Gastrointestinal1 Comment

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I have pain in my upper right abdomen — it comes on suddenly, stays constant for a few hours, then goes away. It feels as though someone has reached their hand into my stomach and is literally pulling and tugging my abdomen out. The pain does not spread, and in not accompanied by any other symptoms such as fever or nausea. It can hit at any time, and sometimes wakes me up in the middle of the night. It does not seem to have anything to do with what I do or do not eat. My doctor has run tests, but says he can’t find anything wrong. However, something IS very wrong, and I am frightened.

My gallbladder was removed several years ago. The pain is just to the right of the middle of my upper abdomen, just about behind my breastbone. I’m thinking it has to be something to do with my pancreas or a duodenal ulcer because of the location, but the symptoms don’t fit.

1 Comment on this article

  • Dr. Chris December 26, 2010

    Not all the symptoms of a given condition may present at the same time – and there is also the individual variation depending on the progression of the condition, which is why a diagnosis is not just based on fitting in yoru symptoms with the known clinical features or a disease.

    Your problem could be due to the conditions you have mentioned, but since it is behind your breastbone as well then you also have to consider problems with the airways, lungs, heart and other organs in the mediastinum. You don’t mention what tests your doctor has conducted thus far so it’s difficult to say if anything has been missed.

    You may require other investigations which will be considered based on your medical history and other clinical findings. At this point it would be a good idea to see a medical specialist – possibly start off with a gastroenterologist.

    It is very important that you report any other signs and symptoms to your doctor, even if it seems unrelated. This may help with deciding upon which tests to run for a final diagnosis.

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