Suggest treatment for upper abdominal pain
Patient: I've been having pain in the right upper quadrant, it's a stabbing pain that goes into my pain, up to the right shoulder & at times takes my breath away.  I've been having this constant pain/nausea for 10 weeks now and all tests are saying negative.  I did have the HIDA scan done but for whatever reason, it did NOT include the percentage of function of the gallbladder.  I've had GB attacks before and it feels like the same exact pain, however, no one seems to listen to me.  I just recently had an endoscopy also that does not show any ulcers or obstructions.  I am still saying it's the GB, what do you think???? Doctor: Hello ,Welcome to HCM.In my opinion, it may not be gall bladder,because if your HIDA is normal, you should not be in doubts about its result. After going through  your question, Gastroeosophageal reflux disorder seems very strong possibility.My advice to my patients would have been to take pantoprazole and domperidon combination for two weeks without interruption.Bland , and full of fiber diet, with plenty of oral fluids.If constipated take mild laxative.If you are already on some medication for some other ailment, make sure they are not contributing to your problem.Please do inform us on out come of your case.good luck.