Re: upper right side pain and nausea from avocado

[Guest guest]

I would probably check in with your doctor concerning your gallbladder or

biliary tree (liver, gallbladder, common bile duct). I wouldn't want to wait too

long before getting a checkup when dealing with right upper quadrant pain that

is recurrent and/or severe.

The symptoms you describe often hit me when I've had a food that is too high in

fat, although the red itchy welts are on my torso not my wrists and arms. By

the way, my doctor has told me this kind of itchy rash across the abdomen is

being triggered by the liver; it isn't handling the body's call for bile to

digest something high in fat or fiber... I get a few other chronic symptoms as

well when I eat something too high in fat (or fiber or seasoning) since I have a

dysfunctional upper GI. Nausea and itchy rash are only two of them.

I've also found that any exercise or movement that puts any kind of stress or

pressure on my right upper quadrant will trigger severe Sphincter of Oddi

dysfunction symptoms [big sigh].

Could be the combination of a high-fat item such as avocado (I don't touch them)

with exercise which can aggravate the upper GI if it is not working normally.

At any rate, I'd take it as a sign that you should be careful with high-fat

foods while you're going through some tests and consultations with doctors.

Kim M.

SCD 6 years

Sphincter of Oddi dysfunction 6+ years

>

> Hi,

> The past 2 days i've eaten 1/2 spoonful of ripe avocado to trial and the first

night had some red, itchy bumps on inside wrists and arms. Last night i was

feeling pretty good and jumped on my mini trampoline for about 10 min. and

afterwards had upper right quadrant pain and then nausea and then pain in my

abdomen that came in waves about every 10 min. for an hour. I finally had a

very small BM and felt a little better - the abdominal pain subsided after BM

but still had a little of the right side pain and nausea. Could this be die-off

or the fiber from the avocado or possibly salicylates from avocado? I tolerate

well steamed broccoli fine which i assume has a good bit of fiber.

>

> I may have over done it on the olive oil at lunch yesterday possibly but not

sure. I feel better this morning and I've only drank some grass fed beef broth

and some electrolyte drink (no honey). Should i call my Dr. and have my gall

bladder checked out? I have right upper quadrant pain off and on - not sure

why. It calms down when i'm eating only pureed foods and i have pain when i

start back eating non-pureed foods.

>

> Nausea has just started recently for me so i'm wondering if it's die-off.

I've tried introducing Scdophilus and digestive enzymes the last 2-3 weeks and

they both caused nausea but this is the first time i've had it after eating

food.

>

> Kim and Jodi - i did a search on here and saw where you guys have had URQ pain

and had some tests so i think i may need to get some tests done. My GI Dr.

isn't under my insurance so i'm going to have to find a GI that is covered under

my insurance. I may call my GP and try to get a referral from her. Thanks for

any help!

>

>

>

[Guest guest]

Thank you so much Kim! This is good information. I do get itchy, red

bumps on my torso as well sometimes and upper thighs and buttocks - this usually

happened after my epsom salt soaks. Since i've stopped them the itchy, red

bumps haven't returned until the avocado. Weird that before i stopped the

higher carb foods i was tolerating avocado....i thought but probably not.

Would a Gastroenterologist do these tests or can my General Practitioner? I

need to find a Gastro. Dr. under my insurance anyway so either one would be

fine. I may call my GI Dr. and get a recommendation from her (she had said she

would do that before i had my colonoscopy done) but she's 2 hrs. away and i know

the Dr. she would recommend would be in here area. There is a GI Dr. only about

45 min. from me that some people in my local Gluten Intolerance Group

recommended so maybe i'll try him.

When my GI Dr. did my colonoscopy and endoscopy last August she saw some green

bile in my stomach plus dried blood and stomach lining irritation. When i call

her i'll let her know of my symptoms. I sure hope i can keep my gall bladder

and hope my liver is ok. I'm probably loaded with toxins and yeast so it's

probably putting a burden on them but i don't know. You're absolutely right - i

need to get it checked out to see. Thanks so much Kim...you're such an angel

for helping me out!! I really appreciate it more than you know.

