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Old 07-10-2012, 10:34 AM   #1
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"Normal" ultrasound, bad gallbladder?

Quick background on my situation - 3+ months ago i had a minor allergic reaction, was given prednisone and thats when my former healthy self more or less died, apparently I am severly allergic to corticosteroids and threw me into a steroid induced psychosis (was given a very high dosage that benedryl actually fixed.) Basically i was in a week long panic attack and super high anxiety and panic for the next couple of months.

During this time my stomach was a wreck, doctor figured that when the anxiety and panic finally subsided so would all of my stomach issues, which made sense. Was against starting a ssri (viibryd) because ive never had these issues before but i was reluctant but needed to get some relief. Now that the anxiety and panic is gone, my symptoms have actually worsened.

The belching and bloating is constant regardless of what i eat but extremely worse after fatty/fried food.
Nausea after eating and sometimes on an empty stomach
Dull aching pain in upper right quadrant (pushing on gallbladder is painful)
burning gnawing pain just under sternum
haven't had a good bowel movement in weeks (always very loose and yellow)
Dizzy spells
Extreme fatigue
pain in back can go from left to righ and wrap around
at bad times feels like a vice is being put around my entire mid section
lower abdomen is tender to touch at all times
constantly clearly my throat
overall feeling sick
Haven't had any real "attacks" but have had 2 days of extremely bad pains in the center and right of abdomen
glands under jaw are always swollen
a few weeks of chest pains which he thought was anxiety attacks
Coughing like i have mucus in my chest
Feeling like my throat is closing at times
Shortness of breath is probably the worst symptom

This is the results of my ultrasound:


ULTRASOUND, LIMITED ABDOMEN

COMPARISONS NONE

CLINICAL HISTORY Pain in upper abdomen with nausea.

FINDINGS Biplanar images were obtained. The gallbladder is
physiologically distended. The gallbladder wall is not thickened.
There is no sign of cholelithiasis or sludge within the gallbladder.
Along the gallbladder wall there is a 2.6- millimeter echogenic focus
which does not shadow or move, probable small polyp. The common bile
duct measures 4 mm in diameter. No intrahepatic bile duct dilatation
is seen. No focal liver lesions are noted. Portions of the pancreas
visualized have a normal appearance. No free fluid is seen within
Morison's pouch.

IMPRESSION

NO SIGN OF CHOLELITHIASIS OR BILE DUCT DILATATION.

SUSPECT SMALL POLYP GALLBLADDER.

Even while doing the ultrasound, the slight pressure of the device on the gallbladder was extremely tender. For a 33 yr old male with no history and in perfect health prior to the pred, frustration is an understatement.

According to the email I received from the doctor after several calls to get the results over the course of a week, everything was "normal". Therefore, no follow up was requested by the office. Its extremely frustrating seeing as I have these symptoms on a daily basis but because the ultrasound was "normal" all is well? Uggghhhh...thanks for reading my rant as i look for answers

 
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Old 07-10-2012, 11:56 AM   #2
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Re: "Normal" ultrasound, bad gallbladder?

Ask for a HIDA Scan. It tests for gallbladder function. Below 35% or above 75% is considered non functioning. Be sure to ask for the exact percentage and not just a response of "normal." Since it is distended, according to the u/s, it's most likely damaged.

 
Old 07-10-2012, 01:03 PM   #3
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Re: "Normal" ultrasound, bad gallbladder?

Thanks for the response, i finally got through to them for a follow up tomorrow and will definitely ask for the HIDA and the exact percentage.

 
Old 07-10-2012, 06:04 PM   #4
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Re: "Normal" ultrasound, bad gallbladder?

Titchou is correct that you need to push for the HIDA scan and get the exact ejection fraction score from them. You seem to have a lot of the classic gallbladder symptoms.

The ultrasound is not very good at picking up at sludge. So while it is possible that you have a polyp it is more likely that what they are seeing is a gallstone pushed up against the wall of the gallbladder by sludge.

Remember it is your health, demand to see a specialist, get a second opinion or whatever it takes to get answers.

Last edited by Collector167; 07-10-2012 at 06:06 PM. Reason: mispelling

 
Old 07-12-2012, 05:20 AM   #5
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Re: "Normal" ultrasound, bad gallbladder?

Definately ask for a HIDA scan. I had many of the classic GB symptoms, but they were mostly mild. Thankfully my Dr ordered an ultrasound and a HIDA scan in the event that the ultrasound came back clear. The Ultrasound showed nothing, but the HIDA scan confirmed that my GB was not functioning (my ejection fraction was 0%). It's an easy procedure that lasts about an hour and a half.

