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

Answered by
Dr. Sadaf Mustafa
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 24, 2017 and last reviewed on: Aug 02, 2021

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.



Welcome to

  • 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.

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