It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Gallbladder Message Board

  • Help! Is it a Gall Bladder Problem or Something Else?

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 05-04-2009, 12:48 AM   #1
    GlassPawn
    Member
    (female)
     
    GlassPawn's Avatar
     
    Join Date: Jan 2005
    Posts: 53
    GlassPawn HB User
    Unhappy Help! Is it a Gall Bladder Problem or Something Else?

    Hello. I've been experiencing nausea since June 2008. At first I experienced nausea 2-4 times a week, shortly after a meal. I noticed the nausea would occur after a meal with a high fat content. I also noticed that even eating soup made me nauseous. I took anti-nausea medication (25mg Promethazine) when I felt nauseous and that seemed to quell the discomfort up until a few months ago.

    Since January 2009, the occurrence of nausea has increased. Now, I feel nauseous everyday. I'm fine in the morning when I wake up, but after I eat anything I begin to feel nauseous 1-2 hours after I've eaten and it usually just continues throughout the day. It is still worse when I eat food with a high fat content. Oh, and stress makes me feel even worse.

    I've seen a gastroenterologist for this problem. I've had two ultrasounds, an MRI, a CT Scan, an upper GI endoscopy, and a HIDA scan (46% ejection fraction). The ultrasounds were normal except they did indicate some sort of lesion or possible solid mass in my liver. The MRI and CT Scan found my gall bladder, pancreas, etc. were normal, but did confirm that same lesion or solid mass in my liver. The MRI showed no vascular problem with my liver. My blood tests indicated normal liver functions. However, several of my blood tests have shown elevated levels of White Blood Cells (WBC) and C-Reactive Protein. I was told that I should get a liver biopsy next, but that the liver was unlikely to be the reason for the nausea. Also, my endoscopy results were completely normal.

    After all these tests were performed, including the HIDA scan (which was done in late March 2009), I began to feel a mild, faint pain in the upper right abdominal quadrant. This pain started in mid-April 2009. The pain can come on a couple of hours after eating and lasts for about 15-30 minutes. I also feel a slightly sharp pain from time to time on the back of my right shoulder. It sometimes seems to radiate down the upper portion of my right arm. The abdominal pain and the shoulder pain seem to persistently re-occur at night when I'm in bed and laying on my right side or on my belly. I don't feel this pain constantly throughout the day, but it seems to be an everyday phenomenon since mid-April.

    My gastroenterologist seems to be "perplexed" by my problem since none of the tests indicate anything definitive. As a result, I'm going to find another GI specialist and get a second opinion. I think the nausea could be a result of the gall bladder, but I'm not sure. I apparently don't have gallstones. I don't have a family history of gall bladder problems. I am a 26-year-old female who is about 25 lbs overweight. I have to admit my diet hasn't been very healthy in recent years and does include fast food a couple of times a week. My only other GI problems were gastritis and esophogitis back when I was 17 years old and those healed up with the use of Nexium. The only other types of medications that I have been on in the last 10 years were anti-depressants (prozac, lexapro, wellbutrin, effexor) and Accutane for acne, but I stopped those medications 2-3 years ago.

    I was wondering what your opinion is on the matter? I'm wondering if I should just beg the next GI doctor to refer me to a surgeon to remove my gall bladder? I intend to get the liver biopsy performed in the coming month (but I don't think that's the cause of my symptoms) and hopefully another HIDA scan since I hear that the ejection fraction can vary for some people. I'm a graduate student and am hoping to have all this cleared up by the Fall semester. I don't think I can continue making it to my classes being this sick, that's why I'd prefer to just take the gall bladder removal route and see if I get better.

    Any advice, suggestions, or insight would be greatly appreciated! Thank you.

     
    Sponsors Lightbulb
       
    Old 05-05-2009, 05:42 AM   #2
    theysayloveis
    Member
    (female)
     
    theysayloveis's Avatar
     
    Join Date: Mar 2009
    Location: lansing, mi
    Posts: 52
    theysayloveis HB User
    Re: Help! Is it a Gall Bladder Problem or Something Else?

    Hey GlassPawn, we're sort of twins in the GB world (and I'm a graduate student too!)

    All your pains sound exactly like what I have--just had my HIDA scan yesterday. It does sound like your GB is causing all the pain and from my limited knowledge I think what the problem potentially can be is that you have really small gallstones that wouldn't show up in an ultrasound, but run around in there and lodge in your bile duct. Or, you can potentially have my problem, and though it showed up on my ultrasound, it took a lot of plying my ribs around and pressing on my liver, etc. to find it--and that is a polyp on your GB that flips into the bile duct (what my doc suspects happens to me) causing the spasm.

    It's always possible that during your HIDA scan that for whatever reason your GB didn't experience the same pains--which makes sense because sometimes, for me anyway, I won't get the pain even when I eat a piece of pizza (my enemy now).

