Prolonged Right Upper Quadrant discomfort (1 year) - had US/MRI

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28 y.o male, overweight (15.5st) 5' 10"

Had oesophegal/stomach/duodenal ulcers as a child.

heavy drinker for last 6-8 years.

Have had discomfort in upper right quadrant, about an egg size discomfort just below the lower right rib - for about a year now.

Was tested for h pylori - negative

had ultrasound to check for gall stones, hernia, or other problems in the area - came back completely clear.

next step was abdominal MRI, again I think to check for possible hernia or liver issues - came back normal but with signs of mild diverticulosis.

My specialist at this point wrote me to say nothing of concern was found and that he was "happy with the result."

It's great to hear no fatty liver, no gall stones, kidneys normal size etc, but sadly nothing to treat this chronic discomfort.

I have my suspicions that either the diverticulosis (which is essentially a hernia is it?) or some undiscovered hernia of some type is the problem. Pushing on it relieves the pain, and I almost feel like I want to wear a belt around my mid section... Upon waking in the morning, the discomfort is often unnoticeable or even gone completely, but comes back after 30 mins - 2 hours - often with or without food.

From my basic research, I know that a spigelian hernia can be difficult to diagnose so I've considered that.. and also some more morbid conditions that result in "vague abdominal discomfort" but am unaware if they would present like this.

Other than the discomfort, there are next to no other symptoms that I can note. No unexplained weight loss, stools fine etc. I have had heartburn on and off for a long time, seemingly due to alcohol use and indeed stopping alcohol seems to treat the heartburn.

Am sort of at a loss as to what to do next. Gastroenterologist pre-mri mentioned that he couldn't justify using the camera as of yet.

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