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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Ways To Rule Out A Gallbladder Attack

Yes. Last year I awoke in the middle of the night with severe pain in my right chest and back. After an hour I went to the ER and they tested my heart. I had a full cardiac workup and everything is fine. I think it was a gallbladder attack. It happened 3 more times then stopped after that. They did a Hippa test and it was ok. Now I continue to have gas and a swollen abdomen. Sometimes I feel some pressure in the area of my gallbladder but nothing like the first time. Any ideas?
Wed, 11 Oct 2017
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General Surgeon,  's  Response
Hello dear , Hi

Warm welcome to Healthcaremagic.com
I have evaluated your query thoroughly .

* The ways to rule out gall bladder attack involve multiple approaches
combined together on clinical grounds

* Symptoms

- Pain right upper abdomen ( sometimes dull , achy ; at times severe ,
sharp ) , aggravated by oily , spicy , dairy fats .
- Associated burning epigastrium , vomiting , pain upper back in varying
number of cases .
- Jaundice in case of obstruction of biliary system via stone in the
cystic duct or common bile duct .

* Signs

- Clinical assessment reveals tenderness in the right hypochondrium
epigastrium depending upon the severity internally .

* Diagnosis

- High resolution ultrasound of abdomen & pelvis ( on empty stomach )
- CT abdomen & pelvis with contrast
- MRI
- Supportive lab tests .

The choice of the investigation depends upon the clinician judgement .

Hope this clears your doubt .

Welcome for any further guidance .
Regards .
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Suggest Ways To Rule Out A Gallbladder Attack

Hello dear , Hi Warm welcome to Healthcaremagic.com I have evaluated your query thoroughly . * The ways to rule out gall bladder attack involve multiple approaches combined together on clinical grounds * Symptoms - Pain right upper abdomen ( sometimes dull , achy ; at times severe , sharp ) , aggravated by oily , spicy , dairy fats . - Associated burning epigastrium , vomiting , pain upper back in varying number of cases . - Jaundice in case of obstruction of biliary system via stone in the cystic duct or common bile duct . * Signs - Clinical assessment reveals tenderness in the right hypochondrium epigastrium depending upon the severity internally . * Diagnosis - High resolution ultrasound of abdomen & pelvis ( on empty stomach ) - CT abdomen & pelvis with contrast - MRI - Supportive lab tests . The choice of the investigation depends upon the clinician judgement . Hope this clears your doubt . Welcome for any further guidance . Regards .