I've been evaluated over the last month for gallbladder disfunction after pain in my right side and abdominal pain with or withour eating. I have terrrible fatigue, pain in my right flank and lower back, anemia, nausea and headache. The US and CT were normal and all bloodwork normal other than the anemia. A colonscopy and upper endo showed some erosion of the stomach and duodenum with irritation and inflammation throughout. Biopsies were all normal. I had a HIDA scan on Tuesday. I was told the results were "normal" at 88% EF and to wait a month to follow-up with the GI Doc. I had terrible pain during the CCK portion and continue to have the same symptoms with severe tiredness. To complicate things I have (thankfully) mild SLE with flares of joint pain, pleurisy and exhaustion. I suffer from chronic UTIs and take a daily antibitotic and anti-depressant as well as plaquenil. I read some info on Hyperkinetic Gallbladder and how the symptoms can be similar. Are there any suggestions about where to go from here? I can barely function some days and while I am still working it is difficult to concentrate. Help!
It is becoming apparent that symptom reproduction is a better predictor of good outcome following cholecystectomy than the measured ejection fraction on HIDA scan. With this said, dyskinesia would not explain all of your symptoms. It sounds highly likely that a significant portion of your misery is related to a dysfunctional gallbladder.
Thank you for your reply. My GastroEnterologist said that she feels the results were normal and that she wants to look at my Sphincter of Oddi. She repeated the liver and enzymes test and my Lipase was 69. She seems to think this has some significance for some reason. In the meantime, I'm sweating a lot (anxious) and uncomfortable still although the pain has waned. I have bouts of constipation and diarrhea but am back to eating normally and have more energy. Two additional symptoms that are concerning is that I have been seeing blood on the tissue after a bowel movement. This is new and has been happening for about a week. I also have a lot of mid-to-lower back pain that comes and goes. I feel like I'm going a little crazy over anylyzing things. Can you offer any advice?
It is very difficult to diagnose sphincter of Oddi dysfunction without first removing the gallbladder. Given the data on symptom relief after cholecystectomy when pain is reproduced with CCK, this rlieves the majority of patients. The other issues are within the expertise of your gastroenterologist and need to be reported to him/her.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.