Doctor insights on:
Acalculous Cholecystitis Diagnosis
RLQ Pain: Long list including diverticulitis, crohn's disease, pelvic inflammatory disease, cholecystitis(gallbladder), ovarian cyst or twisted ovary, colon cancer, kidney stone, perforated ulcer, pancreatitis, bacterial infection and urinary tract infection to name a few. ...Read moreSee 1 more doctor answer
Possibly: If there are no stones and the symptoms are manageable then surgery is not required. ...Read more
Ultrasound: Pain after eating a fatty mean may be a sign of a gallbladder that isnt working. So a history and physical exam is the most important thing. Next your doctor may order an ultrasound. They may see gall stones or sludge. That is small stones that may block the duct. The gall bladder is a storage vessel. They may also order a hida scan to assess function. ...Read more
None: There is no effective homeopathic treatment for gallstones. In the past some prescribed medicines were used to dissolve stones, but they had many side effects and were not that effective. Laparoscopic cholecystectomy has replaced medical dissolution and shock wave treatment. ...Read moreSee 1 more doctor answer
MRCP shows a distended gallbladder, numerous calculi, common bile duct up to 0.6cm, no evidence of choledocholithiasis, abdominal pain 2 mo. Surgery?
CT/MRCP shows inflammation of gallbladder,liver and spleen. Sev RUQ pain. 18yo. ANA positive,IgG low, no stones. Dr ordered hida scan. Ideas?
See rheumatologist: You appear to have an autoimmune and/or immune deficiency problem. I note that you are already on Plaquenil (hydroxychloroquine) (SLE?). If you are already under the care of a rheumatologist, consider getting an immune evaluation as well because of the low IgG (how low?). If the problem progresses, you need to go to an university center for further workup. ...Read moreSee 1 more doctor answer
What could cause gastritis, duodenitis, & esophagitis? Have had nissen & lap chole for acalculous cholecystitis.
H. pylori: The most common cause of gastritis and duodenitis is a bacterium called helicobacter pylori. When large amounts of the bacteria invade your stomach or small intestine, inflammation can occur. Curing helicobacter pylori (h. Pylori) infection may provoke reflux esophagitis. ...Read moreSee 1 more doctor answer
Bile induced IBS after gallbladder removal?? True?? Best med for diarrhea cholestyramine after gb removal ?
Yes but will resolve: After gallbladder surgery, some people have ongoing abdominal symptoms, such as pain, bloating, gas, and diarrhea (postcholecystectomy syndrome). Following cholecystectomy, bile which was once stored in the gallbladder and released only after meals, now flows continuously into the intestines and cause irritation. Cholestyramine absorbs bile, but these symptoms will often resolve over time. ...Read more
I was diagnosed with chronic cholecystitis. Is this the same as functional gallbladder disease? My hida scan revealed poor gallbladder function.
Yes if there's pain.: Pain after eating, anywhere in the upper abdomen, especially with fatty foods, may be cholecystitis. This is true if stones are present, called "cholelithiasis with cholecystitis." sometimes when the gall bladder ultrasound is "normal", i.e. There are no stones, the gall bladder doesn't empty properly (seen on cck hida). This can also be true with sludge. In all cases, surgery relieves the pain. ...Read more
Been havin episodes of severe pain under breastbone, HIDA scan showed gallstones & 48% function but no acute cholecystitis, could still begallbladder?
Right upper quadrant pain post gall bladder surgery. Sphincter of Oddi dysfunction or adhesions? Conflicting physician opinion.Need specialty care.
Can be both: Sphincter of Odi dysfunction can cause gall bladder like pain. Drugs like Morphine Sulfate can cause spasm of the sphincter of Odi with similar pain. Adhesions can also cause similar pain, so both opinions may be correct. A more detailed history will likely help answer your question ...Read more
11yo with hida scan gallbladder ef 0.0% normal initial biliary scan no detectable gallbladder ef reproduced pain with cck what s this mean my child?
Gall bladder disease: Cck is natural hormone that stimulates gall bladder to contract. If ultrasound exam shows no calculi or gall bladder thickening, this uusally means gall bladder dyskinesia. Gall bladder does not contract normally causing pain and the ejection fraction is low. The cck should have been injected in a slow intravenous dose at time of study. Treatment usually involves consulting pediatric surgeion. ...Read moreSee 2 more doctor answers
Is hyperkinetic gallbladder a recognized diagnosis? Hida scan result 97% w/ ruq pain and nausea for 2.5 months. U/s, egd, colonoscopy, and labs neg.
Not by most: Most physicians in nuclear medicine and gastroenterology believe that increased ejection fraction of gall bladder is probably normal (above 35%). A well known nuclear physician reported small group of patients with hyperkinetic gall bladder getting relief with removal of gb. More studies needed to convince most surgeons. ...Read moreSee 2 more doctor answers
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