Brief Answer:
Please follow as per details noted down
Detailed Answer:
Hi. Thanks for an elucidate history.
Definitely the pain you described is significant and should go for Upper GI
Endoscopy at the earliest. You should follow the rules of
acid peptic disease control strictly- like diet control , timing of food , bland diet , no oily spicy food, no beverages or food which may increase acidity, not to sleep immediately on food, small frequent meals etc. This helps a lot in a good control.
As for the softer stool which float - you can try tablets of pancreon ( pancreatic supplements ) 2 tablets with every food that you have. There can be a non-clinical insufficiency of pancreatic enzymes. This can be a good test and treatment too , if this improves your symptoms.
As the CT scan for
pancreas is normal, there is no major worry.
Gall bladder removal itself will cause a problem in digestion of fatty food as there will be no mixture of bile with food in the
duodenum ( as there is no store, the GB). With a history of 15 years, no one really follows the diet control, and is natural.
You have noted a great finding of feeling of liquid sloshing- This needs an evaluation. If your Gastroscopy turns to be normal and there are no symptoms relief as per mu advise , another possible diagnostic test is Enteroclysis- that is contrast study of the intestines by barium. This is really a good investigations showing positive findings even in patients with a normal report of contrast enhanced CT scan of abdomen. Please discuss this with your Doctor , he may be happy to order one.
Yes,
anxiety is very normal with so many problems you are going through which unfortunately do add to the existing problems. Relaxed mind improves results faster and better. Treat either with changing life-style ,
meditation , medication whatever is possible.
I hope I have tried to answer all your queries . Sorry for a lengthy, but detailed answer, which may help you.
Would like to know the outcome and feedback.
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