    You're smart to get a second opinion. Have you had a colonoscopy or small bowel scan? I'd recommend getting those as well.

    But I definitely can see what you're talking about, and rest sort of assured that my pains (sound) exactly the same as yours and you are probably right, it probably is your GB. Be persistent, but I wouldn't say "beg" your next GI doc for surgery...

    Lastly, good luck. Keep us updated.

     
    Old 05-05-2009, 06:58 PM   #3
    GlassPawn
    Member
    (female)
     
    GlassPawn's Avatar
     
    Join Date: Jan 2005
    Posts: 53
    GlassPawn HB User
    Re: Help! Is it a Gall Bladder Problem or Something Else?

    Thank you for your response! Itís interesting that you mentioned the issue of gall bladder polyps. I was unaware that polyps could be found in the gall bladder until I read your post. I did a quick google search on them and apparently they are an uncommon phenomenon. I had my two ultrasounds back in September of 2008 and December of 2008, prior to the onset of the abdominal and shoulder pain, so it is possible that the presence of a polyp might have been overlooked. I would imagine that the next GI specialist would probably re-order some of the tests and include some others.

    As to your question, I have not had a colonoscopy or any other test that looks at the lower GI system. My bowel movements have remained unchanged for the most part (no diarrhea, no constipation, etc.), so my gastroenterologist did not suspect that my nausea was a source of any lower GI problem.

    That said, the gastroenterologist that I have been seeing does not seem to be the type of doctor that took on a ďcooperative careĒ approach with his patients. During my office visits, he seldom shared his initial thoughts about what health problem I might have and would often interrupt me as I explained my symptoms to him. I also got the impression that since my HIDA scan results yielded an ejection fraction within normal range that he completely wrote off the possibility that the culprit might still be the gall bladder. It is possible that this particular GI specialist did not have a lot of experience with patients with gall bladder problems (he never mentioned polyps, or tiny, undetectable gallstones) as opposed to patients who suffer with other GI problems and therefore couldnít provide as much help for me.

    I will definitely ask the next gastroenterologist about the possibility of gall bladder polyps being the source of my symptoms, so thanks for mentioning it. Good luck with your health problem! If you donít mind me asking, what were your HIDA scan results?

    -GP

     
    Old 05-05-2009, 07:37 PM   #4
    theysayloveis
    Member
    (female)
     
    theysayloveis's Avatar
     
    Join Date: Mar 2009
    Location: lansing, mi
    Posts: 52
    theysayloveis HB User
    Re: Help! Is it a Gall Bladder Problem or Something Else?

    I haven't gotten the results yet. I'm waiting on biopsies from my endoscopy and a small bowel scan on Thursday morning and then I assume sometime next week I'll have my results. And, I definitely don't mind telling anything health related--I figure it's best if I hold nothing back so maybe it helps someone else

    Polyps are often missed in ultrasounds because they can be teeny-tiny (mine is .28 cm.) Same thing with gallstones that are teeny-tiny--easily missed. They just so happened to see mine because of all the manipulating of my organs they did (it hurt a tiny bit.)

    Another interesting thing that I have is a second spleen. Don't know what it means, I keep forgetting to ask the GI doc--but they saw it in my ultrasound.

    Also, don't take any crap from any doc, ever. I learned that the hard way when I was gaining weight, losing hair, etc. etc. for 2 years and my GP did thyroid function tests (only TSH) and they kept getting higher and higher (hypo levels) and she just told me I was "fine." Then I went to an endo and they prescribed me Phentermine (same class as Amphetamine) rather than putting me on thyroid meds to treat my hypo (my view is treat the hypo then we can talk about if the weight doesn't come off [which I think it will because I'm extremely active and I just don't think they believe me]). Anyway, I digress too much. Needless to say, don't take anything. I called and asked to talk to the office manager and this doc is hopefully going to get in trouble for giving me diet pills. I'll find out what's going to happen in regards to that tomorrow.

    Oh, another thing, any other blood tests? Vitamin D tests? I don't know what state you live in but here in Michigan about 50%ish of the people have at least slight Vitamin D deficiency due to lack of sunlight which can cause a LOT of problems. My mom's doctor said they are JUST starting to see all the problems the deficiency can cause (my mom lost literally all of her hair just from that alone.) If your insurance allows you to get other blood tests done, I'd really recommend it, just so you can know. It might turn up some strange things like it has for me.

     
    Old 05-07-2009, 12:11 PM   #5
    NYCman
    Veteran
    (male)
     
    NYCman's Avatar
     
    Join Date: Feb 2009
    Location: New York City
    Posts: 414
    NYCman HB User
    Re: Help! Is it a Gall Bladder Problem or Something Else?

