Upper RH abdomen pain
by Gary (Junky)
I'm experiencing this pain again seriously right now 11:58P. This is the first time I found something on this issue. Cant sleep, sharp pain like a nail spike driven into this area. This pain reaches out to my lower back area mostly on the right and about tow thirds up my back with most of the discomfort at the lower back area. I cannot sit still. I rotate my torso in order to find a better position but nothing helps. I have taken 10 200mg over the counter ibuprofen tablets in the past two hours as the pain got worst.
It started at lunch time early in the day. I did not have breakfast and when I got home for lunch I ate more than I would normally. About an hour later I had the sick feeling that tonight was going to be another night of this pain. Yes I have had this problem many times over my life. I am 58 and I recall this problem as far back as 7.
Not sitting still seams to be the only thing that lessens the pain slightly. THIS ALWAYS HAPPENS AT NIGHT, NEVER DURING THE DAY TIME HOURS. Why? I have no idea.
Yes, feeling hot and cold at times happens. Eventually after taking more ibuprofen tablets will help me get some sleep.
The next day slight soreness in the area prevails and I will be reluctant to eat normally. I will eat small amounts thinking the low volume of food intake will help make it go away 100 percent. I have never challenged eating normally the next day. Getting the pain back is not favorable.
drink and have never smoked. I do have Gilbert Liver disease which I don't think has anything to do with it.
What triggers it I also don't know. Wish I did, then I could help prevent the next horrible night.
Thanks for your contribution and I am sorry to hear of your upper right hypochondric abdominal pain. It must be distressing to be woken up at night with an unexplained pain over these years.
What you described very well sounds like a continuation of symptoms of Gilbert syndrome. Up to 4% of people in the Western world are affected by Gilbert syndrome. Only 70% or so actually have any symptom, and symptoms could persist through out life in many cases, not just at birth in or childhood. For some, their condition is only diagnosed in their late 20s or 30s.
Though jaundice is the main feature of Gilbert's syndrome, many suffers do not have jaundice, and even in some who do have jaundice, it will take a trained eye to spot yellowness in the white of their eye (pun unintended).
Abdominal pain is another symptom. That could be the case with you. The pain may mimic that caused by biliary colic, though both could co-exist. However, it is important that a kidney stone is also excluded.
Have you had this pain investigated? Scans? Recent liver blood tests?
For more information on Gilbert syndrome, there is a useful article on this topic from the British Liver Trust. Please see it here
Thank you again for sharing your thoughts here and please do let us know of any new findings on this topic.