RUQ pain & vomiting

[MMaeM]

For about 3 month now I have been having pain in the RUQ of my abdomin and for two months have hardley kept much down.  They have rulled out kidney stones, gall stones and a gall blader infection.  I was hospitalized for about a week because of it but bllod work and a recent endoscopy revealed nothing.  
I am starting to wonder if I am going to ever get answers or be able to get any relief.  Any suggestions??

[MMaeM]

Re-admitted to hospital last night in CT and surgeon is having GI start case because of possible "gastritis" found under the microscope from the endoscopy biopsy.

[Christopher R Watters, MD]

If you can't even hold things down your options are probably limited to returning to the hospital for hydration and re-evaluation. It is my opinion that in the absence of any other obvious diagnosis, your gallbaldder should be removed. where do you live?

[MMaeM]

The surgical team was the ones I'm the hospital to do the HIDA scan

[Christopher R Watters, MD]

Have you seen a surgeon? Your workup has shown nothing other than gallbladder disease and this would explain your symptoms. Time to act on it.

[MMaeM]

What do I do now??  I have been painfully projectile vomiting Friday, Saturday and now Sunday.  I am getting headaces from vomiting so much and insomnia as well.  The anti-neaussea and anti-spasm medications don't really do much.  I am getting really scared and depressed and none of my family and friends know what to say or do or even how bad it really is.  I don't know what to do anymore.

[MMaeM]

Yes, I did but they told me I would

[Christopher R Watters, MD]

Although the ejection fraction is normal the extreme delay in filling is abnormal. Did you have any pain when the CCK was infused?

[MMaeM]

I found out today that the fraction is 40 and they said anything over 35 is considered normal

[Christopher R Watters, MD]

The extreme delay in your gallbladder visualizing is consistemt with chronic cholecystitis. With a negative upper endoscopy it would appear that you have your disgnosis. Was it a surgeon that said no need for surgery or someone that doesn't understand the HIDA report?

[MMaeM]

The food and/or drink gets to my stomach and within 10 to 15 minutes it all comes back up.  The URQ pain is always there at but a "5" but it will go up to an "8" or "9" without warning and doesn't seem to be determined but what I eat, how much I eat or if I get sick.

[MMaeM]

That I do not know off the top of my head

[MMaeM]

That I do not know off the top of my head

[CalGal]

Do you by any chance have the exact number of the ejection fraction that was determined? It might be helpful to know that.

[MMaeM]

The tech said the gallbladder usually starts processing in the first hour but the give it two hours to show the contrast.  Mine was into the second hour before it started to show the contrast on the scan.  The doctor had the tech do the K4 and then they determined it didn't require surgery.

[Christopher R Watters, MD]

I don't understand your comment. What do you mean by "works slow"?

[MMaeM]

They did do a HIDa scan an said while my gallbladder works slow it is in working order.

[Christopher R Watters, MD]

If the other studies were negative a HIDA with CCK which is a functional test of the gallbladder would be a good idea since your symptoms are cinsistent with a biliary source.