Sharp stabbing pain upper right abdomen with Swollen,hard stomach?

43 year old female with sharp stabbing pain upper right abdomen to the center with no relief.Swollen,hard stomach. Started Monday evening. Hurts to breath & move much. I’ve had my gallbladder & appendix out 20 years ago along with a hysterectomy due to endometriosis. This came on out of no where, also I do not drink & have never done drugs( always a question docs ask when you go to doc). I just don’t want to go to the ER if it will go away. Any suggestions on what’s going on?

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Ahmed Fawzy
5:30 pm

If it helps to lean forward then it can be acute pancreatitis , other possibilities are hepatic vein obstruction or descending aotra aneurysm, which unfortunately require immediate care
Other simpler possibility is sever cold (flu) + constipation , if your bowel movement and stool is normal then you can rule out this possibility

Good Luck

Ayman Darrag
6:43 pm

You need to get ultra sonogrsphy of abdonen and amylase test ..
It is probably pancreatitis ..
Which needs immediate admission to the hospital ..

7:06 am

seems to be a liver or pancreas related issue.
definitely not worth neglecting.
need to get a USG/CT abdomen done.
LFTs and Pancreatic amylase tests should be done.

Masr Fawzy
6:36 am

Do pelviabdominal US and amylase enzyme level ASAP