Questions in the Gastroenterology and Liver Diseases Forum have been answered by Dr. Kevin Pho who is board certified in Internal Medicine and by doctors from Henry Ford Health System.
| |
|
Subject: Re: gallstones Hi, I'm a 38 yr. old female who had my gallbladder removed in Oct. of 97. The surgeon told me that i was riddled with gallstones and he thought he may have left a few behind. They were so small they never blocked the bile duct. Last Friday I experienced discomfort similar to the same I had when I got gallbladder attacks. I went to the e.r. My liver functions, spgt was 841 and sgot was 1247. They admitted me and the next day they dropped to 547 and 90 respectively. They did and ERCP on Monday and I developed pancreatitis. My lipades (?) were 7000 which dropped to 300 something 2 days later. They are totally baffled as all my other levels were normal including the alkaline phosphates. Bilirubin was normal. They did some autoimmune tests which some are still pending, although hepatitis b is definitely ruled out. The ERCP was inconlclusive because he couldn't get in my bile duct. I was discharged Thurs. and am home and everything I eat causes diahrrea. In your opinion, should I ask my GI to check for anything else. I'm a very high stressed person and didn't know if an ulcer can possibly cause these elevations. My functions, same ones, were also elevated before the removal of my gallbladder, however, I was on prozac and taking excedrin heavily and some nutrition supplements. When I went off all of those my level dropped to normal. Please advise. _ Dear Karen, The occurrence of pancreatitis rquires that the physician exclude common bile duct stones ( a likely outcome given the history that you provide) and alcohol as the cause for the pancreatitis. For this reason the ERCP is needed and cannulation of the common bile duct of great importance. An ulcer would be an unusual cause for your elevations. I am at a loss to explauin why you have diarrhea. Ask your gastoenterologist to look for causes of diarrhea ( assuming that it persists). This information is presented for educational purposes. Ask specific questions to your personal physician. HFHSM.D.-rf
|
|
|