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Right upper abdominal pain


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#1 Margaret

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Posted 12 July 2011 - 08:19 PM

Hi Everyone,

I need some guidance for Gareth.

He started complaining a month ago that his (pneu)monia (was) back. in the right lower lung (RLL) area. That is where his pneumonias always start so I got him in to the doctor and had a chest X-ray. There was no pneumonia.

Since the pain has gotten progressively worse over the past month, the doctor ordered an Ultrasound this past Monday for the gallbladder and liver. He called today and said it was normal. I am assuming the next step would be a GI doctor but what else is there that could possibly be wrong if it's not his lungs, gallbladder or liver?

Has anyone else experienced pain in that area --- right lower lung or upper right abdominal area? If so, was the diagnosis related to scleroderma?

Thank you and take care, Everyone.

Margaret

#2 Sheryl

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Posted 12 July 2011 - 08:42 PM

Margaret, sorry to hear Gareth is having more issues to deal with. Have you looked into Coscochondritis can't remember how to spell it. Maybe his gastroenterologist can help you out. When I have the starting of bowel infections I hurt and have quite severe pain on either the upper left or upper right quadrant of my stomach. It is usually bacterial overgrowth or small bowel or small intestine pain. I hope you find out soon what is causing his pain.
Strength and Warmth,
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#3 judyt

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Posted 12 July 2011 - 08:49 PM

Hi Margaret,

I am right up there with Gareth!! I have been complaining for years about right upper quadrant (RUQ) pain, not serious but often there and it bothers me. My gastroenterologist just shrugs and says, "Gall bladder; there's nothing else there."

Anyway, this week my general practitioner responded to my moan and gave me a referral for an ultrasound; I go tomorrow. Now you are probably thinking this is not helping, and you would be right, but I tend to think that I am going to get the same answer as you did and I am interested to hear that I am not the only one with this sort of annoyance.

I will certainly let you know what the answer is after tomorrow but don't hold your breath, I am not particularly hopeful.

Maybe someone else will respond too.

It would be nice if we got an answer!!

Warm hugs from Judyt

#4 red

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Posted 13 July 2011 - 07:34 AM

Hi Margaret, sorry to hear Gareth is not feeling well.

Years ago, I had lots of intermittent spells of upper right abdominal pain, very painful - doctors suspected gallbladder but my ultrasounds were always negative. Finally had a gallbladder emptying scan - I think it was called a HIDA scan - which showed my gallbladder was not emptying properly. The surgeon who removed my gallbladder said it was full of "sludge" from chronically not emptying - I didn't have any more attacks after the surgery.

I wasn't diagnosed with sclero for years after the gallbladder problems, but my rheumatologist thinks it was from the scleroderma - similar to the esophageal and rectal dysmotility I have, sclero probably caused the dysmotility of my gallbladder as well.

As I remember, the HIDA scan wasn't too bad - they gave me an IV to inject a radioactive marker, then the worst part was I had to lay flat for quite a while as the scan monitored how my gallbladder filled and emptied the marker.

Hope your doctors can figure out what it is soon so Gareth can get better quickly!

red

#5 Shelley Ensz

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Posted 13 July 2011 - 07:31 PM

Hi Margaret,

I'm sorry Gareth is not feeling well and that they haven't found the cause of it yet. It does sound that the next step would definitely be to see a G.I. specialist, just as you have surmised. Make the appointment right away, will you? And who knows, there's so many things it could be, you'd need to first have them figure out what's wrong and then try to determine what caused it.

Give Gareth an extra warm hug, just from me, okay? And let us know when you have his G.I. consult scheduled, too.

:emoticons-group-hug:
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#6 miocean

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Posted 13 July 2011 - 09:02 PM

Margaret,

I am sorry to hear that Gareth has pain that is being difficult to diagnose. However, I know how proactive and well informed you are with his care and know you will do everything to figure it out.

Keep us posted.

Miocean
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#7 Margaret

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Posted 14 July 2011 - 07:46 PM

Hi Everyone,

Thanks for all the responses and it seems like we may be on the right track.

Gareth's GI doctor got right on it and ordered an Endoscopy for tomorrow morning, 7/15. But my hubby got a call this afternoon, while I wasn't here, and the hospital told him to *hold off on bringing Gareth in till they call in the morning.* It seems he has been switched from the 10:15 Endoscopy schedule to the main OR schedule! :emoticon-dont-know: I'm whipping off a million questions and he just says *that's all they told me.* Well, don't you know to ask questions?! :glare:

Anyways, hopefully, we will get some answers tomorrow. So, please, keep Gareth in your thoughts for tomorrow.

Take care, Everyone.

Margaret

#8 Joelf

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Posted 15 July 2011 - 01:35 AM

Oh Margaret, I'm so sorry to hear that you've had such a worrying time with Gareth's endoscopy appointments.

I'm thinking of you and him today and hoping that you can get everything sorted out and that the endoscopy goes well, with no further problems and you're able to determine the cause of Gareth's pain.

