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Doctor insights on: Patients Reason Pain Pancreatitis Contract

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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?

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

Dr. Ralph Layman
1,368 doctors shared insights

Pancreatitis (Definition)

Inflammation or infection of the pancreas (the organ positioned behind the lower ...Read more


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Upper abdominal pain when juicing replicates severe gall bladder attack, however mine was removed some 30 yes ago. Can lack of gall bladder cause this?

Upper abdominal pain when juicing replicates severe gall bladder attack, however mine was removed some 30 yes ago. Can lack of gall bladder cause this?

Not exactly: Your pain could rarely be due to a primary stone of the bile duct. Evaluation includes ultrasound and labs. Treatment would be ERCP with stone extraction and stenting. Also consider duodenal or gastric ulcer. These are all treatable, so seek evaluation. Past other surgeries might matter. ...Read more

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Gallbladder removed, history of C-Diff + Chronic Cholcystitis, bile ducts Symptoms continue, Upper Abdominal pain, bloating. what could it be?

Gallbladder removed, history of C-Diff + Chronic Cholcystitis, bile ducts  Symptoms continue, Upper Abdominal pain, bloating. what could it be?

Too complex: That situation is too complex to analyzing analyze in 400 characters. If you'd like, set up a consult on Healthtap concierge, and I will be happy to work through things for you, to see if I can help. Good luck. ...Read more

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Is it possible to have gallbladder disease w/50% ejection fraction? Hidascan w/cck caused same pain i have. Constant upper right quad pain, nausea increases with exercise, headaches above right eye

Is it possible to have gallbladder disease w/50% ejection fraction? Hidascan w/cck caused same pain i have.  Constant upper right quad pain, nausea increases with exercise, headaches above right eye

Maybe not...: Hida scans measure several things--uptake ; excretion of hida by liver, gallbladder function, ductal patency/ function. Cck is given to stimulate gallbladder contraction--mimicking food entering the duodenum from stomach. If the gallbladder has a sluggish ejection fraction (ef. ...Read more

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Why does back pain occur with pancreatic diseases?

Why does back pain occur with pancreatic diseases?

Pancreas: Is an organ that lies directly on the spine, closer to your mid back than to the front of abdomen. That is why inflammation of the pancreas or tumors of the pancreas commonly cause pain there. ...Read more

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Post by-pass surgery have developed conditions causing considerate on-going chest pain. Doctors debating between angina and costal chondritis for 2 yr?

Chest pain: It seems a long time for costochondritis but another thought is pericarditis which can persist after surgery. Most importantly, would rule out coronary blockage as a cause of the discomfort. ...Read more

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Absence of fever, how to distinguish pancreas pain from peptic ulcer pain assuming presentation luq burning pain radiating to back?

Absence of fever, how to distinguish pancreas pain from peptic ulcer pain assuming presentation luq burning pain radiating to back?

Cannot without help: Your described symptoms of a burning luq pain can have many possibilities. You have only noted 2 possibilities of many, and likely picked the 2 worst case scenarios. Abdominal pain can have many causes and reasons, and pancreatitis or peptic ulcer would also be associated with severe pain, nausea and vomiting, inability to eat, etc. You yourself cannot tell what you may have; must see a doctor. ...Read more

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I have 3 small gallstones but don't cause problems. Can starting cholesterol meds cause gallbladder issues? feeling achy pain rt. side around waist

 I have 3 small gallstones but don't cause problems. Can starting cholesterol meds cause gallbladder issues? feeling achy pain rt. side around waist

Unlikely: Some medications actually decrease the risk of forming gallstones (i.e., statins like atorvastatin). You have a known history of gallstones, so you may develop symptoms at any time. You should speak with your primary care doctor, as the pain on your right side may be related to the meds, either from muscles or the liver. You should have blood work done to be sure. ...Read more

Dr. John Kirk Dr. Kirk
3 doctors agreed:
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Can IBS or spastic colon cause similar symptoms to appendicitis ? I get severe lower right abdominal pain but no fever . Been getting worse recently

Dr. John Kirk Dr. Kirk
3 doctors agreed:
Can IBS or spastic colon cause similar symptoms to appendicitis ?  I get severe lower right abdominal  pain but no fever . Been getting worse recently

Yes and I feel for U: Many infectious problems can cause such symptoms. Most common would be a urinary tract infection or kidney stone. Often this will come with burning during urination. Ovarian cyst rupture or pelvic inflammatory disease can also cause these symptoms. Appendicitis and diverticulitis are in the mix, as well. Yes, and ibs is plausible as well. If it worsens or persists check with your doctor! ...Read more

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Can alcohol cause cholecystitis ? Or any damage to gallbladder?. Intense gallbladder pain for 1yr afta quoting heavy drinking. US, BLOODS normal?

Can alcohol cause cholecystitis ? Or any damage to gallbladder?. Intense gallbladder pain for 1yr afta quoting heavy drinking. US, BLOODS normal?

It is the pancreas.: alcohol usually affect the pancreas, and the attack is very similar to the gallbladder attack. make sure you have it checked by checking the pancreatic enzymes, like amylase, and lipase, in addition to the liver enzymes. it is important to do that, because acute pancreatitis not only painful, but it could be dangerous. so please have it checked, and you might want to slow down on the alcohol. ...Read more

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18yo female, bloating and pain after eating, becoming worse. Have coeliac disease. Not reflux, pregnant, fecal overload, chrons disease, gall stones.

Food sensitivities: Consider checking for other food sensitivities. Gut takes at least 6 months to heal from gluten damage. Casein, the protein in milk, can also cross react with gluten. This is different from being lactose intolerant, and one can be intolerant to both lactose and casein. Consider also avoiding milk. ...Read more

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Chronic pancreatitis what pain meds are prescribed for chronic pancreatitis when a person has daily pain from the illness?

Chronic pancreatitis

what pain meds are prescribed for chronic pancreatitis when a person has daily pain from the illness?

Varies.: If there's chronic pain that's severe, a doctor might prescribe daily opioid - a long acting agent and then a short acting one for breakthrough. With flare ups of the pain, i've seen people use Amitriptyline along with opioids or nsaids, coupled with a short hospital stay where the person doesn't eat (so they don't stimulate the pancreas). ...Read more

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Is it urgent to have HIDA scan when have gallstones, probable blockage or mass, severe abdominal pain with abdomen fluid, no appetite/vomiting,nausea ?

Is it urgent to have HIDA scan when have gallstones, probable blockage or mass, severe abdominal pain with abdomen fluid, no appetite/vomiting,nausea ?

Yes: The wording here leaves to question if the gall bladder is surgically absent, so the answer is the same: Unless this presentation has been worked up, it is urgent to have a HIDA (cholescintigraphy) to rule out acalculous gallbladder disease, high-grade and partial biliary obstruction, or even postcholecystectomy pain syndrome, like sphincter-of-Oddi dysfunction & biliary atresia. Urgent=today. ...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