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Gastroenterology (Expert Forum)
post surgery stones
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
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post surgery stones
by painpillhead, Feb 21, 2003 12:00AM
Hello. I am experiencing a dull pain on my right side, and in my back area by my right shoulder blade. I had my gallbladder removed in Aug 2002 due to gallstones, and I am still very tender in this area. I am going to doc on Monday and will they will do a sonogram. I don't have fever, I am not yellow...If there is/are stones in the duct, what is done to treat this?
I also am being treated for Hep C and have just finished up a 6 month treatment (yesterday) with PegIntron/Rebetol. Could this be a reason for mild pain?
thank you.
Lori
I also am being treated for Hep C and have just finished up a 6 month treatment (yesterday) with PegIntron/Rebetol. Could this be a reason for mild pain?
thank you.
Lori
Doctor's Answer
by Kevin Pho, MD, Feb 21, 2003 12:00AM
, Feb 21, 2003 12:00AM
Hello - thanks for asking your question.
Pain after cholecystectomy is a known entity (please see my previous answers regarding Post-cholecystectomy syndrome).
If there are stones remaining in the duct, a procedure known as an ERCP is commonly done by a gastroenterologist. This will identify and remove stones in the duct. If, after a complete evaluation (including an ERCP with sphincterotomy), a patient continues to have debilitating, intermittent RUQ pain, and no diagnosis is found, the procedure of choice after a normal exploratory laparotomy is a transduodenal sphincteroplasty.
Here are some adverse effects of PegInterferon from the Drug Information Handbook:
"ADVERSE REACTIONS >10% : Central nervous system: Headache (56%), fatigue (52%), depression (16% to 29%), anxiety/emotional liability/irritability (28%), insomnia (23%), fever (22%), dizziness (12%), impaired concentration (5% to 12%), pain (12%) Dermatologic: Alopecia (22%), pruritus (12%), dry skin (11%) Gastrointestinal: Nausea (26%), anorexia (20%), diarrhea (18%), abdominal pain (15%), weight loss (11%) Local: Injection site inflammation/reaction (47%), Neuromuscular & skeletal: Musculoskeletal pain (56%), myalgia (38% to 42%), rigors (23% to 45%) Respiratory: Epistaxis (14%), nasopharyngitis (11%) Miscellaneous: Flu-like syndrome (46%), viral infection (11%)"
As you can see, abdominal pain is a potential adverse effect. However, there are plenty of other reasons for RUQ pain and this should be explored with your personal physician. I strongly suggest followup.
I stress that this answer is not intended as and does not substitute for medical advice - please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Pain after cholecystectomy is a known entity (please see my previous answers regarding Post-cholecystectomy syndrome).
If there are stones remaining in the duct, a procedure known as an ERCP is commonly done by a gastroenterologist. This will identify and remove stones in the duct. If, after a complete evaluation (including an ERCP with sphincterotomy), a patient continues to have debilitating, intermittent RUQ pain, and no diagnosis is found, the procedure of choice after a normal exploratory laparotomy is a transduodenal sphincteroplasty.
Here are some adverse effects of PegInterferon from the Drug Information Handbook:
"ADVERSE REACTIONS >10% : Central nervous system: Headache (56%), fatigue (52%), depression (16% to 29%), anxiety/emotional liability/irritability (28%), insomnia (23%), fever (22%), dizziness (12%), impaired concentration (5% to 12%), pain (12%) Dermatologic: Alopecia (22%), pruritus (12%), dry skin (11%) Gastrointestinal: Nausea (26%), anorexia (20%), diarrhea (18%), abdominal pain (15%), weight loss (11%) Local: Injection site inflammation/reaction (47%), Neuromuscular & skeletal: Musculoskeletal pain (56%), myalgia (38% to 42%), rigors (23% to 45%) Respiratory: Epistaxis (14%), nasopharyngitis (11%) Miscellaneous: Flu-like syndrome (46%), viral infection (11%)"
As you can see, abdominal pain is a potential adverse effect. However, there are plenty of other reasons for RUQ pain and this should be explored with your personal physician. I strongly suggest followup.
I stress that this answer is not intended as and does not substitute for medical advice - please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Lori