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Family Physician
Family Physician, Doctor (MD)
Category: Health
Satisfied Customers: 12816
Experience:  Emergency Medicine and Family Practice for over 26 years
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After a heavy meal rich with fried foods, Debby Collins, ...

Resolved Question:

After a heavy meal rich with fried foods, Debby Collins, and overweight 45-year-old woman, was rushed to the emergency room with severe spasmodic pains in her epigastric region that radiated to the right side of her rib cage. She indicated the attack came on suddenly, and her abdomen was found to be tender to the touch and somewhat rigid. What do you think is this patient's problem and why is her pain discontinuous (colicky)? What are the treatment options and what might happen if the problem is not resolved?
Submitted: 9 years ago.
Category: Health
Expert:  Family Physician replied 9 years ago.
Based on the history particularly the age, weight, sex of the patient, location of pain, and precipitating event (fatty meal) - the most likely diagnosis would be cholelithiasis (gallstones)

A small stone can block the duct causing pain (often colicky) when the gallbladder contracts in response to a fatty meal.

Pain medication along with medications for nausea are helpful short term. If the symptoms do not resolve with conservative treatment - surgery may be necessary.
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