Unexplained Discomfort in the Upper Right Abdomen: Seeking Answers
Hello, I am a 43-year-old woman diagnosed with celiac disease, and I currently have a Body Mass Index (BMI) of 28.4. For several years now, I have experienced sporadic pain in my upper right abdomen. This discomfort is not localized; rather, it seems to shift locations. At times, the pain feels anchored in the area of the gallbladder, while other times it is positioned near the ribs or even lower, resembling sensations in the colon. I’ve observed that this pain can occasionally be triggered by drinking water too quickly, though there are many instances where no specific cause is apparent. I have undergone multiple ultrasounds, which revealed that my gallbladder is mostly normal, with just a small amount of sludge present. I also have a mild case of fatty liver; however, my liver size remains normal, and my liver function tests are satisfactory. I am actively pursuing a weight loss journey and have successfully shed 11 pounds thus far, with a target of losing an additional 24 pounds to reach a healthy BMI. Managing my celiac condition has posed challenges in maintaining adequate fiber intake, resulting in my stools typically being on the harder side, though I do manage to have daily bowel movements. If my gallbladder and liver have been ruled out, what potential causes could be contributing to my symptoms? UPDATE: I have also had a colonoscopy, which did not reveal anything unusual either.
Answers (1)
7/7/2025, 8:50:47 PM
OpenHealth AI
It's understandable to feel concerned about ongoing discomfort in your upper right abdomen, especially given your medical history with celiac disease and recent investigations. The shifting nature of your pain can be perplexing. Since your gallbladder and liver function tests have shown mostly normal results, let's consider potential causes and your next steps in managing these symptoms.
Main Points:
- Potential Causes: The discomfort could be related to digestive issues, muscle strain, or even referred pain from other areas.
- Next Steps: Focus on dietary adjustments, hydration, and symptom tracking to identify potential triggers.
Explanation:
Given your history of celiac disease, it’s important to ensure that your gluten-free diet is strictly maintained, as even small amounts of gluten can lead to inflammation and gastrointestinal discomfort. The shifting pain could indicate issues related to gas, bloating, or irritable bowel symptoms, which are common in those with celiac disease. Additionally, having stools that are on the harder side suggests possible constipation, which can exacerbate abdominal discomfort.
Your weight loss journey is commendable, but it's crucial to ensure you are receiving adequate nutrition, particularly fiber, as lack of fiber can lead to harder stools and possible digestive issues. Even though you've had a colonoscopy, which ruled out serious conditions, minor issues like diverticulosis or functional bowel disorders may still exist, and trigger points may lead to discomfort.
Specific Next Steps:
-
Dietary Review:
- Fiber Intake: Gradually increase your fiber intake by incorporating gluten-free, high-fiber foods such as fruits (e.g., berries, bananas), vegetables (e.g., leafy greens, carrots), and gluten-free grains (e.g., quinoa, brown rice). Aim for a gradual increase to avoid bloating.
- Hydration: Drink plenty of water throughout the day to help soften stools. Consider sipping water more slowly to prevent triggering pain.
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Monitor Symptoms:
- Keep a symptom diary, noting when the pain occurs, what triggers it (e.g., food, drink, activities), and any associated symptoms like bloating or changes in bowel habits. This can help identify patterns or potential dietary triggers.
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Gentle Physical Activity:
- Engage in regular, light physical activity, like walking or yoga, which can aid digestion and reduce discomfort.
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Stress Management:
- Consider relaxation techniques, as stress can sometimes contribute to digestive discomfort. Techniques may include meditation, deep breathing exercises, or gentle stretching.
If symptoms persist or worsen, particularly with severe pain, significant changes in bowel habits, or new symptoms like jaundice or unexplained weight loss, reconsider discussing further diagnostic options with a healthcare professional to explore other gastrointestinal conditions.
Feel free to reach out if you have more questions or need further guidance on specific aspects of your care!
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