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Digestive Disorders / Gastroenterology Forum
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left sided pain and nausea

I am asking this because I am almost three months post gallbladder surgery and still have digestive issues. I had my gallbladder out on aug.5th after a HIDA scan showed a low ejection fraction of 29...it was determined I had no stones after an abdominal ultrasound, an abdominal CT scan, a small bowel study, an endoscopy, an MRI of the thoracic spine, a colonoscopy, x-rays of the ribs, neck and shoulder on left, complete blood work both before and after surgery---the endoscope showed some inflammation (thus gastritisI guess) but every thing else was normal...I take protonix (20mg) once a day, Carafate (2xday), digestive plant enzymes (with lunch and dinner),probiotics and xanax to sleep at nigh (.25mg.)--I also have pain in my left upper abdomen under ribs sometimes but it isn't bad pain (it was bad before my surgery sometimes)and I have had pain under my left shoulder blade too.....however I have had these pains on and off for 5 years but with no gastric symptoms...My presenting symptom with the gallbladder was constant nausea---and the nausea still happens on many day, especially in the morning with some reflux in my throat....My doctor doesn't seem to think I have pancreatitis because he feels it would have shown up in my tests but what could this be? What do you think---my gastro doctor thinks something would have shown up if it was pancreatitis---i am scared, queasy sometimes and don't know what else it could be---could gastritis and bile reflux be causing the nausea? Can someone have pancreatitis for 5 years without a diagnosis? Three years ago when i had bad pain, my internist did blood work and a Ct of the abdomen and nothing showed then either---although I never had gastro symptoms(nausea and diahrrea until right before the gallbladder surgery) With the testing i have had, would they have found pancreatitis or pancreatic cancer?
1 Responses
1760304 tn?1316457159
MEDICAL PROFESSIONAL
Dear cocobd,

Thanks for your query.

From your description I understand that the gallbladder surgery was done for gallbladder hypomotility without obvious signs of gallbladder inflammation. Gallbladder dysmotility is one of the causes of postprandial nausea and right upper quadrant pain.  To me the left upper quadrant pain and nausea seem to be associated with your reflux/ gastritis problem given your endoscopy findings. Hence they are persisting even after the gall bladder surgery.

Chronic pancreatitis is easily picked up on CT abdomen. But as your CT findings are normal the chances of pancreatitis are extremely remote.

In my opinion, you should consult your gastroenterologist regarding appropriate treatment for the reflux disease and the need for a prokinetic. You may also ask your doctor about diaphragmatic exercises as a toned diaphragm is the most powerful anti reflux mechanism in the human body.

Hope that this information helps and hope that you will get better soon.

Thank you for using MedHelp's "Ask an Expert" Service, where we feature some of world's renowned medical experts in their fields. Millions have benefitted from our service to get personalized advice for them and for their loved ones.

Best Regards,
Dr. Poorna Chandra K.S
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