    I am also having pain in the regions you both mentioned. I have had a HIDA Scan, Colonoscopy, Endoscopy, 2 Abdominal Ultrasounds (Showed mild reduction in echogenicity of the liver), and a Small Bowel Series. I keep pleading for an MRI (I am allergic to the contrast used in CT scans), but no one wants to give it to me. To the OP, please let me know what state you are in. The thing is I'm only 24/5'10/150lbs and for the last 6 months my life has been ruined. I don't want to waste the whole year. I need an MRI!!!!

    Do any of you expereience any sort of dizziness or off-balance feeling as well? When getting your HIDA scans done, did your technician say anything about the positioning of your gallbladder (i.e., if it's horizontal or vertical?)

     
    Old 05-08-2009, 05:51 PM   #6
    heqet
    Junior Member
    (female)
     
    heqet's Avatar
     
    Join Date: Mar 2009
    Location: Austin, TX
    Posts: 32
    heqet HB User
    Re: Help! Is it a Gall Bladder Problem or Something Else?

    All of your problems sound a lot like mine before I had my gallbladder out. Every single one of my tests came back normal (Ultrasound, HIDA Scan, Bloodwork, CT Scan). But I had persistent upper right quadrant pain and nausea, especially after eating fatty meals.

    I work in the operating room as a nurse (luckily) and was able to hand pick a surgeon to go to for this. He thought it was my gallbladder all along even though the tests were normal. He said he has had patients in the past with similar experiences and after the gallbladder was removed, the patients got better. So he told me he would take mine out if it was what I wanted to do.

    I waited for a month or so, and when things did not get better, I decided to go for it. It has been about 7 weeks now since my surgery and I have never felt better! I am so glad I had the surgery! I have absolutely no pain/nausea and I can eat whatever I want. I feel fortunate to have had a surgeon who was willing to take my gallbladder out even though the tests said it was fine. So I say try different doctors until you find one who will take it out!

     
    Old 05-08-2009, 08:45 PM   #7
    GlassPawn
    Member
    (female)
     
    GlassPawn's Avatar
     
    Join Date: Jan 2005
    Posts: 53
    GlassPawn HB User
    Re: Help! Is it a Gall Bladder Problem or Something Else?

    To: TheySayLoveIs,

    Thanks for the response. I donít think any of my blood tests showed any vitamin deficiency. I imagine the next doctor I see will want to do another blood test.

    Also, I forgot to ask you, is removing the gall bladder a remedy for the polyp or does medication fix it?



    To: Trymester,

    I currently live in Missouri, but the next GI specialist I see will be in the state of Texas. Iím not sure if the MRI helps in diagnosing the gall bladder anymore than the CT scan. I had to undergo an abdominal MRI because my doctor wanted to make sure that the lesion or solid mass in my liver was not the result of a vascular problem. That said, on my medical report, the radiologist did say that my gall bladder and pancreas looked normal.

    Iím unsure of why a doctor wouldnít just order an MRI for you, esp. since your allergic to the dye used in the CT scan. Is it a problem with your health insurance? I know MRI scans can be very expensive. If you live in a city, you might be able to access low-cost imaging clinics.

    When I had my HIDA scan done, the technician did not say anything to me about the positioning of the gall bladder, so I assume it was normal. In fact, the technician didnít say anything to me at all once the scan was performed. As for the dizziness feeling, I have not experienced any dizziness, but you might want to make sure you tell your doctor about that. Not to worry you, but I know in a few cases, nausea (with other side effects like an ďoff-balanceĒ feeling, headaches, vomiting) could also be a sign of a neurological issue.

    Good luck with everything.



    To: heqet,

    Thanks for your comment! After all the tests that have been done, I just canít shake the feeling that the problem is with my gall bladder, so itís good to hear that someone else had normal test results yet still had a gall bladder problem. Itís also good to hear that you underwent the surgery and have experienced relief from your symptoms. Good luck with the rest of your recovery!

    -GP

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    CONFUSED with THYROID readings?? I need help? meds do nto seem to be working? bluetou Thyroid Disorders 17 05-12-2011 07:18 PM
    Help I am at the end of my rope... tinabean34 Pain Management 4 07-01-2010 11:55 AM
    please help with some advice hollie1984 Skin Problems 4 04-23-2010 03:20 PM
    Diet question please help me understand :) model1979 Diet & Nutrition 4 04-22-2010 06:54 AM
    trigeminal neuralgia...help! TV in RV Trigeminal Neuralgia 6 04-20-2010 09:30 PM
    Uncertainty for the future - I know I need help... Gloomy Kitty Depression 1 04-19-2010 11:53 AM
    What do you make of this conversation? Help! Laylah Relationship Health 40 06-21-2007 11:15 AM
    Lortab WITHDRAWS Please HELP! lilmissprissy72 Addiction & Recovery 14 05-24-2004 09:27 AM
    Afraid of getting help? simplyj Obsessive Compulsive Disorder (OCD) 3 02-27-2004 04:41 AM

    Tags
    gall bladder nausea



    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 09:44 AM.





    © 2022 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!