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Confusion about Gallbladder Disease
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Confusion about Gallbladder Disease

I just had a baby 5 weeks ago.  The pregnancy was tough as I developed gallbladder symptoms about 15 weeks into it.  I did alright with a low fat diet for awhile, but eventually I was having pain and symptoms no matter what I ate.  My amylase has consistently been elevated since it was first checked last fall.  

About 2 months ago, I started having really bad pain in my left upper abdomen.  It seems to get worse when I lay down at night.  The pain is sharp and localized on my front side, but it spreads out into a larger area on my back.  It goes right through me, if you will.  

My GP tested my amylase/ lipase last week and found my amylase was 258 and my lipase was 214.  She said both are elevated and wanted me to get in for an endoscopy, which I did today.  The endoscopy was normal.  I was sooooo drugged up afterward that I was unable to ask the Dr all of the questions I wanted to.  All I could get out was a request for pain medication, not for the endoscopy recovery but for my nightly pain attacks.  He told me to take tylenol, not advil or aleve.  He also said to get my gallbladder out ASAP.  He thinks that might help lower my pancreatic enzymes.

I'm just wondering if he could see the condition of my pancreas through the endoscopy, because he didn't seem very concerned at all.  I'm also wondering if I'm overreacting about this pain I'm having.  If he suggests tylenol for it, it can't be too serious, right?  It certainly feels serious to me, but nobody seems concerned about my pancreas at all.

My gallbladder is not full of stones, either.  I've heard two differing opinions of what's going on.  The first Dr told me I have a stone trapped in the wall of the gallbladder, but the GI Dr thinks it's a polyp.  I don't understand how my gallbladder could be causing pancreatic symptoms if it has no free-floating stones.  Also, I have not had a gallbladder function test, just an ultrasound.

Any suggestions?
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1 Comment
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351246_tn?1379685732

Hi
Thanks for writing to the forum!

First of all congratulations!!! On becoming a mother!

I am not sure what you mean by gall bladder symptoms. Gallbladder problems cause right side pain in abdomen referred to right shoulder. The amylase is increased in uncontrolled diabetes and pancreatitis. However in pancreatitis the level is increased four folds.
In all probability you are suffering from gastric reflux or hiatal hernia. “GERD symptoms are often relieved by over-the-counter, acid-reducing agents called antacids. Common antacids include

    * Alka-Seltzer
    * Maalox
    * Mylanta
    * Pepto-Bismol
    * Riopan
    * Rolaids

Other drugs used to relieve GERD symptoms are anti-secretory drugs such as H2 blockers and proton pump inhibitors. Common H2 blockers are

    * cimetidine (Tagamet HB)
    * famotidine (Pepcid AC)
    * nizatidine (Axid AR)
    * ranitidine (Zantac 75)

Common proton pump inhibitors are

    * esomeprazole (Nexium)
    * lansoprazole (Prevacid)
    * omeprazole (Prilosec, Zegerid)
    * pantoprazole (Protonix)
    * rabeprazole (Aciphex)”
Refer: http://digestive.niddk.nih.gov/ddiseases/pubs/barretts/index.htm
Please discuss the best option for you with your gynecologist as you must be breast feeding your baby.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!

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