Doctor insights on:
Tumefactive Sludge Gallbladder
Ultrasound results: large gallstone present in neck of gallbladder and tumefactive sludge. What is meaning?
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
Good question...: A dysfunctional gallbladder is also known as biliary dyskinesia in medical jargon and is a poorly understood gallbladder disorder responsible for abdominal pain that mimics gallstones. The diagnosis is made with a nuclear medicine test called hida scan with cck challenge. Positive test is defined as a abnormally low gallbladder ejection fraction with or without reproduction of symptoms. ...Read more
Avoid Fat food.:
You can eat almost anything you desire, but you must
1). Avoid fatty and greasy food.
2). Avoid diets high in cholesterol.
3). Keep yourself well hydrated.
Maintain normal weight.
When you begin to have symptoms, please talk to your pcp for surgical evaluation to remove the gallbladder. ...Read more
Cholecystectomy?: The gallbladder stores bile, which helps digest fats. Sometimes the contents of the gallbladder become thickened and contain more than just bile, and this is referred to as sludge. Like gallstones, this thickened material can block the gallbladder's duct and cause pain or infection. Assuming you meant cholecystectomy, this is the medical word for surgical removal of the gallbladder. ...Read more
Gabladder not normal: You have a gallbladder with sludge. You probably had an ultrasound and this showers sludge which means a build up in the gallbladder and poor emptying. If you are frequently having right upper quadrant pain a hida scan to determine your ejection fraction may help you determine if a gallbladder removal will help. Watch your diet and see your doctor mean while. ...Read more
Yes...: Gallbladder sludge refers to a very thick viscous bile (e.g. Wet sand or mud consistency) that sits in the gallbladder. If it is responsible for your symptoms, then removal of the sludge along with the gallbladder is what's needed. This can almost always be done laparoscopically unless you have had multiple other abdominal surgeries in which case they might have to open you up. ...Read more
Normal reaction: Of course, your gall bladder is going to be inflamed if it is irritated from sludge and you are scheduled to have it taken out. This is no different than draining an abscess - it is infected and inflamed, and needs to be incised and drained, followed by antibiotics. Have confidence in your surgeon, go through the chole surgery, and you should do just fine with proper followup. ...Read more
I recently found out that my gallbladder has sludge in it & is working 57%, is surgery in my future?
Maybe...: Its impossible to predict who might need their gallbladder removed until symptoms arise. Good luck! ...Read more
I had a gallbladder attack 4+ years ago. I had sludge in my gallbladder... Does that ever go away or still there.
Still there: As above and probably progressed to stones which can be seen on an ultrasound. ...Read more
Can the gallbladder w/sludge be inflammed without person feeling pain? Is it normal for gb to be inflammed but have no pain
Cholecystomy friday for gallbladder sludge that's inflamed. Will I stay longer than 24 hours after surgery? What determines my release from hospi
Most go home: Most cholecystectomy are laparoscopic and go home the same day or at least the next day with a quick one week recovery. ...Read more
Ultrasound: Pain after eating a fatty mean may be a sign of a gallbladder that isn't 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
Variable: Gallbladder "sludge" is believed to be small stones (form of cholelithiasis). In the usa it is estimated, approximately 1-2% develop stones each year and approximately 1-2% become symptomatic. Gallbladder dysfunction, biliary dyskinesia (acalculous cholecystopathy) frequency is unknown. ...Read more
Nope: The gallbladder is a small hollow organ that holds bile. This helps us digest fat. When you look at the gallbladder with an ultrasound the bile can appear like sludge which probably just describes the consistency of the bile. Thickening of the gallbladder wall can be seen on the ultrasound as well and usually is a result of inflammation. These are two different findings. ...Read more
Removal: Sludge in the gallbladder occurs when there is an alteration in liver metabolism, and one of three main components of bile crystallize, and sit in the gallbladder. This sludge will eventually coalesce in to stones. There is no cure for the inderlying cause. Surgical removal of the gallbladder does solve the problem. If there are no symptoms, its ok to watch it. ...Read more
May be problem: Sludge and crystals in gallbladder are usually detected by ultrasound examination. Sometimes these are transient and disappear. Usuall if patient has symptoms referrable to gall bladder disease a hida nuclear medicine exam is performed to determine if gall bladder is functioning normally. If normal function and prdesence of sludge not usually a problem. If gall bladder disease sometimes surgery. ...Read more
Wrong order: Sludge and stones form in poor functioning gallbladder. Symptomatic gallbladder disease is treated with surgical removal of your gallbladder. This is something you should discuss with your family physician. If you are symptomatic, a family physician should refer you to a skilled minimally invasive surgeon to evaluate for possible cholecystectomy. ...Read more
I have sludge in my gallbladder and have had recent pain there. Is there a downside to having it removed?
