Why do I have excruciating lower abdominal pain despite normal ultrasound?

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: Dec 28, 2022

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 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 --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
What action needs to be taken for silent and non-movable gallstones?

During that time, my gallbladder had multiple small stones, which were silent according to the doctor ... The ultrasound shows no gallbladder wall thickening, edema, or distended   Read full

Gallstones - All You Need to Know

Gallstones form in the gallbladder due to an imbalance in the composition of bile ... This pain warrants cholecystectomy, which means removal of the gallbladder ... Also, acute calculous can some   Read full

Is my lower abdominal pain pointing towards Crohn's disease?

The lower abdominal discomfort did not disappear and the stool has not formed yet ... Hi doctor, I had severe abdominal pain with diar   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.