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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Cause Of Upper Abdominal Pain?

I had pain in the center of the upper abdomen on and off for 3 days. It felt like contractions and lasted 5-10 seconds each time. A few days later I had an abdominal sonogram which shows hepatic parenchyma that is homogeneous, no evidence of intrahepatic biliary ductal dilation, no hepatic mass seen, the right lobe of the liver measure 18.1 cm, no ascites, gallbladder is normal in apprearacne and no gallstones or sonographic evidence of cholecystitis, the common bile duct measures 8.9 mm, the pancreas has a normal sonographic appearance and the abdominal aorta is normal in caliber. It was recommended to have an MRI/MRCP to evaluate. Do you have any thoughts abou this? Thank you.
Mon, 6 Oct 2014
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General Surgeon,  's  Response
Hi! Good afternoon. I am Dr Shareef answering your query.

Everything in the ultrasound seems to be ok excepting for the size of the CBD, which is slightly more than the normal upper limit. However, there is no evidence of any stone or obstruction in the CBD. If I were your doctor, I would have advised you for a liver function test, serum amylase and serum lipase estimation more so if you consume alcohol, to rule out any chances of a pancreatitis. In case this is inconclusive, then I would like to go for an MRCP. Till then I would advise you for a proton pump inhibitor with an anti spasmodic drug and would go for a definitive opinion and management after the reports of the investigations arrive.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.]

Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.
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What Could Be The Cause Of Upper Abdominal Pain?

Hi! Good afternoon. I am Dr Shareef answering your query. Everything in the ultrasound seems to be ok excepting for the size of the CBD, which is slightly more than the normal upper limit. However, there is no evidence of any stone or obstruction in the CBD. If I were your doctor, I would have advised you for a liver function test, serum amylase and serum lipase estimation more so if you consume alcohol, to rule out any chances of a pancreatitis. In case this is inconclusive, then I would like to go for an MRCP. Till then I would advise you for a proton pump inhibitor with an anti spasmodic drug and would go for a definitive opinion and management after the reports of the investigations arrive. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.] Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.