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Abdominal Pain 16 Weeks After Cholecystectomy , Pain Is Sub-dermal

Posted on Sat, 7 Mar 2020

Question: Abdominal pain 16 weeks after cholecystectomy, pain is sub-dermal and seemingly in the outermost abdominal muscles, moslty on right of navel, near the the inner small incisions but wider area...feels like they are bruised, or inflamed somehow? Abdomen is distended, from under the abdominal muscles. no pain from deep within abdomen %E2%80%94 I suspect fluid in the abdominal cavity. 25lbs weight gain despite regular exercise and similar ketogenic diet that I%E2%80%99ve been following for several years. Suggestions for diagnostic steps, things to look for or rule out? what type specialist should I consult with? PCP dr has ordered an ultrasound to check if clamp on

Follow up: Dr. Shinas Hussain (1 minute later)

25lbs weight gain despite regular exercise and similar ketogenic diet that I%E2%80%99ve been following for several years. Suggestions for diagnostic steps, things to look for or rule out? PCP dr has ordered an ultrasound to check if clamp on

Follow up: Dr. Shinas Hussain (21 minutes later)

common bile duct has fallen off.

Answered by Dr. Shinas Hussain (3 hours later)

Brief Answer:
An ultrasound scan must be done.

Detailed Answer:
Hello,
Thanks for the query.
Possible causes like intraabdominal or surgical site collection must be ruled out.
You can go for an ultrasound scan to look for any collections or post operative adhesions.
However after cholecystectomy many patients experience abdominal discomfort and indigestion especially after a fatty meal.
You can also order a liver function test ( LFT) also,
If symptoms persist or ultrasound shows something suspicious better to consult a gastroenterologist and get evaluated.
Hope I have answered your query.
Thanks

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Above answer was peer-reviewed by : Dr. Raju A.T