Suggest Treatment For Pain In The Upper Abdomen

Posted on Tue, 28 Feb 2017

Question: hello,

last yr this time my mother had swelling in her feet. took her to the hospital they did blood work and found she had low kidney levels. with diuretics and healthy diet her levels went back up. they did an ultrasound sound on her all was ok also but found gall stones.
last week she had pain in her upper abdomen she was in horrible pain. I took her to the er to find after blood work and check up her levels of efgr kidney were down to 40 and her liver levels were high now. they said alot if water for a week and good diet and excersise and levels went to 58 for kidney but ggt levels were up to 123. i asked the gp why but he was clueless. she also had a repeat ultrasound and showed a lesion. im so wrried. please see attached. as . is it bad.. they have sent us for an mri but im so scared it could be serious. she was on lexapro for 3 months is there anyway that coukd affect the liver ?

Answered by Dr. Amit Jain (40 minutes later)

Brief Answer:
Increase in GGT is due to cholecystitis

Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist.
I can understand your concerns regarding your mother

Pain in her upper abdomen is due to cholecystitis which is inflammation and swelling of gallbladder treatment of which is gallbladder surgery that is cholecystectomy

There is mild renal dysfunction which may also be due dehydration which will further improve with adequate water intake.

Increase in GGT is also be due to cholecystitis.

Lesion in liver on ultrasound is hemangioma which is a benign disease and it may remain as such through out life without causing any harm. However it will be better to confirm on MRI, that is nothing else than hemangioma.

Lexapro may effect liver rarely and in that case there will be increase in SGOT and SGPT which are normal as per report. So lexapro is not the culprit

I hope I have answered your query and this will help you . Wish you a good health

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Amit Jain (5 minutes later)

it says she doesnt have inflammation thoigh ? also could the lesion be cancerous even if the report states its likelehood not 100% benign do they remove it?

Answered by Dr. Amit Jain (44 minutes later)

Brief Answer:
if it come out to be hemangioma then there is no need for surgeryor su

Detailed Answer:
Welcome back.

If it is hemangioma then there is no need for surgery.

Thanks, wish her a good health

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Amit Jain (36 minutes later)

im asking as per thr attached document is say that is what he thinks it is. is it possible for that lesion to be cancerous?? or is he right. also the report says she doesnt have inflammation. how is the inflammation diagnosed?

Answered by Dr. Amit Jain (4 hours later)

Brief Answer:
whether the lesion is cancerous or not can only be confirmed by MRI

Detailed Answer:
Welcome back.

Ultrasound may not clearly define whether the lesion is cancerous or not. It can be clearly defined on MRI whether the lesion in liver is cancerous or not

Ultrasound can only say that there is cholecystitis which means inflammation of Gallbladder.

Thanks , wish her a good health.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Amit Jain (2 hours later)

please answer my question correctly as its expensive. the ultrasound said likelihood heomigiona as it is a solid lesion. if thats ehat he thinks it is it can a sokid lesion be cancerous. and also if it was that would it show up in her blood test results?

Answered by Dr. Amit Jain (9 hours later)

Brief Answer:
Lesion on ultrasound reuire better delineation by CT or MRI

Detailed Answer:
Welcome back

I am sorry that I could not make you understood. Let me explain again

The lesion which is suggested by doctor due to its appearance that is hemangioma is a benign disease. However it require confirmation on Mutiphasic CT or MRI for better delineation of the lesion whether it is cancerous or not

If it is hemangioma then there is no blood test for its confirmation. However if it is cancerous then serum alpha feto protein should be raised which is a bllod test

I hope now I am clear

Thansks, wish her a good health

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Above answer was peer-reviewed by : Dr. Kampana