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nauseous after every meal and i belch alot

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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

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replied February 24th, 2012
Gallbladder Disease Answer A31919
Hello and welcome to e health forum. ‎

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 ‎lifestyle. ‎

The common presentation due to gall bladder dysfunction include - Pain or tenderness under the rib ‎cage on the ‎right side , Pain ‎‎between shoulder blades, Stools light or chalky colored, Indigestion after ‎eating, ‎especially fatty or greasy foods, ‎‎Nausea, Dizziness, Bloating, Gas, Burping or belching, ‎Feeling of fullness or food ‎not digesting, Diarrhea (or ‎‎alternating from soft to watery) and or ‎Constipation. ‎

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 ‎individuals with low functioning gall bladder. Medicines to improve digestion and cleanse the gall bladder can also ‎be prescribed to help in improvement of symptoms. ‎

The definitive treatment of such conditions is cholecystectomy for patients who are able to tolerate surgery.‎

In many patients, coexistent GERD is also a contributing factor for the symptoms. Hence in many individuals who ‎undergo Gall bladder removal, the symptoms due to GERD will cause persistent symptoms. Hence it is important to ‎work with a gastroenterologist and rule out Gastric Reflux disorder, and treat it properly. Effective treatment of such ‎conditions may negate the need for a gall bladder surgery. ‎

But in case, the symptoms are predominantly due to gall bladder, then treatment of both GERD and gallbladder ‎removal may be needed. ‎
‎ ‎
You might consider to consult your health care provider for additional information and seek proper advice.‎

I hope this helps.

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