What is the likelihood that I have a gallstone stuck in my bile duct?
I had my gallbladder removed on 3/21/13 and the week following surgery I felt great. The past two, however, I have felt extremely nauseous, all day every day. My doctor did the four liver function tests and all results were normal except the ALK PHOS test. My level was 132. At the time, I had not been experiencing any pain, so the doctor said that he didn't believe I had any remaining stones. He said that if you are obese (which I am), your level can be elevated. For the past several day, I have been experiencing the same pain I had prior to surgery, but to a bit lesser extent. It feels like I have had a couple of small attacks. The pain is in my right rib, upper mid / right side of back, and in my chest. Today I was vomiting. My question is about the likelihood of having a stone in my duct. Being that my level was only slightly elevated, is it likely that I have a stone or not? I have requested my doctor contact me so I will follow up with him, but would appreciate any feedback anyone has.
Additionally, my MPV level was slightly elevated as well (11.2). Could the two be connected? I read that elevated levels for both can mean hyperthyroidism. I've been checked for this twice in the past year, but my TSH levels have been normal. I know you can still have issues even though the TSH tests are normal, but what is the likelihood of that? For the past year I have been excessively hot, sweating more than normal, had a low-grade fever, tremors in my hands, anxiety, insomnia, and now for the past month or two, heart palpitations....all symptoms of an overactive thyroid, but is it likely with my levels being only slightly elevated, that this could be what has been causing me those problems this past year?
The most common reason for recurrent pain soon after gallbladder surgery is sludge or stones that have passed down the main bile duct. This is typically evaluated by repeating your liver function tests and obtaining a MRCP. An MRCP would be preferable to an ERCP in this situation. This is merely a specialized MRI scan which doesn't require any scopes be inserted or tubes placed up the bile duct. Your surgeon needs to know about your symptoms.
In sub clinical forms of hyperthyroidism, there may not be elevation of thyroxine (T3 & T4) levels, but there can be a reduction of TSH levels. Palpitation and tremors can be seen with anxiety also. But it may be worthwhile to check your thyroid status again after 4 weeks.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.