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Thanks everyone! Doc, they did ultrasound and found no stones and they concluded that it was a peptic ulcer. I couldn't believe she was in so much pain and still is. She's been home at my in-laws for a few hours now and her dad (who's a physician) had to sedate her with sleeping meds to ease the pain. Her eating and lifestyle habits have to change now, that's for sure.
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true true statdoc. although i feel it must be pointed out that a high white count and sudden onset of pain isn't the most typical presentation of benign PUD -- it can be the presentation of perforated PUD. hence, my concern. without seeing the films, examining the patient or seeing the lab tests, i'll reserve judgment. h pylori antibody was probably positive, hence the treatment...
everyone doesn't always have a high white count, nor does everyone with a white count have a surgical problem. the combo, as described, was certainly suspicious. i don't discredit the stress response, but something more than PUD gastritis + stress margination was going on.... as long as she is getting better, that's all that matters....
i certainly hope this takes care of the problem, phong....please let us know if we can be of any help!
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