im a 25 year old female and I recently went to the doctor for this pain ive been dealing with for some time now. it comes and goes, usually after a big meal. the pain is under my right ribcage (right under the last one) and it radiates into the corresponding area into my back. the pain takes my breath away-it feels like an oblong gas bubble is pressing on my lungs and every other neighboring organ. it is extremely uncomfortable and nothing seems to relieve it. i got an abdominal ultrasound and whaddya know? it comes back normal! what! so this hellish pain is because i'm normal!?! (clears throat) sorry about that-ok im back...anywho im fed up with this pain and being scared to eat because of the pain that comes along with it. im always nauseous after every meal and i belch alot (something i've never really done before). does anyone have any ideas or thoughts as to what i can try next? could it be my gallbladder? something else? what other organs are over there can could cause all that
The symptoms described in the history, do indicate presence of gall bladder dysfunction. The cause is usually due to poor dietary habits, chronic liver diseases, obesity and a sedentary âlifestyle. â
The common presentation due to gall bladder dysfunction include - Pain or tenderness under the rib âcage on the âright side , Pain ââbetween shoulder blades, Stools light or chalky colored, Indigestion after âeating, âespecially fatty or greasy foods, ââNausea, Dizziness, Bloating, Gas, Burping or belching, âFeeling of fullness or food ânot digesting, Diarrhea (or ââalternating from soft to watery) and or âConstipation. â
Since the ultrasound is normal, you may need a HIDA scan to check if the contractile function of the gall bladder is normal (above 35%).
Improved diet (Avoidance of high fatty foods and grease), Physical exercise, weight loss provide the best results in âindividuals with low functioning gall bladder. Medicines to improve digestion and cleanse the gall bladder can also âbe prescribed to help in improvement of symptoms. â
The definitive treatment of such conditions is cholecystectomy for patients who are able to tolerate surgery.â
In many patients, coexistent GERD is also a contributing factor for the symptoms. Hence in many individuals who âundergo Gall bladder removal, the symptoms due to GERD will cause persistent symptoms. Hence it is important to âwork with a gastroenterologist and rule out Gastric Reflux disorder, and treat it properly. Effective treatment of such âconditions may negate the need for a gall bladder surgery. â
But in case, the symptoms are predominantly due to gall bladder, then treatment of both GERD and gallbladder âremoval may be needed. â
You might consider to consult your health care provider for additional information and seek proper advice.â
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