What causes abdominal pain with a normal test CT scan?
Patient: I have been experienceing severe abdominal pain for about 3 weeks. It started off as occasional but is not pretty persistant. I was in the ER last week and they did a CT scan of my abdomen and pelvis and nothing showed up. They did lab work, and a pelvic exam and still nothing. All they found was strep throat. The abdomen pain started mid-upper abdomen, but then radiated to the right flank and then lower right abdomen. Now the pain is covering almost my whole abdomen. The pain has now become constant and can be quite severe. I have had 2 pregnacies in the past, and also a tummy-tuck surgery 4 years ago. I am a 29 year old female. I go in for a abdominal ultra sound tomorrow. The pain does not seem to be associated with anything I eat or drink. Doctor: Hi.Thanks for your query and an elucidate history.The cause of the pain in the abdomen with normal CT scan be due to entero-colitis or the infection related to the intestines. Since you already have a strp throat the infection is swallowed and directly affects the intestines to cause the problems that you have. This may or may not be associated with loose stools or so. I would advise you to take a course of an antibiotic and metronidazole along  with probiotic and supportive and symptomatic medicines. The 2 pregnancies in the past and a Tummy Tuck surgery may not be associated with the present problem. Proper diagnosis and treatment will alleviate your problems .