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Gastroenterology (Expert Forum)
does this sound like a gallbladder problem?
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
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does this sound like a gallbladder problem?
by otto88, Oct 28, 2003 12:00AM
at the end of Aug. I started having intense pain in my middle stomach area that radiated up my chest and into my back. my doc put me through all the heart tests and they were fine. an ultrasound of my bladder was normal. a upper endoscope showed a red and irratated stomach and a h.pylorie infection. treatment was started for the h.pylorie, but i only lasted three days because the pain got worse. an abdominal CT scan was done and was normal. i was put on davoset for pain and zantac. after a week or so i felt ok without taking davoset. a week later i had another attack and ended up in the emergency room. the hospitable gave me demerol and zantac and sent me home after 2 days. i felt pretty good for about 2 weeks or so with just little attacks now and then that i controled with pain killers. i am now in the midst of a major attack and just returned from my doc who has put me on 2 new antibiotics for the pylori and perscription strength zantac and a pain killer. my doc has never told me what he thinks is wrong with me. i am also scheduled for a HIDA scan tomorrow and scheduled me to see a gestroentologist in 3 weeks, if i can stand it that long. will the scan rule anything out? i feel like i'me getting nowhere.
Doctor's Answer
by Kevin Pho, MD, Oct 29, 2003 12:00AM
, Oct 29, 2003 12:00AM
There are several different regimens for H Pylori, so if you can't tolerate one regimen, you may want to inquire about another. If you tested positive for this, I would suggest trying to find a medication regimen that you can tolerate so this can be eliminated.
Gall bladder disease can certainly present in these symptoms, even with a negative ultrasound. I would suggest the HIDA with the CCK stimulation to evaluate the gall bladder ejection fraction. There are cases where people with low ejection fractions benefit from removal of the gall bladder.
Another test to consider would be the 24-hr pH study which can evaluate for GERD. This may be something to consider if the preceeding tests are negative.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Gall bladder disease can certainly present in these symptoms, even with a negative ultrasound. I would suggest the HIDA with the CCK stimulation to evaluate the gall bladder ejection fraction. There are cases where people with low ejection fractions benefit from removal of the gall bladder.
Another test to consider would be the 24-hr pH study which can evaluate for GERD. This may be something to consider if the preceeding tests are negative.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
I read your message about the attacks you are having. I had what basically sounds just exactly what you are going through. The dr. diagnosed me as having pyloric spasms. It was a horrible attack to have but wasn't serious. This has been so long ago after I too had my gallbladder removed. I do remember the doctor giving me a prescription that relaxed the muscle. It helped immensely. I'm sorry, I wish I could remember the name of that pill. Eventually the attacks stopped. I believe when I gained weight it made it occur more often than usual. I haven't had a pyloric spasm in many years now. I hope this calms you to realize that it probably isn't anything serious and it can be helped.
Sincerely,
AngelGold
sounds like your doc thinks you have bacteria infection.??