I am an adult neurologist, and will attempt to answer your question. You are offline, so please review the following information and ask questions if you have them , or if you are asked to answer my questions, please do so and I will return to reply. If you feel you have recieved enough information and are satisfied, please hit the accept button as that is how I am compensated for my work. If you have additional questions, even after you have hit the accept, for example you now have lab results, please return and I will be glad to answer your questions. Please be aware that as a physician I cannot make a diagnosis without an examination, so this is for information purposes only and does not adhere to the role of a patient-physician relationship. Ok?
I will wait to see if you come online
I don't know if you've read my question, but I'm a 45 year old femal and for about a month or so, I started getting a pain on my mid right side of my back on/off close to my spine, but sometimes it radiates on the more of my back. It's kind of a burning pain. I'm not in pain when I first wake up, but as the day progresses the pain starts
does it go into your leg at all? or just in the axial or back area?
no, not my let just mid bak
it sounds like a segmental neuralgia from the thoracic spine, never had a rash like shingles????
no, could it be liver or gall bladder related
yes, it could be referred pain if it is on your right side (did you say which side?)
classic liver enlargement puts pressure on the capsule of the liver and gives this pain
it should be worse though with laying back and supine
is there something I can do for pain
well you really need a diagnosis, if this is neuralgic from a pinched nerve in the thoracic spine, or post herpetic neuralgia from having had shingles there, and now you only get the pain, then you can put a lidoderm patch on it, a patch that contains lidoderm or use capsaicin creme over the counter on that site
but if it is referred pain, (a very good thought on your part) then you need to treat the liver problem
until I do, is there a special diet I can be on or are there foods to avoid
well if you thing this is gallbladder, then you have to cut your fat in the diet and go with fiber, roughage (sp?) and try to wash it out. You need to check your bilirubin if you can get a blood check
bilirubin, total and direct types
and your liver function tests ALT, SGOT alk phos
what do you think? this is referred pain?
I'm not sure I know what referred pain is?
what are your bowel movements like? do you have white stools?
no, there normal
ok, so this is a problem where a issue like liver enlargement causes pain in an entirely other part of your body, I will get you a webpage hang on
ok, but the pain is in my back where I believe the liver/gall bladder is
right, the gallbladder isn't in direct contact with your back, so shoulder pain from gallbladder is a type of referred pain. the liver issue is not referred pain, because the capsule in the back of the liver is in contact with the nerves that supply your back. but the liver needs to lay back on the inside of your back (when you lay back supine) to cause the pain , do you understand? (this is hard to explain by typing) here is a webpage on referred pain
do you drink alcohol or have any reason to have hepatitis?
I do drink alcohol
have you been binging, do you think your liver is enlarged? are you itching? any yellow in the sclera (whites) of your eyes?
I do drink wine every night
I don't have any itching or yelow on the whites of my eyes
great, that is more unlikely then
is the quality of pain on your back more of a burning type pain, do you have numbness there? or is this myofascial pain syndrome? I will send you that page, ok? look at it and get back to me with those answers thanks Dr Frank T.