How can I manage my right upper quadrant pain?

Question

Hello doctor,

I did an ultrasound abdomen. I want to know if there is an abnormality in the gallbladder. I have had right upper quadrant pain (RUQ) pain for two months, and it has worsened over the last weeks.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Based upon the single camera image of the gallbladder provided to me, your gallbladder looks normal (even though it is difficult to make a diagnosis based on a single image). Right upper quadrant (RUQ) or right upper quadrant pain can be caused by a pathology in the liver, gallbladder, biliary tree, nerves, muscles, soft tissues, ribs, or cartilage. Sometimes it can be a referred pain if adjacent structures are involved in the disease process.

A thorough clinical examination of the abdomen is necessary in your case, along with investigations (blood tests and imaging) to rule out a cause because you are symptomatic, and the pain has been ongoing for two months without any relief with medication.

I hope this helps.

Thank you,

Answer 2

Hello,

Welcome back to icliniq.com.

Yes, the hyperechogenicity that you see outside the gallbladder wall is normal air within the lumen of adjacent bowel loops (air in the duodenum).

I hope this helps.

Thank you.