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#9 Jeannie McClelland

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Posted 15 July 2011 - 07:47 AM

Hi Margaret,

I'll hold Gareth in the Light. Will you let us all know as soon as possible what's going on? He (and you) have a special place here and we worry~

Meantime, I've decided my next research project is to find out why men don't ask questions. My hubby and one son are absolutely dreadful! A frequent conversation around here from my end goes something like: "Ya gotta be kidding! What does that mean? What do you mean you didn't ask? Why on earth not? Well, you need to find out." That is usually is followed with the sounds of humpfing and the stomping of feet fading into the distance. :lol:
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#10 debonair susie

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Posted 15 July 2011 - 10:27 AM

Hi Margaret,

I have you and Gareth in my thoughts today, with the hope of positive results.
I'm wondering if they scheuled him for the OR, just in case they anticipate surgery from their findings?
I'm sure they plan to do the endoscopy in the OR prior.

Like Jeannie, I am holding you in the light.

(re: your hubby's lack of information. Good intentions, mine does the same. Never enough information :(

My best to all of you.
Will be awaiting a report from you, your first opportunity.

Sending :emoticon-hug: s to you and Gareth
Special Hugs,

Susie Kraft
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#11 Margaret

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Posted 15 July 2011 - 04:58 PM

Hi Everyone,
Well, the good news is that the doctor found no sign of disease such as GERD damage, Watermelon stomach, ulcers, blockages, etc. :emoticons-yes: He did biopsy an area of the small intestine that he said had *excess lymph fluid around it* but that alone would not be causing the pain Gareth has.
The bad news is that we are back to step one since he's still in pain. :( Next week, we will have to get him scheduled for a CAT scan.

Thank you, for your thoughts today. I'll keep you all posted.

Takew care, Everyone.

Margaret

#12 Jeannie McClelland

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Posted 15 July 2011 - 05:07 PM

Being a parent is a source of endless joy, but man, it can be hard work sometimes, not to mention the worry. Hang in there, we're all with you and Gareth.

Seriously big hugs,
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#13 Grandma To Em and Kenn

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Posted 15 July 2011 - 08:56 PM

I had issues with pain in the right side (still do) but part of it was a gall bladder that wasn't working and infected. I was supposed to have surgery for it immediately but I had just come down with a nasty cold and have asthma so the doctor heavily medicated me for a week and then took me into surgery. He told my husband that it (gall bladder) burst open just as he was operating and I got a mega dose of antibiotics as well as a hefty dose of prednisone in my IV because of it. Now I'm wondering if my liver is acting up with the pain. Gastro doctor says he'll run some blood work for my next visit. (In a few weeks).

Oh what a life we live with this dreaded disease! :emoticon-insomnia: :emoticon-insomnia:

#14 Joelf

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Posted 15 July 2011 - 11:44 PM

Thanks for updating us, Margaret.

At least they've been able to eliminate one cause, although it still doesn't help with the pain Gareth's having in his side. I'm so sorry and hope the CAT scan will be able to help you get to the bottom of it.

:emoticons-group-hug: :emoticons-group-hug: for both you and Gareth.

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#15 Snowbird

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Posted 16 July 2011 - 07:53 AM

I'm late chiming in here Margaret but also want to wish you and Gareth good luck. Hope they figure it out soon, perhaps the CAT scan will help?
Sending good wishes your way!

#16 debonair susie

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Posted 16 July 2011 - 12:12 PM

Hi Margaret,

With you ( and your persistence) in Gareth's corner, I see that this will soon be conquered (the cause of the pain) and treatment in place.

Waiting to hear results of the CAT scan :emoticons-group-hug:
Special Hugs,

Susie Kraft
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#17 Margaret

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Posted 21 July 2011 - 09:10 PM

Hi Everyone,

I need to add to the *Chronicles of Gareth.* :unsure:

His CT scan this past Wednesday put us back to step one....or two. His pulmonary doctor did chime in on Tuesday and said he *thought* it was probably pleurisy that is the culprit. Gareth has been complaining all along that *monia back.* He told me that after you have pneumonia several times, that pleurisy is common. Well, why didn't his primary care physician know that! :emoticon-dont-know: He also said it won't always show up on X-rays or scans but is by *process of elimination*. I guess that is why they all *practice medicine.* :excl:

The CT scan did show *edema around the small intestine* but I will have to wait till next week, when the Gastro doctor gets back from vacation, to discuss the significance of that. Of course, I just HAD to Google that! Scleroderma is listed as a possible cause. We shall have to wait and see what the doctor says, though.

Take care, Everyone.

Margaret

#18 Jeannie McClelland

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Posted 21 July 2011 - 09:17 PM

Pleurisy? Ow~ Poor kiddo, not much fun for him. How does his doctor propose to treat him?

Warm hugs to you both,
Jeannie McClelland
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#19 miocean

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Posted 21 July 2011 - 09:36 PM

Margaret,
Sending best wishes toward Gareth. :emoticon-hug: A friend of mine has Lupus, got an upper respiratory infection that turned into pneumonia and then to pleurisy. Her doctor told her that was common in lupus and scleroderma seems to have so many similarities.

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#20 Shelley Ensz

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Posted 27 July 2011 - 10:17 AM

Margaret, how is Gareth doing now?
Warm Hugs,

Shelley Ensz
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