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Conditions and Diseases > Abdominal Pain Forum > Unexplained abdominal pain spells
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Q: Unexplained abdominal pain spells
asked by: DoctorQuestion on November 3rd, 2009
I am an 18 year old with an extensive heaalth history, for the pasy 3 months i have had major abmominal pain spells the first time it was on the left then it transfored to the right. The doctors thaought that i had apendisists or it was my gull bladder all of the tests sowed that my apendix was not the problem. I then had an hydo scan and it showed that my gullbladder was not fuctioning properly. They then did blood work and then i was told it was panceratits. I am back in the hospital the plan was to remove my gull bladder and see if that helped any but when they did blood work it showed that my amalis is more then 25x what it should be now 5 days later with treatment my counts have not changed and niether has the pain what could this be caused by?


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Dr. Kokil Mathur , MD
replied on November 4th, 2009
Abdominal Pain Answer A7757
Hi, and thanks for your medical question on eHealth's Ask a Doctor forum.

If the pancreatic amylase was 25 U/L then it is normal value. This is the reason they did not go ahead with the surgery. Generally, when the gall bladder is not
functioning, crystals or stone form in the gall bladder. Hence if the gall bladder was not found to function, a few or a single stone must have been detected. Check this with your doctor. If this is the case then the pain can be explained by this.

However a shifting pain is generally due to gas and acidity. Antacids are more helpful in curing this. It could also be due to constipation, which can cause shifting pain. Such a pain can also be due to inflammatory bowel condition such as ulcerative colitis, Crohn’s disease, Celiac disease (gluten intolerance), lactose intolerance or IBS or irritable bowel syndrome. Severe acidity with gastric reflux can also be a cause and so also worms in stool.

Since a confirmed diagnosis cannot be given on net please discuss these possibilities with your doctor once. It would be a good idea to consult a gastroenterologist. Hope this helps. Take care!






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