OpenHealth Q&A

Persistent Discomfort in Upper Right Abdomen

Age: 32 Gender: Male Height: 6 feet 1 inch (186 cm) Weight: 181 pounds (82 kg) Ethnicity: Caucasian Duration of Symptoms: 9 months Location: Upper right abdomen Preexisting Medical Conditions: Occasional acid reflux Current Medications: Omeprazole (used intermittently) --- On the morning of August 11, 2024, I awakened with discomfort in my upper right abdomen, roughly where the floating rib ends. The pain was quite intense—though not debilitating—and felt like it was coming in waves. I initially thought it might be related to digestive cramps, possibly from something I had eaten. This sensation persisted into the next day, during which I experienced a certain amount of nausea in the afternoon of the 12th, though I suspect that was influenced by my recent research into gallstone symptoms. After the initial pain lessened, I noticed a lingering feeling of pressure or pinching in the same region. While it’s not truly painful, it’s hard to articulate—akin to a bruise. A few weeks later, I consulted a doctor who examined my abdomen but concluded that nothing unusual was detected, suggesting it would likely resolve itself in time. I decided to take it easy at work since bending and squatting intensified the discomfort, and I also eliminated alcohol from my diet based on her recommendation. During the Christmas season, I may have exacerbated the issue while working on a roof, as it involved extensive laying on my stomach and bending. Although this aggravated the discomfort temporarily, it eventually returned to its previous state. I visited a different physician afterward, who again examined my abdomen and diagnosed it as a muscle strain, questioning the need for my visit. Having dealt with muscle strains before, I find this sensation different; muscle strains typically heal more quickly. Nonetheless, I took his advice and tried ibuprofen, but it offered no relief. Fast forward to now, and I’m growing increasingly frustrated. The feeling remains consistent with what I’ve been experiencing—an annoying sensation that I primarily notice while driving or slouching in a chair, although it is a constant presence. The one positive aspect is that the discomfort hasn’t worsened over time. Additionally, I've observed a change in the color of my stools. Previously dark brown, they are now a lighter shade, resembling a tan hue. The consistency remains normal, but this might be due to dietary adjustments I’ve made during my recent weight loss efforts—something worth mentioning. I've arranged for another doctor's visit soon. I don't want to seem like a hypochondriac (though I wonder if I could be). I’m interested in any insights or suggestions before my appointment. Thank you for your understanding if this message ended up being lengthy. I appreciate any thoughts you may have.

Answers (1)

7/10/2025, 7:50:48 PM

OpenHealth AI

It sounds like you're experiencing persistent discomfort in your upper right abdomen, along with some changes in your stool color, which understandably is causing you concern. You have consulted with doctors who have ruled out some potential issues, but the symptoms have continued for an extended period.

Understanding Your Situation

1. Abdominal Discomfort: The persistent sensation, particularly in the upper right abdomen, may relate to various causes, including digestive issues like acid reflux or gallbladder problems, muscle strains, or even abdominal wall issues.
2. Stool Color Change: A change in stool color to a lighter tan hue can sometimes indicate problems with bile production or flow, especially if the change is significant and persistent. Given your history of occasional acid reflux and the nature of your discomfort, this should be addressed.
3. Ongoing Symptoms: You've made reasonable lifestyle adjustments, such as avoiding alcohol and monitoring your activities, but the discomfort remains a constant presence.

Next Steps

1. Symptom Diary: Keep a detailed diary of your symptoms until your next appointment. Document when the discomfort occurs, its intensity, what activities seem to exacerbate it, and any additional symptoms (such as changes in appetite, nausea, or bowel habits). This information will help your doctor assess your situation more clearly.

2. Diet Considerations: Continue to maintain a balanced diet, potentially with a focus on foods that promote digestive health, like high-fiber fruits and vegetables, lean proteins, and whole grains. Monitor any foods that might trigger reflux or discomfort.

3. Posture and Physical Activity: Since you mentioned that slouching or certain activities worsen the discomfort, focus on maintaining good posture, especially while sitting and driving. Consider gentle stretching or strengthening exercises that focus on your core and back muscles, which can help alleviate muscular discomfort.

4. Hydration and Medication Management: Ensure you're staying hydrated and taking omeprazole as directed for your acid reflux, but do discuss your intermittent use with your doctor during your upcoming visit.

5. Follow-Up with Your Doctor: Since you've already scheduled another appointment, be frank about your ongoing symptoms, the frustration they cause you, and the change in stool color. Ask about specific tests (like imaging or blood tests) that may help identify the underlying issue.

Conclusion

It’s understandable to be frustrated, but taking these steps may help clarify your symptoms for your doctor. You are doing the right thing by seeking further evaluation, and maintaining open communication with your healthcare provider is crucial. Remember, it's important to advocate for your health, and your concerns are valid. Let me know if you need further assistance or clarification on any points!