> >

> > Hi,

> > The past 2 days i've eaten 1/2 spoonful of ripe avocado to trial and the

first night had some red, itchy bumps on inside wrists and arms. Last night i

was feeling pretty good and jumped on my mini trampoline for about 10 min. and

afterwards had upper right quadrant pain and then nausea and then pain in my

abdomen that came in waves about every 10 min. for an hour. I finally had a

very small BM and felt a little better - the abdominal pain subsided after BM

but still had a little of the right side pain and nausea. Could this be die-off

or the fiber from the avocado or possibly salicylates from avocado? I tolerate

well steamed broccoli fine which i assume has a good bit of fiber.

> >

> > I may have over done it on the olive oil at lunch yesterday possibly but not

sure. I feel better this morning and I've only drank some grass fed beef broth

and some electrolyte drink (no honey). Should i call my Dr. and have my gall

bladder checked out? I have right upper quadrant pain off and on - not sure

why. It calms down when i'm eating only pureed foods and i have pain when i

start back eating non-pureed foods.

> >

> > Nausea has just started recently for me so i'm wondering if it's die-off.

I've tried introducing Scdophilus and digestive enzymes the last 2-3 weeks and

they both caused nausea but this is the first time i've had it after eating

food.

> >

> > Kim and Jodi - i did a search on here and saw where you guys have had URQ

pain and had some tests so i think i may need to get some tests done. My GI Dr.

isn't under my insurance so i'm going to have to find a GI that is covered under

my insurance. I may call my GP and try to get a referral from her. Thanks for

any help!

> >

> >

> >

>

[Guest guest]

A

gastroenterologist is the one you need to start with, or with your primary care

physician to refer you to a gastroenterologist. Hopefully he/she will

order tests beyond the standard colonoscopy and endoscopy; sounds as if you had

these two recently so you shouldn’t have to take them again. There

are a number of tests that look at the upper GI, and I think I’ve had

them all except one which looks more at the pancreas (EUS). Blood work

checking liver and pancreatic enzymes levels, among other things. HIDA

scan, HIDA with CCK, abdominal ultrasounds, abdominal X-rays, MRCP, MRCP with

secretin, GES, CT scans. Depending on the results of all of this, you can

get a few others that are more specific to bile ducts and the Sphincter of

Oddi: ERCP, EUS, Debray Scan, Sphincter of Oddi manometry.

All

depends on your symptoms and what tests results indicate. The last four I

mentioned aren’t ordered often, and many hospitals don’t offer the

procedure, so sometimes you end up traveling a bit. I was lucky in that my

current gastroenterologist (the third one I saw who immediately suspected I had

Sphincter of Oddi dysfunction) is an ERCP specialist and his hospital offers all

but one of the tests. If my results from the Debray scan were

inconclusive I would have been sent to a hospital 4 hours away for the

manometry. Fortunately my Debray Scan results identified the

disorder. I ended up getting an ERCP with sphincterotomy, which

identified a bile duct blockage and helped restore some functioning to my

Sphincter of Oddi.

Here’s

a helpful website that discusses GI disorders: http://www.hopkins-gi.org/ Click on

Health Information Diseases & Conditions. Good illustrations and

reliable information.

Don’t

be afraid to ask for second and third opinions. I had some terrible

experiences with the first two gastroenterologists I went to; they didn’t

even pick up some basic problems much less order tests that identified my more

uncommon disorder. I’ve had to do that with neurologists as well;

the first one ordered a few tests but missed a number of things that the second

neurologist immediately recognized, even before I’d had more tests.

So it helps to continue to seek answers. When it comes to

gastroenterology and neurology, there seems to be more difficulties in finding

answers. I do feel very lucky that I found both a gastroenterologist and a

neurologist so quickly and so close (only 30 and 60 minutes drive); it isn’t

always that easy, based on the experiences of people in my other support

groups.

Keep

us posted. SCD helps tremendously, but it helps to know what we’re

dealing with so we can better fine-tune our food choices.

Kim M.

