Doctor insights on:
Living Without A Spleen And Gallbladder
The gallbladder is a sac-like structure located under the right lobe of the liver. It is attached to the common bile duct via the cystic duct. The gallbladder can store bile when the bile is not needed, and can squeeze bile into the bile duct and intestine for digestion when a person eats larger ...Read more
Usually not: 700, 000 americans have their gallbladders removed each year. While there may be some side effects after removal, these are generally easily managed. You did not say why your spleen was removed, but here the only that you should know is there is a very small risk for overwhelming bacterial infection, known as post-splenectomy sepsis. You can speak with your family doctor about this. ...Read more
After a cholecystectomy, some people initially have a hard time digesting fatty foods, but most have no noticeable effects on digestion, other than absence of the right upper quadrant pain they used to get.
After splenectomy you are prone to a couple of specific infections, so it is important to be immunized (pneumovax, h. Influenzae b, meningococcal). ...Read more
No: It is extremely unlikely for splenic enlargement to be related to gallbladder disease. In very rare events, such as long term bile duct obstruction from gallbladder disease, it could happen. Bile duct obstruction could cause liver damage which could cause portal hypertension which would cause splenic enlargement. Once again, this would be extremely rare. ...Read more
I got severe out of nowhere pain down my right side I don't have my gallbladder, spleen or appendix so what could. It be hurts more with food?
Moderation: Yes, it is safe to indulge in adult beverages, but moderation is recommended. ...Read more
Gallbladder: Thickened gallbladder + gallstones in the absence if symptoms such as abdominal pain, nausea/vomiting associated with meals= chronic gallbladder disease. This may or may not be related to the enlarged spleen. Certain hereditary diseases such as hereditary spherocytosis may be associated with spleen enlargement and gallstones. See your doctor to sort this out. ...Read more
Probably not GB: Gallbladder disease, most frequently cholecystitis, or inflammation of the gallbladder, does not cause enlarged spleen. Under very unusual circumstances, bacterial infection could cause some response or abscess in the spleen. More often, enlarged spleen or splenomegaly is a reflection of liver disorder, in which the gallbladder may also be affected. Check with your doctor. ...Read more
I know an MRCP is used to look at pancreas, bile ducts, gallbladder and liver. Would it also show the spleen?
ERCP: This does not look at the spleen - spleen is not connected by any duct system to the the other structures. ...Read more
U/s for gallbladder polyp and liver cyst came back fine except said spleen mild enlarge 12.2 cm. I am 48 and 5"9. Scared what does this mean?
Nothing serious: Spleen size is somewhat variable in each person. So there is no serious condition which I can think of, when a spleen is reported as "mildly enlarged" Any radiology report which says slight or mild abnormaility is mostly insignificant because a radilogist is not always sure of what may be normal or close to normal. So they often place a comment like this to cover themselves...purely defensive act! ...Read more
Can a bad gallbladder have a connection to an enlarged spleen? Hida: gallbladder is not working and u/s says that my spleen index is 900 too. CBC OK.
Not usually,: But there are uncommon conditions such as hereditary spherocytosis which can result in gallstones and splenomegaly. Also, viral inflammatory processes could potentially affect gallbladder function and also cause an enlarged spleen. But in any case, it is not the gallbladder problem that is causing the enlarged spleen, it is a separate process causing both. Of course, they may also be unrelated. ...Read more
I had a sonogram for gallbladder symptoms. Everything was OK but my spleen was enlarged with an index of 900. Doc didn't seem worried but I am. Advice?
Had ultrasound done on abdomen report said unremarkable liver gallbladder and spleen but said my right kidney was slightly small measured size kidney.
The renal length varies with height and weight and decreases slowly with age. Right kidney is usually slightly smaller than the Left. Normal size ranges from 9-12 cm (90-120 mm) and the difference in size should not exceed 2 cm. So the right kidney being "slightly" smaller is likely insignificant. If you have the actual measurements you can interpret them using the above
guidelines. ...Read more
What does this mean for the gallbladder from CT report: the liver, spleen, pancreas, etc are all normal. The gallbladder is identified?
