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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Flank Pain, Abdominal Pain, Headache And Fatigue

i had my gall bladder out about 4 years ago. i also had a couple of stints installed after the fact because i continued to get gall bladder like attacks. i has been about 2 years since the last surgery. i now am having alot of pain on my right side (flank) and some abdominal pain in the same area where i had my pain for the gall bladder. i have no fever, no blood in my urine, i m have had some fatigue and a headache ever now and then, but other than that i feel ok
Mon, 23 Feb 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Read the history and understood the problems.
You had your gall bladder removed and put in the stents.

This indicates that there is a problem in the common bile duct, which carries bile from the liver to the small intestines.
Now you have similar pain in the right flank, no blood in the urine and no fever.

I would advise in such a patient the following.
MRCP to start with and before the ERCP is done.
ERCP and Endoscopic ultrasonography will give a proper diagnosis. Further stenting, or surgery may be required to get a permanent relief.
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Suggest Treatment For Flank Pain, Abdominal Pain, Headache And Fatigue

Hi. Thanks for your query. Read the history and understood the problems. You had your gall bladder removed and put in the stents. This indicates that there is a problem in the common bile duct, which carries bile from the liver to the small intestines. Now you have similar pain in the right flank, no blood in the urine and no fever. I would advise in such a patient the following. MRCP to start with and before the ERCP is done. ERCP and Endoscopic ultrasonography will give a proper diagnosis. Further stenting, or surgery may be required to get a permanent relief.