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What Causes Pain Around Gall Bladder Area?
Question: I have had ct scan and sonograms of my gall bladder the reports were no stones no sludge yet with certain movement like pulling or lifting something in a bending position triggers a gripping pain to the gallbladder area accompanied by weakness chills and sweats could I have a blocked duct ? would this cause symptoms like this?
Brief Answer:
Possibility of acid reflux, hiatal hernia or gastritis, duodenitis
Detailed Answer:
Hi XXXX
Thanks for writing in to us.
I have read through your query in detail.
It is unlikely that you have any blocked duct as it is clearly visible on ultrasound and CT scan. There are upper limits of normal in the measurement of the ducts connecting gall bladder to small intestine (common bile duct). Also there is clinical jaundice and raised bilirubin levels in blood, should you have a blocked duct. Even a slightly blocked duct is visible on ultrasound. Since the ultrasound and CT scan reports do not show such occurrence therefore there is no possibility of a blocked duct causing your symptoms.
Any abnormal swelling or bulge in the area below the ribs will clearly be visible on CT scan done earlier. As such a finding has not been recorded in your reports, the possibility of a bulge being abnormal is ruled out.
However, there is a possibility that you might be having hiatus hernia, acid reflux disease or mild inflammation in the stomach or duodenum. This point needs further thoughts and if recommended by your doctors, upper gastrointestinal endoscopy might help.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Possibility of acid reflux, hiatal hernia or gastritis, duodenitis
Detailed Answer:
Hi XXXX
Thanks for writing in to us.
I have read through your query in detail.
It is unlikely that you have any blocked duct as it is clearly visible on ultrasound and CT scan. There are upper limits of normal in the measurement of the ducts connecting gall bladder to small intestine (common bile duct). Also there is clinical jaundice and raised bilirubin levels in blood, should you have a blocked duct. Even a slightly blocked duct is visible on ultrasound. Since the ultrasound and CT scan reports do not show such occurrence therefore there is no possibility of a blocked duct causing your symptoms.
Any abnormal swelling or bulge in the area below the ribs will clearly be visible on CT scan done earlier. As such a finding has not been recorded in your reports, the possibility of a bulge being abnormal is ruled out.
However, there is a possibility that you might be having hiatus hernia, acid reflux disease or mild inflammation in the stomach or duodenum. This point needs further thoughts and if recommended by your doctors, upper gastrointestinal endoscopy might help.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My regards Dr XXXXXXX and I am grateful for your time, My blood work results all came back normal. I didn't have an ultrasound of the area I had a sonogram showing nothing remarkable.The area of the slight bulge is where the gripping pain happens upon any straining in a bending position this feels similar to what a XXXXXXX horse feels like and causes weakness chills and at times the slightly bulged area looks as it an elbow is protruding I am scheduled for an upper gas. endoscopy in two days.If this is a Hiatus hernia will this test show it, And would it be a good idea to follow up with a surgeon for an examination ? Again I thank you for your time and input
Sincerely Lorraine Edwards
Sincerely Lorraine Edwards
Brief Answer:
Surgeons are experienced in treating condition like bulge and hiatus hernia
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Endoscopy is a technique by which the inside of esophagus, stomach and duodenum will be evaluated in your case. Hiatus hernia causes upward transition of part of stomach in to the chest and this causes the acid to move up and lead to inflammation. This can be evaluated upper GI endoscopy.
There is also special X ray procedures where the patient is made to drink barium and the couch is tilted and X rays taken in various positions. This is also done to visualize hiatus hernia.
Consulting a surgeon is the best as conditions like hiatus hernia and intermittent bulging of abdominal wall comes under the domain of surgical branches. They are more experienced than other doctors in dealing with problems you have.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Surgeons are experienced in treating condition like bulge and hiatus hernia
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Endoscopy is a technique by which the inside of esophagus, stomach and duodenum will be evaluated in your case. Hiatus hernia causes upward transition of part of stomach in to the chest and this causes the acid to move up and lead to inflammation. This can be evaluated upper GI endoscopy.
There is also special X ray procedures where the patient is made to drink barium and the couch is tilted and X rays taken in various positions. This is also done to visualize hiatus hernia.
Consulting a surgeon is the best as conditions like hiatus hernia and intermittent bulging of abdominal wall comes under the domain of surgical branches. They are more experienced than other doctors in dealing with problems you have.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr XXXXXXX Again many thanks, last question does this type of condition require a surgical procedure?
Brief Answer:
Surgical proceduresrequired only in severe case, when medications dont work
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Sorry for being a bit late.
Please find my observations below.
1. Not all cases of hiatus hernia require surgical procedures.
2. Medications are prescribed to be taken as per recommended doses.
3. Attempts are made to reduce changes by putting in to practice lifestyle changes such as the following should you have hiatus hernia, acid reflux disease or mild inflammation in the stomach or duodenum.
(i) Eat frequent smaller meals throughout the day instead of large meals.
(ii) Avoid foods that trigger heartburn, such as chocolate, onions, spicy foods, citrus fruits and tomato-based foods.
(iii) Avoid alcohol.
(iv) Eat at least two hours before bedtime and avoid remaining hungry for more than 6 hours in the day time.
(v) Lose weight if you're overweight or obese.
(vi) Stop smoking.
(vii)Elevate the head of your bed 6 inches (about 15 centimeters).
Wishing you good health and quick recovery.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Surgical proceduresrequired only in severe case, when medications dont work
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Sorry for being a bit late.
Please find my observations below.
1. Not all cases of hiatus hernia require surgical procedures.
2. Medications are prescribed to be taken as per recommended doses.
3. Attempts are made to reduce changes by putting in to practice lifestyle changes such as the following should you have hiatus hernia, acid reflux disease or mild inflammation in the stomach or duodenum.
(i) Eat frequent smaller meals throughout the day instead of large meals.
(ii) Avoid foods that trigger heartburn, such as chocolate, onions, spicy foods, citrus fruits and tomato-based foods.
(iii) Avoid alcohol.
(iv) Eat at least two hours before bedtime and avoid remaining hungry for more than 6 hours in the day time.
(v) Lose weight if you're overweight or obese.
(vi) Stop smoking.
(vii)Elevate the head of your bed 6 inches (about 15 centimeters).
Wishing you good health and quick recovery.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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