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Gastroenterology (Expert Forum)
re: 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.
re: gallbladder
by todd26, Nov 07, 2009 02:12PM
Hi:
I was a healthy 29 year old caucasian male. Approx. 2 years ago i started having major stomach problems. My symptoms included heavy nausea all day, stomach pain/bloating after eating anything for the following hours, extreme acid reflux in the morning and extreme nausea mid afternoon. I saw 5 dif gastro drs. I did every test possible. All came back negative. One diagnosed me with IBS, another said NO, another said GERD, another said NO. No one could figure out why i had my problems.
Prior tests done: Cat scan with enterography(nothing), lactose breath test(positive), colonscopy, egt, capsule study, catscan.
Anyways, i just saw a new dr and he suggested i do a HIDA Scan with CCK. The results came in with my ejection fraction rate of 14% (norm is 35% obviously). Ive had the test results reviewed by 3 other drs who confirm.
Do i take my gallbladder out asap? Ive become used to my problems. Ive been taking clonazapam for past year (.5 mg before bed) which has helped. I avoid all fiber foods, heavy fatty foods, fried foods, dairy etc. But, i used to eat all of this before the probs started.
Why didnt this test get done 2 years ago? Will it make all my probs go away? I dont have much back pain or upper right quadrant pain...but nausea, bloating, pain after eating - YES!
Thank you for your time-
I was a healthy 29 year old caucasian male. Approx. 2 years ago i started having major stomach problems. My symptoms included heavy nausea all day, stomach pain/bloating after eating anything for the following hours, extreme acid reflux in the morning and extreme nausea mid afternoon. I saw 5 dif gastro drs. I did every test possible. All came back negative. One diagnosed me with IBS, another said NO, another said GERD, another said NO. No one could figure out why i had my problems.
Prior tests done: Cat scan with enterography(nothing), lactose breath test(positive), colonscopy, egt, capsule study, catscan.
Anyways, i just saw a new dr and he suggested i do a HIDA Scan with CCK. The results came in with my ejection fraction rate of 14% (norm is 35% obviously). Ive had the test results reviewed by 3 other drs who confirm.
Do i take my gallbladder out asap? Ive become used to my problems. Ive been taking clonazapam for past year (.5 mg before bed) which has helped. I avoid all fiber foods, heavy fatty foods, fried foods, dairy etc. But, i used to eat all of this before the probs started.
Why didnt this test get done 2 years ago? Will it make all my probs go away? I dont have much back pain or upper right quadrant pain...but nausea, bloating, pain after eating - YES!
Thank you for your time-
Doctor's Answer
by Kevin Pho, MD, Nov 09, 2009 08:14AM
, Nov 09, 2009 08:14AM
You clearly had a comprehensive evaluation.
There are small studies suggesting that removing the gallbladder in cases of low ejection fraction may help the symptoms. The problem is, however, there is no guarantee and the data behind this is not conclusive.
I would consider another GI or surgical opinion to ensure there isn't any other causes. If not, then removing the gallbladder can certainly be considered.
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 Pho, M.D.
KevinMD.com
Twitter.com/KevinMD
Facebook.com/KevinMDblog
There are small studies suggesting that removing the gallbladder in cases of low ejection fraction may help the symptoms. The problem is, however, there is no guarantee and the data behind this is not conclusive.
I would consider another GI or surgical opinion to ensure there isn't any other causes. If not, then removing the gallbladder can certainly be considered.
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 Pho, M.D.
KevinMD.com
Twitter.com/KevinMD
Facebook.com/KevinMDblog
Member Comments (2)
by trish61, Nov 18, 2009 05:13PM
I have upper right abdom. pain, have gallbladder polyps and nausea. Had a hida scan on mon.
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