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Mild pain and itching under RIGHT rib cage—caused by GSV or back pain?



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I'm 40, male, 6'3" tall. Had Gastric Sleeve surgery in Dec 2013, and have gone from 425 to 280.

I've been having an interesting sensation for several months now, which I think MIGHT be linked to my surgery, and/or to a recurring back problem that preceded my surgery.

Plateaued the last several months, partly due to less exercise after a flare-up of an old back injury, plus eating more "white" foods—I'm not eating past my full point (literally only 3 or 4 times since my surgery) and have not had a drop of carbonation since my surgery. Have never vomited at any point since surgery, and I very rarely belch.

Before the plateau, I began having the following symptoms:

—Very mild discomfort—something like a mild strain or slight pressure—just under and behind rib cage on my RIGHT side about 4 inches along the rib from bottom of my sternum

—Occasional "internal itching" in the same spot. This is different from the mild discomfort I just described, and I usually notice it while lying down.

—Occasionally the discomfort seems to radiate outward along the front right rib cage or even through to the corresponding spot on my right rear rib cage. These sensations are also very mild.

—At no time have either of these sensations felt anything but minor. No shooting pains, no "wow I just ate too much too quickly" pressure, nothing but very, very mild tenderness to the touch, and only if I press firmly on it.

—No other digestive issues anywhere in my body, and no other issues or injuries except for my back.

—All of this is happening on RIGHT side. Nothing at all on left side, which seemed odd to me because in these forums I see a lot of people having left-side issues.

—A back injury 17 years ago and many years of obesity in between have left me with degenerative disc disease in my lower back, specifically in the L4, L5, and S1 area. The disc between L5 and S1 is barely there.

Interesting twist—during the last couple of years BEFORE Gastric Sleeve, I had very little back pain, but after I got down from 425 to 325 or so, the pain came back in a big way. It always feels like I have a dull knife stuck in me on the RIGHT side of the L5-S1 spot, and I have frequent muscle spasms radiating up and down my right side from that spot. These spasms/soreness go up to about the rib cage on my right side, and down to the very top of the right buttock, but they DO NOT radiate down my right leg.

Any ideas?

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Did they remove your gall bladder during surgery or do you still have it? If you mentioned this I missed it.

Why don't you change the info under your picture, it shows you to be a female.

Edited by MIMISAN

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My gall bladder was not removed.

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Go get Checked for an adhesion!!!

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

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        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

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        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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