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Gastroenterology (Expert Forum)
Could this be gallbladder
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
Could this be gallbladder
by tagblg, Apr 06, 2006 12:00AM
Hi! At the end of February I started having urq pain with nausea and diarrhea and upper right back pain rumbling stomach and a ton of gas from both ends, very bloated feeling. Since then i had went to the ER and had an abdominal cat scan and blood work which all was said to be negative, except for a cyst on my right ovary and a beign hemangioma on liver about 1.0 cm. Blood work found the h ploryi bacteria. Took prev pac for that. Still having diarrhea and ruq pain and back pain, most eating food related. Had ultrasound of gallbladder which was said to be normal; but still just showed that hemagioma on liver, then had ultrasound with kinevac, which showed normal ejection fraction of 72%, but did state a hint of dependant sludge. Had another battery of bloodwork done to rule of b 12 and celiac disease. This was done by my primary and not my gastro doctor.
gliadin IgA,S 22.3 expected values <=25.0
vitamin b12 27 reference range 180-914 ng/L
folate 12.2 reference range >=3.5 ug/L
transglutaminase AB (IGA) 6.2 reference range 0.0-30.0 U
IGG 1140 reference range 600-1500 mg/dl
IGA 246 reference range 50-400 mg/dl
gliadin IgG 16.9 expected values <=25.0
Some of these test seem to be on the low or high end of the range. What does that mean? My gasto doc says he is 60% sure it is my gallbladder and sent me for a surgical consult. I did not get a good feeling at the consult he just wanted to schedule the surgery and get me out of his office.
DX with acid relux and hiatal hernia many years ago. Have had some tingling of the extremities and feeling very depressed. Had nuero consult and being treated for cervical and lumbar ridiculopathies. Had mri of brain, back and neck, only finding was a question of lyme disease, but neuro says no, bulging discs in my neck and arthritis od lower back. I had read many of the symptoms of celiac disease and have so many of those. What are your thoughts on the levels of my bloodwork? I am 41 years old, dont drink or smoke.
Gastro doc is now ordering a hyda scan with kenevac. What could this show that the ultrasound with kenevac did not. I was orginally told that the ultrasound with kenevac was a better more updated test than the hyda scan, is this true, which would you suggest? I would surely hate to have my gallbladder removed without exploring if there is any other options. I feel it is all gallbladder and my gasto doc say he is 60% sure it is, due to it mostly be related to eating. Any sugestions as to any other tests or procedures prior to this surgery would be greatly appreciated! Please if you dont respond to all my questions please give me your thoughts on my bloodwork. Can a gallbladder act this way with not much showing up on the tests? My ndoc says I have the classic ruq pain and hurts like the dickins when pushing up under the rib area and pain when taking a deep breath during my attacks and the radiating back pain.Thank you for your time!!!!!!
tagblg
gliadin IgA,S 22.3 expected values <=25.0
vitamin b12 27 reference range 180-914 ng/L
folate 12.2 reference range >=3.5 ug/L
transglutaminase AB (IGA) 6.2 reference range 0.0-30.0 U
IGG 1140 reference range 600-1500 mg/dl
IGA 246 reference range 50-400 mg/dl
gliadin IgG 16.9 expected values <=25.0
Some of these test seem to be on the low or high end of the range. What does that mean? My gasto doc says he is 60% sure it is my gallbladder and sent me for a surgical consult. I did not get a good feeling at the consult he just wanted to schedule the surgery and get me out of his office.
DX with acid relux and hiatal hernia many years ago. Have had some tingling of the extremities and feeling very depressed. Had nuero consult and being treated for cervical and lumbar ridiculopathies. Had mri of brain, back and neck, only finding was a question of lyme disease, but neuro says no, bulging discs in my neck and arthritis od lower back. I had read many of the symptoms of celiac disease and have so many of those. What are your thoughts on the levels of my bloodwork? I am 41 years old, dont drink or smoke.
Gastro doc is now ordering a hyda scan with kenevac. What could this show that the ultrasound with kenevac did not. I was orginally told that the ultrasound with kenevac was a better more updated test than the hyda scan, is this true, which would you suggest? I would surely hate to have my gallbladder removed without exploring if there is any other options. I feel it is all gallbladder and my gasto doc say he is 60% sure it is, due to it mostly be related to eating. Any sugestions as to any other tests or procedures prior to this surgery would be greatly appreciated! Please if you dont respond to all my questions please give me your thoughts on my bloodwork. Can a gallbladder act this way with not much showing up on the tests? My ndoc says I have the classic ruq pain and hurts like the dickins when pushing up under the rib area and pain when taking a deep breath during my attacks and the radiating back pain.Thank you for your time!!!!!!
tagblg
Doctor's Answer
by Kevin Pho, MD, Apr 07, 2006 12:00AM
, Apr 07, 2006 12:00AM
The bloodwork seems to be within the normal range, and are not suggestive of celiac disease. However, to be completely sure, a biopsy is needed via an upper endoscopy. This can be discussed with your gastroenterologist.
If you are not comfortable with the surgical evaluation - I would obtain another opinion. A gallbladder ejection fraction of 72% is normal and does not suggested gallbladder dysfunction. Another opinion can be considered before going through the surgery.
I am more familiar with the HDIA scan with CCK stimulation - so I cannot comment on the ultrasound with kenevac.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
If you are not comfortable with the surgical evaluation - I would obtain another opinion. A gallbladder ejection fraction of 72% is normal and does not suggested gallbladder dysfunction. Another opinion can be considered before going through the surgery.
I am more familiar with the HDIA scan with CCK stimulation - so I cannot comment on the ultrasound with kenevac.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
