My ultrasound was normal, but I have excruciating lower abdominal pain. Why?

Question

Hello doctor,

I am a 38 year old woman. I have been having excruciating pain in my right abdominal area, below my right breast. The pain travels to my back and gets unbearable at times. I have been throwing up today, and my temperature is low since the past five days. This has been going on for a month and a half now, with the frequency and the pain becoming more severe. I also had night sweats, but that is usually when my temperature is low. The urine, blood test, and ultrasound of gallbladder, all came back normal. Currently, I am taking Citalopram and Prilosec tablets. I am in a lot of pain. Please help.

Answer 1

Hello,

Welcome to icliniq.com.

This lower abdominal pain might me due to acalculous cholecystitis, which means gall bladder dysfunction and pain without gallbladder stones. The test of choice is a HIDA (hepatobiliary iminodiacetic acid) scan since the ultrasounds are usually normal and may not show much.

It can also be a duodenal ulcer, for which you would need an endoscopy.

You are acutely sick and may be dehydrated, that is causing low temperature and cold chills.

Please go to the nearest emergency room and feel free to share my recommendations with them if it can help you.

Revert with more information to an internal medicine physician online.