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Doctor insights on: Acalculous Cholecystitis Diagnosis

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What is pancreatitis? Differential diagnosis considered pud, pancreatitis.

What is pancreatitis? Differential diagnosis considered pud, pancreatitis.

Inflammation : It is inflammation of the pancreas. The most common causes are alcohol use and gallstones. Some medicines can cause it. It can be mild or severe. Sometimes the pancreas will start to digest itself. ...Read more

Dr. Jarrod Kaufman
203 doctors shared insights

Cholecystitis (Definition)

A condition in which the gallbladder (the small, pear-shaped organ on the right side of the abdomen, beneath ...Read more


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Differential diagnosis for acute appendicitis?

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 more

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Is gallbladder removal the preferred treatment for mild acalculous gb wall thickening?

Is gallbladder removal the preferred treatment for mild acalculous gb wall thickening?

Possibly: If there are no stones and the symptoms are manageable then surgery is not required. ...Read more

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How is a gallbladder sludge diagnosed?

How is a gallbladder sludge diagnosed?

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

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Homeopathic treatment for gallbladder stones?

Homeopathic treatment for  gallbladder stones?

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 more

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Is gallbladder surgery good for bilary dyskinesia?

Is gallbladder surgery good for bilary dyskinesia?

Usually: Biliary dyskinesia is the second most common reason (behind gallstones) for removal of the gallbladder. If the diagnosis is correct ( low ejection fraction on a hida scan), most patients get relief of their right upper quadrant abdominal pain and nausea after surgery. ...Read more

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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 more

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Biliary dyskinesia--diagnosis and treatment?

Biliary dyskinesia--diagnosis and treatment?

HIDA scan: Diagnosis is made to confirm non function of the gallbladder.An ultrasound will show no stones and be normal. A hida scan will demonstrate decreased function or decreased ejection fraction and most likely produce pain if cck is used. The treatment is gallbladder removal. ...Read more

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How is diagnosis hydronephrosis secondary to staghorn calculi diagnosed?

How is diagnosis hydronephrosis secondary to staghorn calculi diagnosed?

CT scan is best: Kidney ultrasound is not the best modality for diagnosis of staghorn calculus. It is very good in diagnosing hydronephrosis. Most cost effective way, which will give an accurate diagnosis is a plain abdominal X-ray plus kidney ultrasound. ...Read more

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What could cause gastritis, duodenitis, & esophagitis? Have had nissen & lap chole for acalculous cholecystitis.

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 more

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Bile induced IBS after gallbladder removal?? True?? Best med for diarrhea cholestyramine after gb removal ?

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

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Is a gallbladder sludge considered a gallbladder disease?

Is a gallbladder sludge considered a gallbladder disease?

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

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Been havin episodes of severe pain under breastbone, HIDA scan showed gallstones & 48% function but no acute cholecystitis, could still begallbladder?

Yes: Especially if it the lower part of the breast bone, and radiates to the back. May want to see a general surgeon for a consultation regarding removing the gallbladder. ...Read more

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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

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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?

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 more

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What is gallbladder adenomyomatosis?

Adenomyomatosis: This is an overgrowth of the mucosa of the gallbladder that is likely associated with gallstones. There is no clear association with cancer though it is commonly found in the gallbladder of patients with gallbladder cancer. ...Read more

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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.

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 more

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