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Gastroenterology (Expert Forum)
bile
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.
bile
by sweetie425, Aug 01, 2003 12:00AM
im a 47 yr old indian/white woman.i had aortic valve replaced in 96,working ok.drs suspected more cardiac problems so they perform heart cath,it was normal.next day someone in electric wheelchair hit me and i pass out on floor,next i was in emergency they perform many test everything normal.then i started experencing severe stomach pains. then i felt i needed to go to bathroom,bile excretion,but couldnt.or just a little amount and at first every beige bile.and still severe stomach pains.this is going on for two weeks.i went to dr ,he gave me colace and something else for flushing and order some type bile studies.i was in ARMY served in first GULF WAR,experence problems every since.what u in best professional dr experience think is causing me not to be able to go to bathroom,bile excretion.and i never had this problem before.
Doctor's Answer
by Kevin Pho, MD, Aug 09, 2003 12:00AM
, Aug 09, 2003 12:00AM
I'm not quite sure what is meant by "bile excretion". If you continue to have stomach pains, you may want to consider the various causes for this - such as gall bladder pain, ulcers, GERD, or inflammation of the stomach or esophagus.
An upper GI series or upper endoscopy would be the first tests to evaluate the stomach pain.
If there is concern about the biliary tree or gall bladder, an ultrasound would be a reasonable test to see if there are any diseases that could be affecting the biliary system.
I would also check your liver function tests to see if there is any elevation (which could be due to any damage to the biliary system).
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.
Thanks,
Kevin, M.D.
An upper GI series or upper endoscopy would be the first tests to evaluate the stomach pain.
If there is concern about the biliary tree or gall bladder, an ultrasound would be a reasonable test to see if there are any diseases that could be affecting the biliary system.
I would also check your liver function tests to see if there is any elevation (which could be due to any damage to the biliary system).
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.
Thanks,
Kevin, M.D.
Member Comments (5)
by surgeon, Aug 01, 2003 12:00AM
it would help to know what you mean by "bile excretion." Also, how long ago did the wheelchair injury occur? It's possible to have injured something internally which could be causing the problem. A CAT scan might be in order, especially if the injury was very recent.
by shubunkin, Aug 01, 2003 12:00AM
To: surgeon
First of all I want to say you are a blessing to this board. Could you please email me at ***@**** I have a few questions to ask you about colon cancer and I would rather do it on a one on one basis. Thankyou, Danielle
by surgeon, Aug 03, 2003 12:00AM
For no huge reason, I'd rather not email directly. If you are willing to post here and have a back and forth, I'm happy to try to help. I just answer what I can, no charge.
by shubunkin, Aug 03, 2003 12:00AM
To: surgeon
My question is that My great grandmother. grandmother, and mom all had colon cancer. My great grandmother and mom died from it. My mom was 47 years old. By the time she had symtoms it had spread to her liver ,lungs and brain. There was nothing they could do to save her. So when do I need to have my first colonoscopy. I am 29. And when I ask a doctor about it they seem to dismiss me. This horrible cancer is destroying me mentally and I want to make sure I am going to be here for my children. Do you have any idea how much one cost? I do not have insurance. Thankyou, Danielle
by surgeon, Aug 03, 2003 12:00AM
the cost varies, but is in the $1200 range in my area. You could call some gastroenterology offices in your area and ask. When there is family history, a common recommendation is to begin screening colonoscopy at an age 10 years younger than the youngest age at which a family member got it. So in your case, it would be around age 37. There's a condition called familial polyposis, in which people get tons of polyps (growths) in the colon; I assume if your relatives had that, it would have been known. If you were known to have that, screening would need to begin right away.
