How to manage RUQ pain present for almost two months?

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. Take care.

Hello,

Welcome back to icliniq.com. Yes, the hyper echogenicity that you see outside the gallbladder wall is normal air within the lumen of adjacent bowel loops (air in the duodenum).