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Digestive Disorders / Gastroenterology Forum
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Avatar universal

post surgery stones

Hello.  I am experiencing a dull pain on my right side, and in my back area by my right shoulder blade.  I had my gallbladder removed in Aug 2002 due to gallstones, and I am still very tender in this area.  I am going to doc on Monday and will they will do a sonogram.  I don't have fever, I am not yellow...If there is/are stones in the duct, what is done to treat this?
I also am being treated for Hep C and have just finished up a 6 month treatment (yesterday) with PegIntron/Rebetol.  Could this be a reason for mild pain?
thank you.
Lori
4 Responses
233190 tn?1278553401
MEDICAL PROFESSIONAL
Hello - thanks for asking your question.

Pain after cholecystectomy is a known entity (please see my previous answers regarding Post-cholecystectomy syndrome).  

If there are stones remaining in the duct, a procedure known as an ERCP is commonly done by a gastroenterologist.  This will identify and remove stones in the duct.  If, after a complete evaluation (including an ERCP with sphincterotomy), a patient continues to have debilitating, intermittent RUQ pain, and no diagnosis is found, the procedure of choice after a normal exploratory laparotomy is a transduodenal sphincteroplasty.

Here are some adverse effects of PegInterferon from the Drug Information Handbook:
"ADVERSE REACTIONS >10% : Central nervous system: Headache (56%), fatigue (52%), depression (16% to 29%), anxiety/emotional liability/irritability (28%), insomnia (23%), fever (22%), dizziness (12%), impaired concentration (5% to 12%), pain (12%) Dermatologic: Alopecia (22%), pruritus (12%), dry skin (11%) Gastrointestinal: Nausea (26%), anorexia (20%), diarrhea (18%), abdominal pain (15%), weight loss (11%) Local: Injection site inflammation/reaction (47%), Neuromuscular & skeletal: Musculoskeletal pain (56%), myalgia (38% to 42%), rigors (23% to 45%) Respiratory: Epistaxis (14%), nasopharyngitis (11%) Miscellaneous: Flu-like syndrome (46%), viral infection (11%)"

As you can see, abdominal pain is a potential adverse effect.  However, there are plenty of other reasons for RUQ pain and this should be explored with your personal physician.  I strongly suggest followup.

I stress that this answer is not intended as and does not substitute for medical advice - please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.


Avatar universal
in most cases stones in the duct after gallbladder surgery can be removed fairly simply by passing a scope through the mouth, into the stomach and intestine, and finding the duct where it joins the intestine. The stone can be extracted that way; it is "non surgical" and usually doesn't require overnight in the hospital.
Avatar universal
thank you both so much for you answers...It really helped.
Lori
Avatar universal
That's generally what they do if the gallstone is near the mouth of the bilary duct.
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