Doctor insights on:
Cholelithiasis Without Cholecystitis
Had cholecystectomy, found chronic cholecystitis, no gallstones, 5 months ago. For the last few mo. Been having pain again and into my back and Naseua
See your GI: Your gallbladder was part of your problem not all your problem. You need to see a GU doctor for endoscopy upper and lower if you have not had one already, to ruled out ulcer, gastritis, reflux.you need to have ERCP and measurement of the sphincter of Oddi pressure to make sure that is not the problem, you might have to have CT scan as well. If all negative then you have irritable bowel syndrome.
Had gallbladder removed 3 months ago for chronic Cholecystitis, (no gallstones) now I'm starting to get pains again where gallbladder was and nasuas?
Cholangitis?: The absence of gallstones points only to some predilection for that part of the body to get infected. So soon after surgery, u cd be developing another infection (especially if u have fevers \ sweating or other symptoms. Alternatively, a rare surgical complication could be developing. I doubt that any surgical equipment was left, but talk2 ur surgeon & primary doctor to get tested & some treatment
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.
Had ultrasound of my gallbladder, it showed that I had small gallstones, wall thickening, 5mm, and no pericholecystic fluid, choleystitis? No fluid?
Meaning severe?: Acute cholecystitis, "gallbladder attack": severe, upper abdominal pain, sometimes radiating between shoulder blades, associated often with vomiting. Can have fever, dark urine, pale stool, especially if stone gets stuck in bile ducts. Can have infection, and/or pancreatitis-both serious, potentially life-threatening problems.
Gallstones: Cholecystitis may be chronic, causing repeat episodes of upper abdominal pain lasting "hours", or acute, causing constant pain which may require urgent surgery to treat. With rare exception, these diseases are due to gallstones, which can be easily diagnosed by a simple ultrasound. This may also be easily treated through out-patient minimally invasive (laparoscopic) surgery.See 1 more doctor answer
Fatty: Avoid fried fatty greasy foods, cheeses, french fries, butter, mayonnaise, hot dogs, cheese pizza, fried chicken, etc. You get the idea.
Maybe nothing: If you have asymptomatic gallstones, a very common finding, you have no dietary restrictions whatsoever. If you have symptoms, just eat a low fat diet until surgery can be accomplished. There are approx. 20 million Americans with gallstones at any one time, and only about 5% will develop symptoms each year. It's not a cumulative stat, so you may never develop symptoms. Good luck.
Yes: Anyone can get cholecystitis. The traditional teaching about who is at higher risk is the 5 'F''s. Fertile (many post partum women) Fat (no explaination needed) Forty (same) Female (same, probably due to #1) Familial Certain ethnic groups seem to have a higher incidence as well as those with sickle disease or trait
Depends: If the cholecystitis (gallbladder inflammation) is caused by gallstones, then laparoscopic surgery to remove the gallbladder is likely the best choice. If it is from biliary dyskinesia without gallstones, then option of trying medications or surgery may be considered. Your doctor can help your decision process depending on your conditions.
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