Saturday, June 30, 2012

Recurent Solar Plexus pain

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I have a recurring solar plexus pain right, almost like I received a punch in the solar plexus. I have tried to be aware of what I eat or if I'm particularly stressed, but have found no pattern yet. The pain usually lasts for a few minutes, growing in intensity, until if quickly wears off and completely disappears. Sometimes it lasts longer though, up to an hour or two. I have stones in my gall bladder, but don't know if that is in any way related to this pain. What should I do?

Gender: Male
How tall are you (feet and inches)?: 6 feet 2.5 inches
What is your weight in pounds?: 243 pounds
How old are you?: 36
How long has this been going on?: More than a month

Check all symptoms you are currently experiencing:
Abdominal Pain

Check all conditions present in your immediate family... :
Cardiac Disease

Please list any medication allergies that you have : : None
When was your last menstrual cycle?: I'm a man, baby!
Are you currently using or do you have a history of tobacco use?: No
Are you currently using or do you have a history of illegal drug use?: No
Please describe your alcohol consumption :: Occasionally


What can cause the pain?
Should I be alarmed?
How can it be treated?
___________________________________________

The most obvious answer is that this IS related to your stones in the gall bladder. Curious that you know this, as I wouldn't think to actually look for gallstones unless someone came to see me with a good history and exam for gall bladder pain. My point is that some doctor in the recent past was concerned about your gall bladder and got an ultrasound and found the stoned. Could it be something else? Sure, just not likely, especially at your age. Hard to think of another cause which would produce similar symptoms. Generally, once stones are discovered people are scheduled for a cholecystectomy... a gall bladder removal. My suggestion is that you get with a surgeon and get an opinion on whether your pain is from your gall bladder and, if so, when you can get it removed. The danger of ignoring this is that you could develop CHOLECYTITIS, an infection of the gall bladder, and this is a true medical emergency requiring emergency surgery. Best to get the gall bladder out on an elective basis. It's a much easier and safer surgery.

If you have questions please ask them in the comment section.

Be well.

MDSTAT ER Doc 1


1 comment:

space doc said...

Dear recurrent solar plexus pain:

It does soind very much like a gallstone problem.

Often gall bladder symptoms are felt in the right upper portion of the abdomen, often having referred pain to the right back or right shoulder.

If a stone tries to pass out of the gall bladder it can get stuck in one of the ducts leading from the gallbladder---the cystic duct &/or or the common bile duct.

There is another place where a stone could get stuck---where the common bile duct joins the pancreatic duct as the bile and pancreatic digestive fluids empty into the small intestine (duodenum). this juncture is called the sphincter of Oddi.

The stone can sometimes get stuck and then unstuck which could give the intermittent pains in the solar plexus.

If a stone blocks the sphincter of Oddi it can cause some back up into the pancreas which could give you sharp pain .

If it is difficult to diagnose whether a stone is in the bile ducts or at the sphincter of Oddi, a gastroenterologist or a specialist in gall bladder-liver surgery could pass a tube down the esophagus and perform an ERCP (endoscopic retrograde cholangiopancreatography) exam which could look carefully at all the ducts and the sphincter of Oddi.

The epigrastic (solar plexus) pain could also be related to stomach or duodenal ulcer--but usually is more of a constant discomfort rather than intermittent . This could be picked up by barium x-ray or by an endoscopy exam (at the time of an ERCP)

Sounds like a good visualization of the gall bladder ducts and pancreatic ducts would be helpful. I agree that removing the gall bladder would likely be a necessay step.

Best of luck!!---Love to hear how this all turns out.

Space Doc