I have had upper right abdominal paid radiating around to my back with severe nausea. I have had a normal ultrasound (no stones), a normal CT scan, a normal upper endoscopy (no ulcers) and just had a Hida scan done today withe the first phase showing the gall bladder is functioning. I will have official results Thurs but am at my wit's end. I have lost about 10 lbs due to nausea/no appetite. Nexium has not helped either. Pain meds barely help at times. I dont have an appendix anylonger. Any ideas?
All your symptoms are most probably due gastric reflux disorder.
Since the ultrasound, CT and upper GI endoscopy have been normal so far, it is likely that most conditions like stomach ulcers, gall stones and pancreatitis as well as renal stones have been effectively ruled out.
Gastritis pain occurs in the left upper portion of the abdomen and in the back. The pain seems to travel from the belly to the back. Other symptoms of gastritis include - Belching, Nausea and vomiting, Bloating, Feeling of fullness or burning in the upper part of the belly.
First and foremost, you need to avoid foods, smoking and stuff that worsen your symptoms. Foods that need to be avoided include -
1. Alcoholic beverages, caffeinated drinks, carbonated water, and deserts high in sugar and white flour
2. Foods prepared from white flour, like puddings, breads, bagels and pretzels also should be avoided.
3. Vegetables such as broccoli, cabbage, all kinds of beans and legumes, full fat milk, onions and green peas should be avoided.
4. Nonvegetarian foods to be avoided include - cured meats and high fat meat products such as sausages, salami, ham, bacon, and cold cuts ;Red meats like beef, lamb, and venison - should be less in your meals
5. Seasonings such as onion, garlic, clove, and cinnamon may irritate your stomach lining and worsen the symptoms due to gastritis
Foods that can help to improve your symptoms include
1. fruits such as pears, oranges, sweet limes, watermelons, cantaloupes etc
2. MILK products like - yoghurt and cottage cheese
3. Non Vegetarian food products - include - lean cuts of meat, white meat from chicken and turkey, and seafoods
Other measures that can help you in addition to the above dietary measures include -
1. Walking or running thirty minutes regularly and achieving significant weight reduction.
2. Stress reduction
3. Learn to relax with breathing exercises like Yoga
In addition, you might consult with your gastroenterologist for proper treatment with acid reducing and prokinetic medications. In addition treatment for H pylori infection of the gastric mucosa can also be initiated after due testing.
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