 
Old 07-12-2012, 06:15 AM   #6
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Re: "Normal" ultrasound, bad gallbladder?

Thanks for the replies. I did have my follow up yesterday and i didn't even have to ask for the HIDA, he brought it up after looking at the results and ordered it. I hear it is a quite expensive test but luckily i "should" have my insurance from work by the end of the month.

Even though i have several hours worth of tattoos on my arms, the thought of getting an IV still puts me in a shutter

 
Old 07-12-2012, 07:24 AM   #7
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Re: "Normal" ultrasound, bad gallbladder?

Good deal. Come back and let us know how it goes. Be sure to eat low fat until you get this resolved.

 
Old 07-31-2012, 05:39 AM   #8
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Re: "Normal" ultrasound, bad gallbladder?

Uggghhh, just got my test results from the HIDA scan back, all came back normal with an ejection fraction of 77%.

I was almost positive i would finally have some answers to why im feeling like garbage all of the time and the constant pain whenever i touch the GB.

During the test i did get some nausea, cramping, and back pain...which is another reason i thought this would show im not crazy or making it up. My doc also set up an appt to see a gastro to get an EGD, but that wont be for another couple of weeks.

 
Old 07-31-2012, 06:42 AM   #9
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Re: "Normal" ultrasound, bad gallbladder?

Well, 77% is not normal. While it is just over the 75% threshold, I would not discount it as the issue. Please talk with your gastro doctor about this.

 
Old 07-31-2012, 07:24 AM   #10
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Re: "Normal" ultrasound, bad gallbladder?

why don't you call the gastro and see if you can get the appt moved up? you may have to see another dr. in the practice but its worth a try. Good luck and let us know how it goes and definitely stay on the low fat diet. oh yes, btw, if it gets really bad before you see the dr. I'd recommend the ER, actually the gall bladder is nothing to be played around with. I had a friend who ended up in ICU over it. cj

Last edited by noevr; 07-31-2012 at 07:25 AM.

 
Old 07-31-2012, 08:28 AM   #11
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Re: "Normal" ultrasound, bad gallbladder?

thanks for the replies, i did complain enough to get the consultation moved up to this afternoon before he goes on vacation for a week and a half

 
Old 07-31-2012, 08:59 AM   #12
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Re: "Normal" ultrasound, bad gallbladder?

oh good let us know how it goes!

 
Old 08-01-2012, 05:37 AM   #13
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Re: "Normal" ultrasound, bad gallbladder?

Well, the surgeon was pretty much an @ss, didn't listen to a word i said. I explained my symptoms as he asked but it just seemed to not sink in with him, he did say they all sound like it could be gallbladder related but because all the tests were "normal" it wasn't enough to go by or do anything about. I specifically asked him to explain or translate the distention, polyp, and higher ejection rate but he quickly dismissed anything i said cutting me off mid sentance and said its all normal, that "I just don't know whats causing it but we'll keep looking."

So that said I wasn't too happy with his lack of concern but he did order an abdominal and pelvis ct scan this friday morning and an EGD on the 20th.

I think the thing that drove me the most crazy most, hes got me laid back poking around all areas of my abdomen to see if there is any pain, kept telling him over and over, no no pain there behind under my right rib, nope no pain there, or there or there, just behind the right rib or below when i breathe deep...to him it was nothing or i was talking to a brick wall, no acknowledgement at all. I finally lost my cool with the man and said, "dude, i don't care what it is, i prefer not to lose body parts and obviously you don't think its the gallbladder, whatever, dont dismiss anything just figure it out."

ahhh the frustration of more tests and needles lol

 
Old 08-01-2012, 08:49 AM   #14
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Re: "Normal" ultrasound, bad gallbladder?

ah some of them just have the worst bedside manner! at least you're getting some troubleshooting done. let us know what the results are. glad you didn't put up with his attitude either! cj

 
Old 08-03-2012, 11:08 AM   #15
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Re: "Normal" ultrasound, bad gallbladder?

This is so funny (not really) I am having the same problem since the end of March . Blood work, Hida scan, ultra sound, ct scan, scopes both ends (only found mild gastrisis). Which does not explain ALL the pain on the right side of my body or my back. Or the extreme amount of weight that I have lost. (at least 15 in 4 months) My gastro DR. and the ER DR.'s don't care told me there's nothing wrong with me or that I'm just constipated!!!! WHATEVER. You dont lose weight when your constipated you gain it. I'm tried of being in pain all the time. I dont eat until I'm full I eat until my back hurts. How about you? Why wont these Drs listen?

 
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