SCD 6 years

Sphincter of Oddi dysfunction 6+ years

neurological & spinal deterioration 3+ years

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

Would

a Gastroenterologist do these tests or can my General Practitioner? I need to

find a Gastro. Dr. under my insurance anyway so either one would be fine. I may

call my GI Dr. and get a recommendation from her (she had said she would do

that before i had my colonoscopy done) but she's 2 hrs. away and i know the Dr.

she would recommend would be in here area. There is a GI Dr. only about 45 min.

from me that some people in my local Gluten Intolerance Group recommended so

maybe i'll try him.

[Guest guest]

Thanks so much Kim! This is very helpful. I don't look forward to searching

for a good gastroenterologist but i've got to start. I've cut back on my animal

protein consumption starting yesterday and that has helped a lot it seems. I

had a little pain yesterday and just a little for about 3 minutes this morning

after breakfast but none this afternoon. I'm feeling better overall too - i

look back now and see that i've been eating a good bit of protein. I'm going to

print out and save your information to refer to - thanks so much and i'll let

you know how it goes!

>

>

>

>

>

> A gastroenterologist is the one you need to start with, or with your primary

> care physician to refer you to a gastroenterologist. Hopefully he/she will

> order tests beyond the standard colonoscopy and endoscopy; sounds as if you

> had these two recently so you shouldn't have to take them again. There are

> a number of tests that look at the upper GI, and I think I've had them all

> except one which looks more at the pancreas (EUS). Blood work checking

> liver and pancreatic enzymes levels, among other things. HIDA scan, HIDA

> with CCK, abdominal ultrasounds, abdominal X-rays, MRCP, MRCP with secretin,

> GES, CT scans. Depending on the results of all of this, you can get a few

> others that are more specific to bile ducts and the Sphincter of Oddi:

> ERCP, EUS, Debray Scan, Sphincter of Oddi manometry.

>

>

>

> All depends on your symptoms and what tests results indicate. The last four

> I mentioned aren't ordered often, and many hospitals don't offer the

> procedure, so sometimes you end up traveling a bit. I was lucky in that my

> current gastroenterologist (the third one I saw who immediately suspected I

> had Sphincter of Oddi dysfunction) is an ERCP specialist and his hospital

> offers all but one of the tests. If my results from the Debray scan were

> inconclusive I would have been sent to a hospital 4 hours away for the

> manometry. Fortunately my Debray Scan results identified the disorder. I

> ended up getting an ERCP with sphincterotomy, which identified a bile duct

> blockage and helped restore some functioning to my Sphincter of Oddi.

>

>

>

> Here's a helpful website that discusses GI disorders:

> http://www.hopkins-gi.org/ Click on Health Information Diseases &

> Conditions. Good illustrations and reliable information.

>

>

>

> Don't be afraid to ask for second and third opinions. I had some terrible

> experiences with the first two gastroenterologists I went to; they didn't

> even pick up some basic problems much less order tests that identified my

> more uncommon disorder. I've had to do that with neurologists as well; the

> first one ordered a few tests but missed a number of things that the second

> neurologist immediately recognized, even before I'd had more tests. So it

> helps to continue to seek answers. When it comes to gastroenterology and

> neurology, there seems to be more difficulties in finding answers. I do feel

> very lucky that I found both a gastroenterologist and a neurologist so

> quickly and so close (only 30 and 60 minutes drive); it isn't always that

> easy, based on the experiences of people in my other support groups.

>

>

>

> Keep us posted. SCD helps tremendously, but it helps to know what we're

> dealing with so we can better fine-tune our food choices.

>

>

>

> Kim M.

>

> SCD 6 years

>

> Sphincter of Oddi dysfunction 6+ years

>

> neurological & spinal deterioration 3+ years

>

>

>

> >>>>>>>>>>>>>>>>>>>>>>>>>>>>>

>

> Would a Gastroenterologist do these tests or can my General Practitioner? I

> need to find a Gastro. Dr. under my insurance anyway so either one would be

> fine. I may call my GI Dr. and get a recommendation from her (she had said

> she would do that before i had my colonoscopy done) but she's 2 hrs. away

> and i know the Dr. she would recommend would be in here area. There is a GI

> Dr. only about 45 min. from me that some people in my local Gluten

> Intolerance Group recommended so maybe i'll try him.

>