Always some risk: With any invasive procedure. Risks of removing a gb and stones/sludge are infection, bleeding, injury of nearby structures (liver, intestine, bile ducts). The risks without surgery would be worsening symptoms and risk of passing a small stone such as developing pancreatitis. It sounds like, for you, the risks without surgery are worse than risks with surgery. I'd likely advise you to have it too. ...Read more
I got my gallbladder taken out for sludge, but I am having some pains in the same area, I got it taken out in oct. Is this normal? It's cold out too.
About 15% of people still have pain after gallbladder surgery. Discuss with doctor. Your liver may still be producing sludge. Sometimes taking ox bile with meals helps. Sometimes a "liver flush" helps- see http://emedicine. Medscape. Com/article/192761-overview
; http://www. Ener-chi. Com/articles/does-your-liver-need-an-overhaul/
; http://gallbladderattack. Com/aftergallbladderremoval. Shtml. ...Read more
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
Yes: Even sludge if it passes can cause variable discomfort. This may be especially true if the pain follows a fatty meal. ...Read more
No-2 Diff. Diseases: "sludge" is a common finding in the gb during pregnancy, rapid wt loss, or fasting; it usually has no clinical consequence, although some people clearly progress to gallstone formation. "biliary dyskinesia" is a condition where the gallbladder does not empty well, leading to pain that simulates a gb attack; this is diagnosed by a cck-hida scan. Most people w/biliary dyskinesia do not have sludge. ...Read more
Biliary colic: Gallbladder sludge is the same as very small gallstones. You may be having a gallbladder attack, aka biliary colic. If you develop fever or vomiting get checked sooner. Otherwise call your doc for a surgery consult/referral. You may benefit from gallbladder removal, but you need consult to determine. ...Read more
Cause gb contraction: Patient is injected intravenously with isotope tagged to chemical hida that is extracted preferentially by liver cells mimicking bile. Some of this is stored in gall bladder and some enters small bowel from common bile duct. Cholecystokinin (cck) is a natural hormone slowly injected intravenously to stimulate gall bladder contraction. Normal function has at least 35% emptying of gall bladder. ...Read more
Cholecystitis: Chronic cholecystitis or gallbladder stones/sludge associated with symptoms of pain, bloating, belching and nausea is a reason to see a surgeon for a surgical consult. Okay to ask your doc to send you to as surgeon. In the majority of cases, an outpatient laprascopic gallbladder removal will be helpful to the patient. ...Read more
Its possible: Sludge is very small stones. The majority of gallstones are symptom free. The symptoms are pain after eating, bloating, belching and progress to severe frequent pain that lasts longer and longer. Fever, vomiting and complication of pancreatitis or liver obstruction are potentially life threatening. Okay to talk to your doctor about your diagnosis and your health. Good luck. ...Read more
I had nuclear med scan for gallbladder sludge today, how long before surgery to remove gallbladder?
My dr wants me to have a hida a can due to sludge in my gallbladder. Will state medicaid pay for that?
Pay if valid reason: Gallbladder sludge is mixture of bile, mucous and tiny bits of cholesterol-based and calcium-based particles. Sometimes precursor to gall stones. Some people with sludge asymptomatic. Others have right upper quadrant pain radiating to back and shoulder with nausea and vomiting. Hida judges function of gall bladder and sometimes normal with sludge. Sludge and stones associated sometimes with anemia. ...Read more
If there's inflammation when I have cholecystomy to remove gallbladder and sludge, will I need a drainage?
Does a gallbladder sludge indicate a dysfunctional gallbladder. I have sludg gallbladder and took nuclear med scan yesterday.
Sometimes: Biliary sludge is a mixture of particulate matter which has precipitated from bile. It generally consists of cholesterol monohydrate crystals, calcium bilirubinate or other calcium salts. Sludge is almost always an ultrasonographic diagnosis. Prevalence of sludge is relatively low. Complete resolution or progression to gallstones are possible. Sludge formation is probably from gb dysmotility. ...Read more
What does it mean if I have large gallbladder sludge and the ER said it needs to be removed? Why would it need removal? Very painful
Cholecthiasis and gallbladder sludge with lots of inflammation. Cholecytomy monday. Is it possibility lapro will b converted to open?
Ok very scared. Went to the ER they said I have gallbladder sludge a small amount should I b worried can I die? What is going on wit me.
Not from this: Gallbladder sludge or stones are very common. If pain keeps coming back see a surgeon to remove gallbladder. For now avoid fatty foods. ...Read more
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