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Right Upper Quadrant Pain

newceliac

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newceliac Enthusiast
newceliac
Posted

I haven't posted in a while...but I hope someone can you me some information. For about 3 days, I have been having right upper quadrant pain. It runs along the rib cage starting about 2 inches about belly button and down to bottom of rib cage on right side. The pain hurts underneath the rib cage also and seems to travel around to the back. It feel like something pressing on my ribs and almost feels like a burning pain at times. Intermitently when having this pain, I feel like I have lower abdomen cramping. I also randomly feel like there is muscle twitching in this area at lower rib cage. I don't really have nausea. The pain is similar to the gallbladder pain I had years ago, however my gallbladder has been removed. I went on a weekend vacation this past weekend in New Orleans. Although, I thoroughly discussed my gluten intolerance and they assured the food was gluten free, I know I am at their mercy when dining out. Could this pain be from possibly ingesting gluten? Has anyone ever experienced this pain? It is really starting to get on my nerves because I don't know what is causing it.

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Brenda Sue Newbie
Brenda Sue
Posted

Hi, this how my daughter was diagnosed with celiac disease. She had bad upper right quadrant pain so maybe you were glutened. Hope you feel better soon :)

CR5442 Contributor
CR5442
Posted

It could also be lack of CCK in the small intestine due to atrophy. This will prevent gallbladder contraction and opening of the sphincter of oddi. It is a functional problem I am having treated with acupuncture at the moment. It will fix when your gut is healed, till then it is a matter of trying to encourage this process without the CCK. I tried herbs but am sensitive to most of them - but they did work. Dandelion Root, Turmeric, Peppermint are all good for this. Try to lie back slightly leaning over to your left side after eating, preferably with a warm tea with a cholagogue/choleretic in it... any of the above. I used 2-3 drops of Peppermint EO for a while but it is high in salicylates, which I am also sensitive to. Let me know if you want more info. on this.

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    • Dr. Gunn
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      By Dr. Gunn · Posted

      Exactly! Negative genetics can rule out celiac disease with close to 100% certainty. It takes tTg antibody testing and biopsy confirm the diagnosis in a genetically susceptible individual. 
    • trents
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      By trents · Posted

      What Dr. Gunn states is essentially true. It is a rule out measure. But be aware that to possess either of the two primary genes that have been identified with celiac disease (or both) doesn't necessarily mean that you have or will develop celiac disease. Almost 40% of the general population carries one or both but only about 1% of the general population will develop active celiac disease. It remains latent until triggered by some stress event which may or may not occur. So, there is a genetic component to celiac disease but there is also an epigenetic component. 
    • Dr. Gunn
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      By Dr. Gunn · Posted

      Have you had celiac genetic risk testing? A celiac genetic test is accurate with or without gluten in your diet. If you don't carry the celiac risk genes you can effectively rule out celiac disease for life. 
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      Based on those results alone, it’s not possible to say you have celiac disease. The test that is usually most specific for celiac, tTG-IgA, is negative in your results, and the endomysial antibody (EMA) is also negative, which generally argues against active celiac disease. However, your deamidated gliadin IgA is elevated, and your total IgA level is also high, which can sometimes affect how the other antibody tests behave. Another important factor is that you were reducing gluten before the test, which can lower antibody levels and make the results less reliable. Because of that, many doctors recommend a gluten challenge (eating gluten regularly for several weeks) before repeating blood tests or considering an endoscopy if symptoms and labs raise concern. It would be best to review these results with a gastroenterologist, who can interpret them in context and decide whether further testing is needed.
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