As Dr. Nikhil Aggarwal, the discomfort you're experiencing in your right abdomen and lower right abdomen, along with gas and burping, could be due to several possible causes. Since your CBC,
CRP, ESR, RFT, and
LFT tests are normal, it's important to consider other potential factors. Some possible causes include:
1. **Gastrointestinal Issues:** Conditions such as gastritis, gastroesophageal reflux disease (GERD), or irritable bowel syndrome (IBS) can cause abdominal discomfort, gas, and burping.
2. **Appendicitis:** Pain and tenderness in the right iliac region could be a sign of appendicitis, especially if the discomfort is persistent and worsening. However, appendicitis is typically associated with other symptoms such as fever and nausea.
3. **Gallbladder Issues:** Gallstones or inflammation of the gallbladder (cholecystitis) can cause discomfort in the right abdomen, especially after consuming fatty or greasy foods.
4. **Musculoskeletal Causes:** Strain or inflammation of muscles or ligaments in the abdominal or pelvic region can also cause discomfort, tenderness, and gas.
5. **Referred Pain:** Sometimes, discomfort in the abdomen can be referred from other organs such as the kidneys or reproductive organs.
Next Steps:
1. **Consult me:** Since your symptoms have been ongoing since September and your initial tests are normal, it's important to consult for a comprehensive evaluation.
2. **Diet and Lifestyle Modifications:** In the meantime, try to identify any triggers for your symptoms and consider making dietary and lifestyle modifications. This may include avoiding certain foods that exacerbate symptoms, eating smaller, more frequent meals, and managing stress.
3. **Medication:** I may prescribe medications to alleviate symptoms such as antacids for gastritis or IBS medications for irritable bowel syndrome.
It's important to address your symptoms promptly to determine the underlying cause and receive appropriate treatment. Avoid self-diagnosis and seek professional medical advice for personalized care and management.