Upper-Right Abdomen Pain Made Worse By Eating

What Causes Upper-Right Abdomen Pain Worse After Meals?

Upper-right abdomen pain worse after meals can have various causes, just like most other symptoms.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose upper-right abdomen pain worse after meals, we could:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "upper-right abdomen pain worse after meals" as a symptom.  Here are three possibilities:
  • Stomach Ulcers
  • Gallbladder Disease
  • Sphincter Of Oddi Dysfunction

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
reasonably controlled diabetes
high coffee consumption
pain after large/fatty/night meal
burning epigastric pain after meals
slight abdominal distension
moderate meal-induced pain
frequent aspirin use
frequent unexplained nausea
stabbing epigastric pain after meals
recent onset nausea
having excess body fat
gallbladder attacks
... and more than 40 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of upper-right abdomen pain worse after meals:
Cause Probability Status
Sphincter Of Oddi Dysfunction 95% Confirm
Gallbladder Disease 28% Unlikely
Stomach Ulcers 4% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

If you indicate abdominal pain increased by eating, The Analyst™ will ask further questions including this one:
UPPER-RIGHT abdomen: Do you experience discomfort or pain behind the right rib cage that sometimes or always becomes worse after eating?
Possible responses:
→ No / I only have pain when I eat / don't know
→ Rarely / a few times a year
→ Yes, mild pain becomes moderate pain after eating
→ Yes, mild pain becomes severe pain
→ Yes, moderate pain becomes severe pain
Based on your response to this question, which may indicate meals worsen top-right abdomen pain, The Analyst™ will consider possibilities such as:
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