Right back pain in an aged person. Alcoholic, smoker. Suggestion?
Patient: 50 Year old male with complaints of right flank/back pain (like just beneath the ribs on the right side).  Describes pain as deep, dull, constant, rated at 3/10 and sometimes a bit worse (pain is enough to be very annoying and produce grimacing at times). Tenderness when pressed.  No fever, nausea, vomiting or diarrhea.  Normal daily bowel movements.  No significant health/medical history.  Light smoker.  Does drink beer daily. Doctor: Hi,Thanks for posting your query.Pain could be due to gall bladder or renal problem.Ultrasound abdomen is required to reach the diagnosis. I suggest you to consult your doctor for thorough examination of abdomen.Drink a lot of water daily.Hope this will helps you. Feel free to ask me if you have any further queries. Wish you good health. Take care.RegardsDr Saurabh Gupta