Stomach Issues

[ARTB]

I have been struggling with stomach issues.  I had my gallbladder out 3 months ago after a bout with pancreatitis.  Since then I have had 2 problems.  First is constant nausea.  It is especially bad in the morning but is there pretty much all day.  The second is that every 2 weeks or so I get unbearable pain in my stomach between the bottom of my rib cage and belly button. The pain lasts between 20 and 60 minutes. My surgeon prescribed hyoscyamine for the pain which seems to help the pain as it cuts the duration and intensity but the nausea is still there.  I have had a colonoscopy  a year ago and a recent endoscopy.  The endoscopy showed gastritis.  When I was in the hospital I had a CT, mrcp, and ultrasound.  The only significant findings was the pancreatitis on the CT and sludge in the GB.  Do you have any ideas as to where I should go next with this or who to see.  

[saraha703]

I too am searching for answers to your concern.  I had my gall bladder removed in April.  Lately things seem to be getting worse instead of better.  Diet is very restricted.  The pain is intense, stomach sounds are frequent.  I am to see my doctor tuesday... we will see what is in store next!

Hope you find some answers and some comfort!

[ARTB]

"Further, more specialized tests, can be considered.  This can include a HIDA scan with CCK stimulation to evaluate for a low gallbladder ejection fraction, a 24-hr pH study to exclude GERD, or motility studies to evaluate for esophageal motility disorders. "

I stated in my question that I have no gallbladder.  The problems started mainly "after" I had my gall baldder out?  Thanks but is there anything else?  I am already being treated for GERD...

[Kevin Pho, MD]

You have had a comprehensive evaluation, including upper endoscopy, CT and MRCP.  

Further, more specialized tests, can be considered.  This can include a HIDA scan with CCK stimulation to evaluate for a low gallbladder ejection fraction, a 24-hr pH study to exclude GERD, or motility studies to evaluate for esophageal motility disorders.

These options should be discussed with a GI physician.

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.

Kevin, M.D.
www.kevinmd.com