Hi - just an update for you.
I was referred to see a surgeon last Friday due to elevated liver enzymes, elevated WBC, low grade fever, nausea and pain continuing on URQ. The surgeon recommended gallbladder removal and an hour later I was in surgery. I had a laparoscopic removal and was back home six hours later. Amazing that it was so quick! Even though I had post op pain, I could tell right away that the source of my pain was gone. It has been five days since surgery and I am much better. The gallbladder had "gravel and sludge" as described by the doctor which may have been the source of pain although not detectable by ultrasound.
Thank you for your advice, Dr. Pho and good luck bibby737 -- I would consult a surgeon for an opinion as well. He was quick and decisive and ended my misery.
Keep me posted as to your check-ups. I have been having pain in the right side below the right rib cage for a while now, sometimes a burning sensation. I have had an abdominal scan and an ulltrasound ab done; also a pelvic ultrasound. Everything comes out normal. The liver has small cysts, but they told me not to worry. I am going for an endoscopy on Feb 6th. It is very frustrating. If someone shares similar symptoms, could you please let me know what, if anything, you have found out? Thanks a lot.
bibby 737
I agree with the testing thus far, and there are further tests that you may want to do to exclude gallbladder disease.
Evaluating the gallbladder function can be done with a HIDA scan and CCK stimulation. This can look at the ejection fraction, and if low, may cause the symptoms.
There are some small studies that suggest removing the gallbladder can be helpful in these situations.
Further tests can include an MRCP to evaluate the biliary tree, as well as an upper endoscopy to exclude diseases of the upper digestive tract.
These options can be discussed with your personal physician or in conjunction with a GI consult.
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 patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com