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Hi doctor I am feeling right side discomfort from diaphragm to upper chest and some time radiating to upper back I did USG n blood test report of USG n lft attached I consult doctor to which doctor prescribed vonoprazan then I consult another doctor who prescribed d3 and b12 as both deficit , problem resolved earlier with these medicines now reoccur
Answers (17)
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Do consult
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Its acidity
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Your reports do show a small cyst in the liver, which is usually a benign and common finding and often not a cause for concern. The pain you’re describing is more likely related to acidity,GERD or other causes rather than the cyst itself.
Since your symptoms have recurred, it would be best to review everything together and tailor treatment accordingly. I can help you manage this effectively feel free to consult.
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Most likely acid reflux (GERD)/gastritis.
In USG are small, simple, and usually benign they typically do not cause pain. These are incidental findings.
GGT 219 : elevated - suggests liver enzyme induction (fatty liver, alcohol, drugs, or biliary issue).
Lifestyle Modifications:
Avoid spicy/oily food, alcohol
Small frequent meals
Don’t lie down after eating
Weight control
Consult Immediately :
Severe chest pain
Weight loss
Persistent vomiting
Jaundice
Next Steps
Now you continue these medications
Repeat LFT after 2–3 weeks.
If symptoms persist , go for endoscopy and hepatology review.
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The patient has recurrent pain in the right upper abdomen that sometimes goes to the back. The ultrasound shows mild changes in the liver texture and a few small simple cysts, but no gallstones or blockage. Blood tests show normal liver enzymes (AST, ALT), but ALP and especially GGT are elevated.
This suggests that the problem is more likely related to the liver or bile system rather than just acidity. Possible causes include early fatty liver or minor bile flow issues that may not be visible on ultrasound.
Even though symptoms improved with acid-reducing medication, the recurrence indicates that acidity alone is unlikely to be the main cause and may only be a contributing factor.
Next Steps
1. Do NOT stop at USG
Get :
* MRI abdomen (as already advised) → better for:
* Liver parenchyma
* Biliary tree
* OR MRCP if biliary suspicion high
2. Blood work you must add:
* Lipid profile
* HbA1c
* Repeat LFT
* Vitamin D, B12
3. Risk factor audit (be honest)
Ask:
* Alcohol?
* Oily diet?
* Sedentary?
* Weight gain?
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Ok consult me for further management.
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Right-sided discomfort extending from the diaphragm to the upper chest and radiating to the upper back is highly characteristic of Biliary Colic (gallbladder issues) or referred pain from the liver. While you noted temporary relief with Vonoprazan (an acid blocker) and vitamins, the recurrence suggest that the underlying structural or inflammatory issue—potentially related to the liver or gallbladder—has not been fully resolved despite normal initial reports."
Next Steps
Kindly book consultation with me...
Need some more history from your side so do connect and consult with me for better treatment plan and advice accordingly.......
Health Tips
recurrent pain often means the original 'fix' was a band-aid rather than a cure. Please book a consultation so we can review your USG films and blood reports together to find the exact source of this radiating discomfort
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Kindly do connect and consult
Will help you
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Jenny Koshy
Internal Medicine
7 yrs exp
Pune
If your symptoms are persistent it is better to go for a upper UGI scopy which give a clear picture.
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Avoid fatty, spicy food. Avoid excess of tea and coffee, avoid alcohol. Drink more water.
Take small, frequent meals.
Take tab pantaprazole 40mg one daily before breakfast for 10 days.
Syp mucaine gel 5ml every 8hours for 10 days.
Get upper g.i. endoscopy done and share results.
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