Have you had a HIDA Scan? I have upper right abdominal pain, all tests showed nothing. After a painful ultra sound they did a Hida Scan; that showed problems with the gall bladder. Something you might want to ask about.

@amm97 - Did the tests show which abdominal arteries were narrowed?
I have had a variety of abdominal pain causes- still have some.
One of the most painful causes was narrowing of the celiac artery due to a ligament from the diaphragm indenting the artery- this is what is called MALS. Median Arcuate Ligament Syndrome. The pain gets worse when one is digesting a meal- less blood flow to the intestine. I had pain also when sitting bent over. Most people show weight loss. Not me- I gain weight with everything!
I have had severe pain from esophagitis, gallbladder, bile ducts, pancreatitis and intestinal inflammation.
If I were you, I would see a gastroenterologist at a major university medical center and have your tests reviewed.
The narrowing of the abdominal arteries should be re- evaluated.

I believe in the duplex- the confirming test should be the CTA. That’s why I think you should have a re- evaluation.

@lahjuly4 -
I had episodes of intense pain over several years before I was diagnosed. I had IBS then also in addition to GERD and always thought it was related to this.
Thinking back, the pain was too intense to be IBS. It would take my breath away- often for hours.
The pain was located in upper abdomen, spreading across and causing tenderness.
Pain in abdomen is not very specific to the area causing the pain. Pain in an organ is often referred to certain areas- not necessarily at its the exact location.
I went to gastroenterologists so often they would tire of me!
The MALS condition I mentioned is very rare - most doctors are not very familiar with it or even consider it.
That’s why the Duplex is a very important test. It should be performed and evaluated by skilled technicians and doctors.
Keep searching!

@amm97 - Is there any chance you could have celiac disease?
CTs and MRIs normal, but abnormal biopsy of small bowel or antibodies present. Check with your primary doctor for this. There could be weight loss with this too secondary to malabsorption.
Don’t go gluten free now- if biopsy is needed, it will alter the intestinal mucosa.
Still consult with another vascular surgeon.

It sounds like you have Abdominal Cutaneous Nerve Entrapment (ACNES). I suggest you try the CARNETT test. Next you would need trigger point shots to the area for temporary relief. Only cure is cut those effected nerves . My surgeon performed Robotic Laparoscopic surgery last September - I was suffering terribly- and I walked out of hospital same day cured. I'd be happy to discuss with you. Let me know.

I also had epigastric pain-after a million tests that showed nothing-I found through this site that is was MALS (Mesenteric Artery Ligament Syndrome). Do some research and check MALS Awareness on Facebook. Hope this helps.

Hi I am a 24 year old female I have been having upper right and left abdominal on and off consistently since Aug 2021. The pain is sharp/ crampy like. I have also lost 30 lbs so far since then without a major appetite change. Ive already had my gallbladder out in 2015. So far MRI, CTA, colonoscopy, endoscopy have all came back normal. I had a duplex ultrasound done which showed narrowing in a couple of the arteries in my abdomen but the CTA and MRI didn’t show anything. Recently I’ve been experiencing extreme fatigue even though I feel like I have been sleeping good. The doctors still have no idea what is causing my symptoms.

I also had my gallbladder taken out this time last year. So two years ago I slowly stopped eating due to a lack of appetite. I am a male 6ft tall 228 lbs to 179lbs in eleven months then had GB out. Slowly started eating to now year later gained it all back by eating late at night. I’m struggling to keep on going with such chronic pain.

It sound like you are suffering from Abdominal Cutaneous Nerve Entrapment Syndrome (ACNES). Steps are first taking the Carnett Test (youtube), second, triggerpoint shots to area for temporary relief until you find a surgeon who is familiar with ACNES. I had my T8, T9 and T10 nerves cut and left hospital same day cured. Dr Gillespie at St Joseph's Medical Center in Phoenix does the procedure. If you need more information i'd be happy to help.
Jeff