I had my gallbladder removed in my teens and early this year I had to have my spleen removed at was grossly enlarged. A few months later I went back because my head still felt like it was full of cotton and a bloodtest revealed I elevated biliruben count
Find cause: Bilirubin count has basically nothing to do with either organ. Most often a slightly high bilirubin count in someone who's healthy is gilbert's non-disease, in which missing a few meals drives the indirect bilirubin up. Foremost, you need to find why you really had your spleen removed -- demand an answer. Do you have hodgkin's or some other serious illness? I wish you the best. ...Read more
Can bile leak through belly button if gallstone has cut gallbladder open? Green crusty discharge only one day, tons of pain, gallstones enlarg spleen
Why did radiologist push on my small intestine, spleen, and gallbladder (while looking at screen) at the end of upper GI series ("barium swallow")?
5 months upper-mid abd. Pain/18 pound weight loss. Upper GI, US, 2 CTs, 1 MRI. UGI found gastritis, HP neg. No help from PPIs. Gallbladder ok. CTs/MRI followed spleen lesions, thought now to be Sarcoid. Could Sarcoid cause other pain? (Lungs ok.)
Abdominal pain: Your various and detailed testing only showed gastritis but your ongoing pain combined with significant weight loss suggests more than gastritis going on. I recommend a gastroscopy with special attention to areas of the stomach where some gastric ulcers-benign or malignant are difficult to visualize. If you've already had a gastroscopy I recommend another one for thoroughness. ...Read more
My AST, ALT liver enzymes are very high (808 and 365) my CT today found an enlarged liver, spleen, and gallbladder--with thickened walls. What's next?
What is next??: I suspect you mean what tests. Percutaneous liver biopsy ...Read more
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
Chest & stomach pain tenderness under right rib, pain in right back at bottom of rib, platelets 438, AST 127, ALT 33 normal u/s.No gallbladder/spleen?
Not sure: That I fully understand the question. Is it normal ultrasound? What do you mean "no gallbladder/spleen"? Blood tests seem normal. Need full medical history & physical exam. Many things cause pains that are not the gallbladder. Pancreatitis, gastritis, stomach ulcer, constipation, muscles, back injury with radiating nerve pain, etc. Ask your doctor for a referral to a specialist if needed. ...Read more
Not traditionally: The term "chronic Lyme disease" refers to the symptoms of continued headache, joint pains, fatigue, and sometimes cognitive difficulties that can continue to occur for months after the initial infection and antibiotic course. Gastrointestinal involvement as with the liver and gallbladder suggest another diagnosis. ...Read more
My nephew had his gall bladder and spleen removed 2 weeks ago and since then his white blood count has been 1, 400, 000 They have been doing dialysis bu?
More info needed: Your nephew's case sounds very complex - not something that can be sufficiently handled in this format. As he is your nephew and not your child you are going to have to rely on information provided to you by his parents. They are undoubtedly in close communication with his treating physicians and are privy to more details about his underlying condition and subsequent post-operative issues. ...Read more
Ultrasound said gall bladder, liver, spleen normal. Few tiny foci 6mm in gall bladder. Should I be concerned about cholestasis? Will stones get bigger?
Cholestasis: Is the slowing down or blockage of bile flow from the liver to the small intestine via the bile ducts, and can have various etiologies. A gallstone can result in obstructive cholestasis by exiting the gallbladder and getting stuck in the common bile duct, thereby causing an obstruction. Gallstones can get bigger with time. ...Read more
LUQ pain for 2 months. Fullness and aching sharp pain that is under ribs from front straight through to back. Normal ct. History of elevated wbc and anemic. Could it be my spleen function? I had gall bladder disfunction that didn’t show until hydasca
Just a thought:
But there is an "entity" called "Splenic Flexure Syndrome" It is essentially BOWEL GAS which collects in the HIGHEST section of the large bowel (colon) the BEND which occurs just BELOW the spleen!
This is the "catching" pain some people get after RUNNING!
See Diagram between 2 and 3
Hope this helps!
Dr Z ...Read more
Gallbladder pain: Usually is mid epigastrium or right upper quadrant. Left side is unusual manifestation of gallbladder pain. Consult your doctor for other possibilities. ...Read more
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