With Skin Itching?

Hi. Thanks for your query. Your history is self -explanatory. All the symptoms go in favour of obstructive juandice. The reason is apparent. The small gallstones might have raversed and got impacted into the bile ducts causing all the problems. I would advise in such a case the following: Urgent ultrasonograph, if this is obstruction = to go for ERCP for confirmation of diagnosis and therapeutic too as we can remove the stones. Removal of the gall bladder once everything is settled. I would advise further tests like:: Blood -Routine- BT CT PT , liver funstion tests and kidney function test. Urine: routine, microscopy m bile salts and pigments. Urine: routine and for bile salts and pigments. Stool-- routine and for sterobilinogen. The surgery and medical management will depend upon the reports.