Feeling tightness on the right abdomen
Patient: My husband is having a dull tightness in his right abdomen. He describes it as a feeling of being full after eating small meals and a feeling that his stomach is balled up in one area. He has been very gassy and sometimes a pain or an uncomfortable feeling is there and stays there for a while until he lays down. He states that when he lifts his arms up there is a feeling like it is being pulled because of how tight it is. He has had blood work, stool samples, x-rays, liver enzyme test, pretty much everything except for a CT or MRI and everything has came back normal but he is still having the same feeling. We do not have a clue as to what else could be causing this. Doctor: Hi.Thanks for your query.Just to recapitulate: dull tightness in right abdomen - full after eating small meals -  balled up in one area- gassy- being pulled because of how tight it is.-everything except for a CT or MRI- I would advise to start with a simple investigation like: Plain X-ray of the whole abdomen in the standing position- this may show air-fluid shadow if intestinal obstruction.Yes, CT will definitely help the diagnosis.In the mean-time he should stop all the foods and beverages that you both have observed to have increased the problem. The treatment will depend upon the diagnosis and can be medical or surgical.There is a possibility of an inflammatory process going on in abdomen with added intestinal obstruction.