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Gastroenterology (Expert Forum)
Symptoms of gallstones or more???
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
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.
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Symptoms of gallstones or more???
by CMorrill, Nov 12, 2006 12:00AM
I am a white 45 yr female overweight 5'9 225lb.
I had pain in lower right side for over a year. My doctor sent me to get a ultrasond they said sis on urtrus had that taken care of. A month later pain came back could not sleep on right side started feeling tired all the time had trouble with having any engery. Went in to check for menopause was told have started by blood test. Missed peiords a few months when I had test was told suger was alittle high and Liver enzyme up cut back on suger when in a mouth later blood test showed suger better but liver still up. I started having more pain on right side was so bad went to ER was worry about liver. Was told in ER had fatty liver and gallstone he said I had a gallballder Disease
NO Fatty foods and get seen on gallballder. I have had more pain off and on more so taken mortin for pain trying to eat a bland diet. Was sent to a Gastroenterology he ran all kind of test 4 bm test for blood in stool neg. Said I had
1. postprandial nausea, etiology undetemined
2.right-sided upp abdominal discomfort, frequent, etiology not quite clear
3.cholelthiasis
4. fatty lover
5. midly elvated amino transferases possibley related to fatty liver.
6. overweight.
Gallstones are clearlly demonstrated this time, no evidence of cholecystitis or biliary dilatation. barium enema negative. Esophagram negative. Iron panel negative. Hepatitis B and C antibody test negative. Amino transferases were ordered, however not done.
Said I had IBS went to my doctor and told her I don't have that I don't have cramps with eating or Diarrhea, just fatty food make more pain.
I have had some constipation due to pain pill mortin when in pain take flaxseed oil pills for.
More Belching even with water more gas
on bland diet Been having Thrush problems have been taking Acidophilus pills for the Thrush.
In the last week been having headace never had any problems with headace before.
Right shoulder pain off and on
Low engergy been taking B complex it has helped
The gallstones are impacted.
Sweating at night. Sometime when I eat I feel like I am going to throwup but I don't.
The problems with the headace and I have a red face, red forhead
has been latley blood pressuere is good 115/82 pulse good
Bowelmovement everyday as long as I take flaxseed pills
Worry it there is more of a problem or not going to see on the 29 of Nov about getting the gallstones and gallbladder out.
Not been running a fever but I go down not up when sick 95.
a few time I was around that and felt Light headed. Any input will help just wanting for the gallbladder to be taken out.
I had pain in lower right side for over a year. My doctor sent me to get a ultrasond they said sis on urtrus had that taken care of. A month later pain came back could not sleep on right side started feeling tired all the time had trouble with having any engery. Went in to check for menopause was told have started by blood test. Missed peiords a few months when I had test was told suger was alittle high and Liver enzyme up cut back on suger when in a mouth later blood test showed suger better but liver still up. I started having more pain on right side was so bad went to ER was worry about liver. Was told in ER had fatty liver and gallstone he said I had a gallballder Disease
NO Fatty foods and get seen on gallballder. I have had more pain off and on more so taken mortin for pain trying to eat a bland diet. Was sent to a Gastroenterology he ran all kind of test 4 bm test for blood in stool neg. Said I had
1. postprandial nausea, etiology undetemined
2.right-sided upp abdominal discomfort, frequent, etiology not quite clear
3.cholelthiasis
4. fatty lover
5. midly elvated amino transferases possibley related to fatty liver.
6. overweight.
Gallstones are clearlly demonstrated this time, no evidence of cholecystitis or biliary dilatation. barium enema negative. Esophagram negative. Iron panel negative. Hepatitis B and C antibody test negative. Amino transferases were ordered, however not done.
Said I had IBS went to my doctor and told her I don't have that I don't have cramps with eating or Diarrhea, just fatty food make more pain.
I have had some constipation due to pain pill mortin when in pain take flaxseed oil pills for.
More Belching even with water more gas
on bland diet Been having Thrush problems have been taking Acidophilus pills for the Thrush.
