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Gastroenterology (Expert Forum)
Frequent RUQ fullness & pain; elevated alkaline phosphatase; sl. elevated total bilirubin
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.
Frequent RUQ fullness & pain; elevated alkaline phosphatase; sl. elevated total bilirubin
by Stormy0516, Feb 13, 2007 12:00AM
Frequent Rt upper quadrant fullness &, pain (with occasional nausea & indigestion) within about 45 minutes - 2 hrs past meals. Hx of 'fatty liver' diagnosis. Recent lab results (last week):
Total Bilirubin - 1.4 (was 1.2 in March, 2006)
Alkaline Phosphatase - 141; (was 89 in March, 2006)
SGOT - (24) within normal limits; (was 18 in March, 2006)
SGPT - (47) within normal limits; (was 38 in March, 2006)
Total Protein - (8.7), sl. elevated; (was 8.1 in March, 2006)
I have had multiple gallbladder ultrasounds, and upper GI tests over the years (all of the results were negative)
Any ideas, as to what might be causing this? Any recommendations for any further follow-up, or tests?
Thanks!
Total Bilirubin - 1.4 (was 1.2 in March, 2006)
Alkaline Phosphatase - 141; (was 89 in March, 2006)
SGOT - (24) within normal limits; (was 18 in March, 2006)
SGPT - (47) within normal limits; (was 38 in March, 2006)
Total Protein - (8.7), sl. elevated; (was 8.1 in March, 2006)
I have had multiple gallbladder ultrasounds, and upper GI tests over the years (all of the results were negative)
Any ideas, as to what might be causing this? Any recommendations for any further follow-up, or tests?
Thanks!
Doctor's Answer
by Kevin Pho, MD, Feb 14, 2007 12:00AM
, Feb 14, 2007 12:00AM
You have had a good initial evaluation with the ultrasound and upper GI series.
Further testing can be considered with a HIDA scan with CCK stimulation (to evaluate the gallbladder ejection fraction), as well as an abdominal CT scan.
If the gallbladder EF is low, surgery can be considered to remove the gallbladder.
You can also consider looking at the biliary ducts with an MRCP.
These options can be discussed with your personal physician, or in conjunction with a GI 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_
Further testing can be considered with a HIDA scan with CCK stimulation (to evaluate the gallbladder ejection fraction), as well as an abdominal CT scan.
If the gallbladder EF is low, surgery can be considered to remove the gallbladder.
You can also consider looking at the biliary ducts with an MRCP.
These options can be discussed with your personal physician, or in conjunction with a GI 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_
