A member asked:

Pain ruq-x6mos- dr says gall bladder but tests hida,cbc,cmp,lipase,amalyse,egd and abdom us 6m ago nml- can this be pancreatic cancer? 30 yrs old.

3 doctors weighed in across 3 answers
Dr. Cornelius Oleary answered

Specializes in Urgent Care

RUQ pain: Referral to an academic medical center to see a general surgeon. If your pain persists, you need additional imaging including abdominal CT scan +\-MRI. A careful history, full physical exam hepatitis serologies liver function tests. Hepatobiliary Scintigraphy+GBEF or ERCP possible expert options-Rome III criteria. Pancreatic cancer unrelenting pain weight loss, pruritus-CT or PET scan.Good luck.

Answered 1/10/2016

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Dr. Herman Hammerstead answered

Specializes in Trauma Surgery

Get Mri: When fishing for a diagnosis in the abdomen a MRI us the best bait. Suggest Mri / Mrcp. These should r/o any renal or retroperitoneal problems

Answered 1/10/2016

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Unlikely: It's possible that you have gall bladder dysfunction or sludge in the gall bladder which may not show up on ultrasound. Pancreatic cancer seems unlikely in view of the normal abdominal ultrasound. For the sake of completeness a ct scan of the abdomen and liver function tests may reassure you about your pancreas and liver. In the meantime try a very low fat diet.

Answered 1/10/2016

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