How do I manage chronic severe right-sided abdominal pain?

Question

Hello doctor,

I have chronic right-sided abdominal pain that is getting worse. Always crampy, sometimes sharp. Extreme fatigue, nausea, dizziness, diarrhea. Eating anything makes it worse. I have been diagnosed with diverticulosis, liver lesions, stomach ulcer, acid reflux, hernia, and kidney lesions. What should I do?

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

Hypogastric pain is mostly due to acid reflux or gall bladder issues, such as stones in the gall bladder called cholelithiasis. Since the pain is radiating to the back, we need to keep gall bladder issues and pancreatic issues at the top of the list.

If you consume alcohol, then the possibility of pancreatitis is high; it is not that pancreatitis is caused by alcohol only, but gall bladder stones, if causing obstruction, can also cause pancreatitis.

So, for evaluation of gall bladder issues, you should get an abdominal ultrasound, which will rule out any cholelithiasis or pancreatitis. If your ultrasound is normal, you would require treatment for acid reflux.

In acid reflux disease, a combination of Omeprazole and Domperidone helps greatly. You should take a soft, bland diet as spicy food aggravates acidity.

In case of acute pain, you can take an anti-flatulent syrup or an antacid. l. In people for whom the problem persists even after this treatment and no other cause is found on ultrasound, then upper gastrointestinal endoscopy is indicated to rule out gastric or duodenal ulcers infected with Helicobacter pylori.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.