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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Discomfort In Upper Quadrant After Eating A Meal

after having an abdominal ultra sound the report suggesting of minimal coarsening of the hepatic echotexture size and possibly relating to hepatic parenchymal disease. I've been having lots of discomfort after eating a meal on my upper quadrant under the sternum where my liver is?? Please adivse
Sat, 26 Mar 2016
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General Surgeon 's  Response
hi.

noted history of upper quadrant pain after eating a meal. it is possible that you have a symptomatic gallbladder disease (probably due to a gallstone or a polyp). when was your last abdominal ultrasound done? it is best if you consult with a doctor, preferably a general surgeon or a gastroenterologist, for physical examination and clinical evaluation. your gallbladder disease might have been there for a long time already (chronic cholecystitis). if your symptoms are occurring more frequently, surgical management will be advised, because you don't want your condition to be an emergent one. an elective (scheduled/planned) surgery has better outcomes and lesser risk of developing complications. diagnostics (such as ultrasound, bilirubins, alkaline phosphatase, liver function tests, blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. definitive treatment for gallbladder disease is surgical removal of the gallbladder (along with the stones or polyps). it could be done laparoscopically (goldstandard) or thru open technique. low fat diet is also recommended.

hope this helps.

good day!!

~dr.kaye
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Suggest Treatment For Discomfort In Upper Quadrant After Eating A Meal

hi. noted history of upper quadrant pain after eating a meal. it is possible that you have a symptomatic gallbladder disease (probably due to a gallstone or a polyp). when was your last abdominal ultrasound done? it is best if you consult with a doctor, preferably a general surgeon or a gastroenterologist, for physical examination and clinical evaluation. your gallbladder disease might have been there for a long time already (chronic cholecystitis). if your symptoms are occurring more frequently, surgical management will be advised, because you don t want your condition to be an emergent one. an elective (scheduled/planned) surgery has better outcomes and lesser risk of developing complications. diagnostics (such as ultrasound, bilirubins, alkaline phosphatase, liver function tests, blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. definitive treatment for gallbladder disease is surgical removal of the gallbladder (along with the stones or polyps). it could be done laparoscopically (goldstandard) or thru open technique. low fat diet is also recommended. hope this helps. good day!! ~dr.kaye