A women in his mid 20s walked with her mother, pale, tired and disturbed walked into the doctors cabin. As she sat, she was restless and groaned in pain. Upon asking her daughter revealed, she has pain in stomach after the breakfast which includes ghee paratha and some tea. Also she throws the food out once she’s done eating.
After asking the patient, she says it hurts her below the breast and is in episodes but it got worse in last two days. Previously she seldom felt nausea and vomiting but it has increased recently. She feels bloated and restless after the meals.
The doctor performed the examination and found positive Murphy and Blumberg sign, he also asked to get a Abdominal X-ray and CT scan done.
After the tests the doctor, confirmed the diagnosis and prescribed the medication. Asked to take bland and less oil food, with consumption of food with less spice.
Pain after fatty meals(like ghee paratha) suggests biliary involvement.
-Vomiting, bloating, nausea, and restlessness after meals.
-Pain below the breast, especially in the right upper quadrant, aligns with gallbladder pain.