Friday, June 21, 2013

Gall Bladder Pain Without a Gall-Bladder

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I have been experiencing excruciating abdominal pain. it starts usually at the very bottom of my sternum closer to the right side of my body & as it gets more intense it radiates to my ribs & i always break out into a pouring sweat & get either really pale or my face gets really red & I can barely breath but if I calm down (which I've managed to do a little better) I can ease the pain a tiny bit by breathing in through my nose & outta my mouth. The episodes last less than an hour most of the time & since April of 2009 when the first one happened I've had them at least once a month sosometimes more. it started about 4 days after having my gallbladder removed (lapriscopic) I had no gall stones at all just after doing all proper testing it showed that my gallbladder only 12% function. please help no Dr can tell me what it is.

 Gender: Female
 How tall are you (feet and inches)?: 5'6"
 What is your weight in pounds?: 145
 How old are you?: 32
 How long has this been going on?: More than a year
 Check all symptoms you are currently experiencing:
 Abdominal Pain
 Chest Pain
 Nausea
 Bruising or Bleeding

 Please list any chronic medical problems and also list any prior surgery:
 GERD
 gall bladder removal
 Tubal ligation

 Check all conditions present in your immediate family... :
 Cardiac Disease
 History of Back Pain
 Hypertension

 Please list any medication allergies that you have : : NSAIDS
 Please list any medications you are currently taking (and dosage if known) :: Hydrocodone 5/325
 Santa 150mg

 When was your last menstrual cycle?: 3 weeks ago
 Are you currently using or do you have a history of tobacco use?: Yes
 Are you currently using or do you have a history of illegal drug use?: No
 Please describe your alcohol consumption :: Rarely

 1. Why do I have this severe pain after gall bladder removal?
 2. How to fix it?
 3. What will reduce pain while experiencing an episode of severe pain?
 May we send you a satisfaction survey after your question is answered? It takes a minut to fill out.: Yes

_______________________________________________________

You have a difficult problem. No doubt your gall bladder needed to be removed. However, you now continue to have symptoms that mimic the initial problem, and this is called 'post-cholecystectomy syndrome'. Unfortunately this can be difficult to treat and is a 'diagnosis of exclusion', meaning, all other possible causes need to be ruled out. HERE IS A GOOD REFERENCE FOR YOU. My advice is to see a Gastroenterologist, not a surgeon, and if you have done this and are dissatisfied get a second opinion. Unfortunately diagnosing your problem will be complicated, and is beyond what we can do here, but my best guess is that you do have post-cholecystectomy syndrome, and seeing a good Gastroenterologist is, unfortunately, the best advice I can give you.

Be Well

1 comment:

space doc said...

It sure does sound like a post-cholycystectomy syndrome as MD-STAT-ER-DOC-has mentioned.

When the gall bladder is removed (choycystlectomy) they do not take out the common bile duct which joins with the pancreatic duct at a place that allows both ducts to empty bile from the liver and enzymes from the pancreas into the small intestine. This place is called the sphincter of Oddi. The sphincter of Oddi can become blocked or spasm and this can create pain.

One of the best ways to visualize this whole area is by seeing a gastro-enterologist to get an endoscopic retrograde cholangiopancreatography (ERCP) exam which requires the gastroenterologist to pass a tube down the esophagus and examine for ulcers, esophagitis, as well as getting a picture of the sphincter of Oddi and any problems involved there.

The other test that might delineate the area would be a Hepato-biliary scan. Your gastroenterologist could determine which would be most helpful.

Good Luck! Space Doc.