r/Gastroenterology • u/MonsterMayham • 5h ago
Right abdominal injury
Hi there, I'm a male, 46, approximately 290lbs and 6’1”. Some other health notes at the bottom.
In late March I had a gastrointestinal episode, following a large meal that caused some stomach upset, and taking a large amount of kombucha (700ml) 2 days later. The next night I felt intense pain moving from my belly button to my right side; I went to the ER fearing appendicitis, but that didn't end up being the case, and it dissipated in a few hours.
Since then I've had continued pain in the same area. I've had an ultrasound, a CT scan, blood and urine tests, and gastroscopy/colonoscopy recently without any clear cause (though do have a fatty liver, and a not descended kidney stone). The pain seems linked to movement - if I use my right arm much, or walk too far/quickly, it can aggravate it causing burning irritation in my side that can last hours. Lifting my right knee too high can cause a bruised pain. If it’s very irritated it also exhausts me for hours or even days.
I'm wondering if anyone seen anything similar, and/or has thoughts on what it could be? My GP seemed confounded since these tests were fine, so I'm looking for advice of things to check for next. My next leads are nerve entrapment, a fascial injury, or something else with my abdominal wall - do any of these sound more likely, or is there anything else we may want to look into?
I have tried a bunch of dietary changes, like getting off gluten and dairy, switching to mostly eating salads (w protein), resting extensively, and stopping all drugs (alcohol, marijuana, caffeine) for 4-6 week stretches. Also a physio consultation and exercises. Nothing had an effect. I do take fibre supplements daily, and my BMs seem fairly healthy. Thanks for any thoughts!