I am sorry to hear of your misery. You clearly have multiple issues that require thorough and thoughtful evaluation. A GI workup is certainly in order as your bowel function is grossly abnormal. The negative colonoscopy in 2009 is reassuring from the standpoint of your family history of colon cancer. You mentioned that your alkaline phosphatase is low. If the...
Although you haven't mentioned any reason why the HIDA was done in the first place, it may be appropriate to check your thyroid function before deciding on the gallbladder issue. The only patients that I have seen that gained weight after cholecystectomy were those who had lost weight pre-op due to fear of eating secondary to pain that food brought on.
Although gallbladder disease can present with nausea alone it would be difficult to blame without some component of pain. Not sure what you mean by the poking test but it would certainly be worth an ultrasound and, if negative, a HIDA with CCK to check.
I have a very high level of trust in my colleagues at the biliary clinic. I assume that you saw Dr. Branch who is a recognized expert in the field. Given the workup and continued frustration, I don't think there would be any insult by obtaining a second opinion. The other regional program held in high regard is the Medical University of South Carolina....
I don't understand the time delays but the ultrasound is not normal and could represent the cause of your episode. Other sources should be ruled out as gallbladder sludge can be a secondary finding to such things as dehydration, etc. Sludge does not have the same implications as stones but would suggest gallbladder disease.
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