Womens Health

Right side pain (cont'd)

I put a heating pad on my right side then in about 2 hours, I am fine-but cold. My flow is very heavy during this time. I am seeing a gynecologist on Thursday. I did have cysts a long time ago. Could this be the same thing?

Could very well be endometriosis or possibly an ovarian cyst. The doctor will have you get a pelvic ultrasound to check for any abnormalities. The next step will probably be a diagnostic laparoscopy to diagnose the cause.

Recurrent, severe right upper abdominal pain

I'm experiencing recurrent, severe upper right quadrant abdominal pain. This has been going on for several months now. My family practice doctor has done many sonograms and other tests for gall bladder problems but everything has been normal.

Is it possible that this pain can be gynecologic in origin, with it being so high in my abdomen? Someone told me it could be in my fallopian tube. I am basically having attacks of severe pain, discomfort and tenderness in the upper right abdomen and some pain right along the midline.

It doesn't seem to be related to what I eat. The attacks last anywhere from 30 minutes to six hours. They occur at anytime, sometimes I have one every night and then I'll go a week or two without one.

A lot of the attacks occur at night and they just seem to be getting worse, not better. Any ideas?

Common causes of right upper quadrant pain include acute cholecystitis (this is what your FP is looking for), duodenal ulcer, hepatitis, enlarged and congested liver, acute pancreatitis, pyelonephritis (kidney infection), renal stone, pneumonia (on the right) and tuboovarian abscess.

The sharp, crampy intermittent pain is usually more characteristic of problems with a hollow organ such as the bowel, ureter, fallopian tube or gall bladder.

In your case, I doubt that the problem is Gyn related due to the nature and location of the pain. I would put my money on a GI/Renal related problem. There are some rare causes such as hyperparathyroidism, paroxysmal nocturnal hemoglobinuria, porphyria and other rare diseases but I would look for the more common first.

If it's my gall bladder, do you know if it's possible for the tests to be normal?

Up to 5% of valid ultrasounds are falsely negative, either because the stones are too small, or because they have migrated into the duodenum by the time of the examination. In these patients, sampling the bile may provide the only clue that gallstones, or gall sand exists.

Table of Contents
1. Pelvic Pain Overview
2. Left sided pelvic pain
3. Upper quadrant pain
4. Abdominal bloating
5. Adenomyosis
6. Ovulatory pain
7. Bicornuate uterus
8. Pain after a c-section
9. Pain and orgasm
10. Causes of painful sex
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