enlarged common bile ductw/high bp/vomiting

[hartleysprings]

I have been nauseaus and vomiting for 3 weeks.  I have severe pain in my upper right quadrant. Pain in middle of abdomine is relieved by vomiting, right after eating I have lots of burping. The pain in my abdomine and middle to right back between the shoulder blades is much worse 2-3 hours after trying to eat. The pain, it appears, has caused my bp to go skyhigh (218/135), causing me to spend the day at the urgent care.  After a contrast ct scan I was told I had an enlarged Bile duct.  Sorry I don't have  the actual measurement.  Can this enlarged duct cause this amount of pain?  Can this possibly be responsible for the elevated bp, or is it due to the pain and vomiting. Could I have, once again a peptic ulcer & an erroded esophagus as before?  The pain is located lower than before and to the right under the rib cage as high up as you can touch and in the middle of the rib cage where they join. I had my gallbladder out in 2005.  Thank  you for your advice.  I see a new gastro on this coming tues, but would like to know something ahead, and what to eat as most comes up after 2-3 hrs.  THank you again, Linda


This discussion is related to Is it possible to have gallstones after having the gallbladder removed?.

[CalGal]

P.S. In the meantime, try a low fat diet. It may be of help.

[CalGal]

Linda, you may want to consider looking into the following: http://hopkins-gi.nts.jhu.edu/pages/latin/templates/index.cfm?pg=disease1&organ=3&disease=12&lang_id=1

Any form of pain - when it's severe and unexpected - can have an impact on your BP. You'll start to put out stress hormones and the BP will start to elevate, unfortunately.

For some, enlargement of the CBD seems to simply 'happen' after removal of the GB. For others, however, it can be due to problems that result after the surgery such as the formation (or retention) of stones and blockage of the CBD. It can also be the result of spasms of the sphincter of Oddi (the muscular opening from the CBD to the duodenum) that can cause a backup of bile and pancreatic fluids.

Go back to your GI person and discuss the situation.