Discomfort in Right-Side Rib and Upper Abdominal Gas: Seeking Guidance
Hello, I’m a 46-year-old male experiencing some troubling symptoms. Beginning around December 20, 2025, I noticed persistent gas and issues with constipation. I’m uncertain if this condition can be classified as gastric since I don’t experience any burning sensations in my stomach. Following this onset, I consulted a local physician who prescribed a week-long treatment regimen that included: 1. Pentopan DSR (a combination of Domperidone 30mg and Pantoprazole 40mg) 2. Medclave 500mg (an antibiotic) 3. Cyclopam 4. Enzygut Forte While I did notice some improvement after completing this treatment, the relief was not substantial. Consequently, I sought the expertise of a gastroenterologist who recommended a 7-day course of famotidine 20mg and sucralfate syrup. He also advised undergoing a series of tests, including liver function tests (LFT), complete blood count (CBC), and an abdominal ultrasound (USG). The majority of the test results were normal; however, my SGOT (AST) and SGPT (ALT) levels were significantly elevated. In response, the gastroenterologist prescribed Udiliv 150. Additionally, I was found to have deficiencies in Vitamin B12 and D, for which he provided Nurokind-OD and a weekly dosage of D3 sachet 60000. The ultrasound revealed the presence of several gallstones measuring 6-8mm and indicated that my gallbladder is distended. Presently, I am experiencing pain in the last rib on my right side, and my upper abdomen feels excessively gassy. Moreover, I’ve noticed a sensation akin to air movement around my shoulder blades on the left. Could these symptoms be attributed to either gas buildup or the gallstones? Thank you for taking the time to read my post. I look forward to any advice or insights you might have.
Answers (1)
2/6/2026, 4:10:45 PM
OpenHealth AI
It sounds like you're experiencing a combination of gastrointestinal symptoms, including discomfort near your right rib, excessive gas, and possible implications from gallstones. These symptoms can indeed be related to your previously diagnosed gallstones or characterized by gas buildup.
Understanding Your Symptoms:
- Gas and Abdominal Discomfort: Persistent gas can lead to a feeling of fullness or discomfort in your abdomen. This is often linked to dietary choices, digestive issues, or can be exacerbated by gallbladder problems.
- Gallstones and Pain: Gallstones can lead to pain in the right upper abdomen, especially after eating fatty foods. If your gallbladder is distended, it could contribute to your discomfort.
- Shoulder Blade Sensation: The sensation of air movement around your shoulder blades might suggest referred pain, which is common with gallbladder issues, as they can irritate nearby nerves.
Next Steps:
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Dietary Modifications:
- Avoid Fatty Foods: Start with a low-fat diet to reduce gallbladder strain. Focus on lean proteins, whole grains, fruits, and vegetables.
- Hydration: Drink plenty of water to help with digestion and alleviate constipation.
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Monitor Symptoms:
- Keep track of your pain levels and any trigger foods that worsen your gas. Note any new symptoms, especially if pain intensifies or changes in character.
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Pain Management:
- Over-the-counter medications like an antacid or simethicone (for gas relief) may help but consult your gastroenterologist if symptoms persist.
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Follow-Up on Gallstones:
- Given your gallbladder condition, discuss with your gastroenterologist whether further imaging or potential treatments (like surgical options) are warranted, especially if pain increases or you develop other symptoms (e.g., fever, jaundice).
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Vitamin Deficiencies:
- Continue to take the Vitamin B12 and D supplements as prescribed, and consider a follow-up on their levels with your physician.
If symptoms worsen, particularly with intense pain, vomiting, or signs of infection (like fever), seek immediate medical attention. Your comfort and clarity around these symptoms are important, so don’t hesitate to reach out to your healthcare provider with updates or changes in your condition.
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