In the last week been having headace never had any problems with headace before.
Right shoulder pain off and on
Low engergy been taking B complex it has helped
The gallstones are impacted.
Sweating at night. Sometime when I eat I feel like I am going to throwup but I don't.
The problems with the headace and I have a red face, red forhead
has been latley blood pressuere is good 115/82 pulse good
Bowelmovement everyday as long as I take flaxseed pills
Worry it there is more of a problem or not going to see on the 29 of Nov about getting the gallstones and gallbladder out.
Not been running a fever but I go down not up when sick 95.
a few time I was around that and felt Light headed. Any input will help just wanting for the gallbladder to be taken out.
Doctor's Answer
by Kevin Pho, MD, Nov 13, 2006 12:00AM
, Nov 13, 2006 12:00AM
Gallbladder disease is certainly high on the list and removing the gallbladder is a reasonable option.
You can also consider upper GI disease like GERD, an ulcer, or inflammation of the upper digestive tract. An upper endoscopy can rule out these possibilities.
More specialized conditions like gastroparesis can be evaluated with a gastric emptying scan. With the flushing symptoms, you can also consider carcinoid syndrome, which can be evaluated with a blood test looking for the metabolite 5-HIAA.
These options can be discussed with your personal physician or 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_
You can also consider upper GI disease like GERD, an ulcer, or inflammation of the upper digestive tract. An upper endoscopy can rule out these possibilities.
More specialized conditions like gastroparesis can be evaluated with a gastric emptying scan. With the flushing symptoms, you can also consider carcinoid syndrome, which can be evaluated with a blood test looking for the metabolite 5-HIAA.
These options can be discussed with your personal physician or 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_
Blood work from ER
WBC 9.0
RBC 5.53 H
HEMOGLOBIN 15.8
HEMATOCRIT 45.0
MCV 81
MCH 28.6
MCHC 35.1
PLATELETS 277
RDW 14.9
MPV 8.3
URINALYSIS
COLOR STRAW
CHARACTER SL CLOUDY
SPECIFIC GRAVITY NEG
GLUCOSE RA NEG
BILIRUBIN UA NEG
KETONES NEG
OCCULT BLOOD UA NEG
PH UA 7.0
PROTEIN US NEG
UROBILINOGEN QUAL .2000
NITRITE NEG
LEUKOCYTE ESTERASE NEG
UA MICROSCOPIC
CASTA NONE SEEN
MUCOUS THREADS RARE
WBC'S URINE 2-5/HPF
RBC'S URINE FEW
SQUAMOUS EPITHELIAL 5-8/ HPF
BACTERIA URINE RARE
CRYSTALS NONE SEEN
CHEMISTRY
SODIUM 140
POTASSIUM 3.5 L
CHLORIDE 104
CO2 26.9
GLUCOSE, BLOOD 116 H
BUN 10
CREATININE 0.8
CALCIUM 9.7
BILIRUBIN, TOTAL 0.6
BILIRUBIN, DIRECT 0.0
BILIRUBIN, INDIRECT 0.6
AST (SGOT) 53 H
ALT (SGPT) 82 H
ALKALINE PHOSPHATASE 61
LIPASE 28
HEMATOLOGY
NEUTS, AUTO 52
LYMPHS, AUTO 38
MONOS, AUTO 8
EOS, AUTO 2
BASOS, AUTO 0
HGM NOTE SEE BELOW
MANUAL DIFF AUTO DIFF
ANISO 1+
MICRFO 1+
SMEAR REVIEW OF SLIDE ARESS WITH ANALYZER COUNT
JUST IN CASE YOU NEEDED IT THANKS
It's a horrible pain and is much worse at night, as I'm sure yours is; that is typical of gallstone pain - that it's worse at night. And the fact that you are finding fatty food - ANY food - makes the pain worse is typical also; every time you eat, your gall bladder squeezes to release bile into the digestive system and if it is full of gallstones and distended, well then it's gonna hurt! Because fatty foods need more bile to digest them, so more squeezing is involved = more pain