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What can cause RUQ pain?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At October 25, 2016
Reviewed AtJanuary 31, 2024

Patient's Query

Hello doctor,

I am suffering from NAFLD for the last six months. Now, I am having RUQ heaviness, back pain and flatulence for the last three months. I had several tests and I have given the details below with the findings. USG of whole abdomen - hepatomegaly with fatty liver, fibroscan - 3.2 kPa median value, upper GI endoscopy - GERD grade A and small hiatus hernia, hepatitis B non-reactive, hepatitis C non-reactive, FBS - 94 mg per 100 mL, lipid profile completely normal, liver function test - indirect bilirubin elevated 1.3 mg per 100 mL and others are normal.My doctor advised me to avoid oily and spicy food. Also, prescribed two medicines named Sompraz D 40 and Liv 52 DS. I have lost 9 kg weight in the last four months. Now, my weight is 75 kg and Height is 175 cm. My age is 30 years. Actually, I am having a constant RUQ discomfort and right-sided back pain for the last four weeks. I had the same fine before some time and it recurred again. Also, sometimes I felt tiredness and dizziness. All the reports, which I had shared, are all the recent ones that are taken before seven days. How to recover faster from this situation? Is it dangerous? Also, Please let me know about a perfect diet for me to recover faster.

Answered by Dr. Sadaf Mustafa

Hello,

Welcome to icliniq.com. Thank you for providing a detailed history. Based on your symptoms, it is likely that your abdominal pain is originating from either your stomach (gastritis and esophagitis), hiatus hernia, gall bladder stones, or gall bladder dysfunction. It would be helpful to know if your symptoms are related to certain foods, such as fatty or greasy foods, as they can exacerbate right upper abdominal pain. Regarding the ultrasound of your abdomen, please let me know when it was conducted. If it was done within the last seven days, I would like to know the findings related to your gall bladder, specifically if there are any stones present. If possible, kindly upload the ultrasound results. The gas and bloating you are experiencing could also be attributed to gastritis or the medication Sompraz-D 40, which contains Domperidone and Esomeprazole. In particular, Domperidone is known to cause bloating.

Patient's Query

Hello doctor,

All tests were done in the last seven days and gallbladder is completely normal in shape. There are no calculi. I am not having the printed report with me. Regarding food, if I overeat, then the pain will arise. If I eat spicy and fatty foods, then it may arise more. So, I am avoiding fatty and spicy food. Still the pain and heaviness happen in the RUQ and right sided back. Should I stop taking Sompraz-D 40? Also, is hiatal hernia serious in my case? When should I expect to recover from NAFLD?

Answered by Dr. Sadaf Mustafa

Hello,

Welcome back to icliniq.com. For the RUQ (right upper quadrant) pain, it is recommended to undergo a HIDA scan (hepatobiliary iminodiacetic acid scan) to evaluate gallbladder dysfunction and potentially identify calculus cholecystitis. Moving on to the stomach, if you have a small hiatal hernia, it usually doesn't require surgical correction. Instead, you can discontinue the use of Sompraz-D and switch to taking only Esomeprazole 40 mg daily, preferably 30 minutes before any meal. It's important to consult your doctor, have a discussion, and obtain their consent before making any changes to your medication regimen. In relation to NAFLD (non-alcoholic fatty liver disease), studies have shown that weight loss can significantly reduce the risk of progressing to cirrhosis. Lastly, you mentioned that your cholesterol panel is normal, but it would be helpful to know the specific values for LDL and HDL in order to provide more accurate information.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sadaf Mustafa
Dr. Sadaf Mustafa

Internal Medicine

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