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Doctor insights on: Tumefactive Sludge Gallbladder

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Ultrasound results: large gallstone present in neck of gallbladder and tumefactive sludge. What is meaning?

Ultrasound results: large gallstone present in neck of gallbladder and tumefactive sludge. What is meaning?

See below: It means a gallstone is stuck in the neck of the gallbladder and preventing biles from leaving the gallbladder, causing the biles to clump up into debris, instead of being bile fluid. I would recommend talking to your physician regarding appropriate management. ...Read more

Dr. Mark Ingerman
1 Doctor shared a insight

Gallbladder (Definition)

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


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What's a dysfunctional gallbladder? I have a gallbladder sludge

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

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What foods/meals can I eat if I have sludge buildup in my gallbladder?

What foods/meals can I eat if I have sludge buildup in my gallbladder?

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

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I've been diagnosed with a large gallbladder sludge. What is cholecstomy?

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

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I was told my gallbladder had sludge in it and is dialated what does this mean?

I was told my gallbladder had sludge in it and is dialated what does this mean?

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

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Can gallbladder sludge be removed laproscopically if the sludge is extremely large?

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

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What happens when u have inflammation on the day for cholecystomy for gallbladder sludge?

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

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I recently found out that my gallbladder has sludge in it & is working 57%, is surgery in my future?

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

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Can the gallbladder w/sludge be inflammed without person feeling pain? Is it normal for gb to be inflammed but have no pain

Can the gallbladder w/sludge be inflammed without person feeling pain? Is it normal for gb to be inflammed but have no pain

Yes: Pain with gb usually when trying to squeeze against pressure like blowing a pea thru a straw. If gb drains without pressure may not have pain but if sludge gets stuck in tube draining gb, ouch. Also nausea and vomiting if pressure builds up. ...Read more

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Cholecystomy friday for gallbladder sludge that's inflamed. Will I stay longer than 24 hours after surgery? What determines my release from hospi

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

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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 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

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How common is a large gallbladder sludge?

How common is a large gallbladder sludge?

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

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Does gallbladder sludge means gallbladder walls are thick?

Does gallbladder sludge means gallbladder walls are thick?

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

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How to cure gallbladder sludge? What diet foods should I take?

How to cure gallbladder sludge? What diet foods should I take?

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

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What will the injection fraction when there's a gallbladder sludge diagnosis?

Function: That test tells how well your gall bladder works. If the ejection fraction is low it should be removed. It is not working right. ...Read more

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They told me that I have sludge and crystals in my gallbladder. What does this mean?

They told me that I have sludge and crystals in my gallbladder. What does this mean?

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

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Can a large gallbladder sludge cause the gallbladder not to function at all or properly?

Can a large gallbladder sludge cause the gallbladder not to function at all or properly?

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

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What are some gallbladder issues that will cause hospitalization? I have a gallbladder sludge

What are some gallbladder issues that will cause hospitalization? I have a gallbladder sludge

A severe: Infection involving the gall bladder can lead to hospitalization. Rarely a stone can block the duct. That is also serious. Sludge usually is not. ...Read more

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I have sludge in my gallbladder and have had recent pain there. Is there a downside to having it removed?

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

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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.

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.

Not uncommon: 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

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Is constipation associated with a gallbladder sludge?

Is constipation associated with a gallbladder sludge?

No: Constipation can coexist with gallbladder sludge, but there shouldn't be a cause and effect relationship. ...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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Is it normal for shoulder pain with a gallbladder sludge?

Is it normal for shoulder pain with a gallbladder sludge?

Yes: Even sludge if it passes can cause variable discomfort. This may be especially true if the pain follows a fatty meal. ...Read more

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Will the ejection fraction be low because of a sludge gallbladder?

Will the ejection fraction be low because of a sludge gallbladder?

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

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I have a gallbladder sludge, and am having chills. What shall I do?

I have a gallbladder sludge, and am having chills. What shall I do?

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

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What is cck during a hida exam, I've been diagnosed w/a sludge gallbladder?

What is cck during a hida exam, I've been diagnosed w/a sludge gallbladder?

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

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I have a gallbladder sludge with symptoms, will. I.Be referred to a surgeon?

I have a gallbladder sludge with symptoms, will. I.Be referred to a surgeon?

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

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Can a gallbladder sludge cause inflammation in the gallbladder with no symptoms?

Can a gallbladder sludge cause inflammation in the gallbladder with no symptoms?

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

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Wondering if it's normal to feel like total sludge 10 days after gallbladder removal?

Yes: Yes patient will feel tired drained fatigue after any surgery
very normal make sure you drink plenty of water exercise some and eat healthy
pain medication will make people feel that way as well. ...Read more

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If I go to the ER for symptoms that I'm having from gallbladder sludge will I be admitted?

If I go to the ER for symptoms that I'm having from gallbladder sludge will I be admitted?

Depends: If you have acute complication, like blood infection, inflamation of gall bladder, pancreas, after examination and blood test results, if it is not severe enough may be admitted, as acute emergency. ...Read more

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I had nuclear med scan for gallbladder sludge today, how long before surgery to remove gallbladder?

Depends: It depends on the test. If it shows gallbladder dysfunction then surgery would be needed and scheduled electively. Depending on your surgeons schedule it is usually a week to a month time frame. ...Read more

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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

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If there's inflammation when I have cholecystomy to remove gallbladder and sludge, will I need a drainage?

If there's inflammation when I have cholecystomy to remove gallbladder and sludge, will I need a drainage?

Usually no: Routine uncomplicated cholecystectomy or removal of gallbladder do not require drainage, how ever may need depending on operative findings, presence severe infection, pus pockets etc when present needs drainage, speak to your surgeon. ...Read more

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Can a gallbladder sludge cause constipation. I have constipation but have been diagnosed w/a gallbladder sludge?

Not usually: If the gallbladder is inflamed enough it could cause some difficulty with bowels. You may need to have the gallbladder out but would not expect this to cure your constipation. This problem may have to be worked up independent of gallbladder. ...Read more

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Does a gallbladder sludge indicate a dysfunctional gallbladder. I have sludg gallbladder and took nuclear med scan yesterday.

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

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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

Remove when painful.: Probably best to discuss this with surgeon.

Gall bladder sludge can sometimes cause gallbladder duct dysfunction and pain. The best reason to remove the gallbladder is the "very painful" part of your story. If it feels fine then leave it alone. ...Read more

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Cholecthiasis and gallbladder sludge with lots of inflammation. Cholecytomy monday. Is it possibility lapro will b converted to open?

Cholecthiasis and gallbladder sludge with lots of inflammation. Cholecytomy monday. Is it possibility lapro will b converted to open?

Some times yes: Most of the time gall bladder could be removed with pin hole surgery, or laparoscopic surgery, very rarely it may not be possible due to severe adhesion, abnormal anatomy, bleeding etc then it will be removed by open incision speak to your surgeon about your concern. ...Read more

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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.

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

Dr. James Chapman
5 Doctors shared insights

Gall Bladder (Definition)

Sac like organ that serves to store bile, a digestive detergent which is made in the liver. Typically contracts after eating and sends the stored bile down ducts to ...Read more