With the information you've given me I can't give you an answer.
What if it "isn't" your Gallbladder?
What if it is something else altogether?
Would you want to find out?
In my experience, persons can have 'transient' gallbladder issues (works fine off and on). Those things 'may' cause false information to come back on a test, set of tests, or repeat tests. (a great example is the A.N.A. blood test anti-nuclear-antibodies, can be falsly negative 3 or 4 of 5 tests. This would test for something rheumatological-like -- perhaps lupus -- ; so it isn't always practiced but sometimes a person is given a 'standing order' to get the blood work when the symptoms appear...etc)
If it is your gallbladder and it is 'transiently' causing problems there are special diets, medicines, holistic therapies (that do actually work).
IF IT IS NOT your gallbladder, wouldn't you wnt to know what it then is? To repeat from a previous post the symptoms are SO "General" they can mask or be masking other issues from one or many areas.
So to answer your question, I can't answer your question.
I need more information as described above (radiology reports, bloodwork reports, etc).
Again, if it isn't your GB -- wouldn't you want to know what it then is?
What if it "isn't" your Gallbladder?
What if it is something else altogether?
Would you want to find out?
In my experience, persons can have 'transient' gallbladder issues (works fine off and on). Those things 'may' cause false information to come back on a test, set of tests, or repeat tests. (a great example is the A.N.A. blood test anti-nuclear-antibodies, can be falsly negative 3 or 4 of 5 tests. This would test for something rheumatological-like -- perhaps lupus -- ; so it isn't always practiced but sometimes a person is given a 'standing order' to get the blood work when the symptoms appear...etc)
If it is your gallbladder and it is 'transiently' causing problems there are special diets, medicines, holistic therapies (that do actually work).
IF IT IS NOT your gallbladder, wouldn't you wnt to know what it then is? To repeat from a previous post the symptoms are SO "General" they can mask or be masking other issues from one or many areas.
So to answer your question, I can't answer your question.
I need more information as described above (radiology reports, bloodwork reports, etc).
Again, if it isn't your GB -- wouldn't you want to know what it then is?
I asked in previous posts, but...
Pls include list of medications (and what for each is)
Have you traveled to asia, etc anywhere within the last few years...
Previous procedures, conditions, etc... ALL are necessary.
Without this, no one will be able to answer your question(s)... TY
Pls include list of medications (and what for each is)
Have you traveled to asia, etc anywhere within the last few years...
Previous procedures, conditions, etc... ALL are necessary.
Without this, no one will be able to answer your question(s)... TY
No really an expert in this field but do you think that you might be having something else wrong, like maybe IBS? Maybe it is messing with your system. Did your doctor ever suggested you this?
i have checked as much of the other things that it could be, i'm not a doctor but i know my symptoms. with other info you can tell me close to what it is ? thanks... how was your turkey day ? no i have not traveled any where...
If you don't post the information I cannot help any more than I already have.
You don't need to be a physician, all you need to do is post the info. required to rule things in or out.
Otherwise, I can't give any alternate opinion, or opinion other than I gave already-- at all...
Sorry.
You don't need to be a physician, all you need to do is post the info. required to rule things in or out.
Otherwise, I can't give any alternate opinion, or opinion other than I gave already-- at all...
Sorry.
i'll get the results from the tests, hope it will help you to help me...
OK...here's an odd ball case...after simple gall bladder surgery, the patient had worse symptoms post surgery, but was told it was "just" because the surgery....be patient and a few weeks will feel better.
But the patient kept complaining and months later, nothing helped relieve her pain.
She was seen by numerous gastro doc's who performed ERCP's looking for the cause of this "pain"
but nothing could be found that would cause such pain she describes as a sharp "knife" cutting into the gall bladder area, and the pain radiates in the back to a small specific spot.
The patient can point out the exact spot on her back each and every time.
During one ERCP she woke up screaming and struggling, pulling out the scope,
She told the Dr that he'd touched the spot that was causing the pain...
he'd simply blown in a puff of air into the bile duct.
But that caused pain so severe it woke her up, causing her to scream and struggle even while sedated..
The doctors now convinced she was telling the truth.
This pain was just about to drive her crazy and she frantically kept seeking opinions from numerous gastro docs.
But all there findings proved negative and couldn't find the cause for this pain and was then
referred to a "Bile Duct" specialist.
He performed exploratory surgery during which he removed 3 of the 4 staples placed during original GB surgery.
But his finding also negative as nothing out of ordinary and advised her to seek a pain clinic.
A pain management specialist performed 12 spinal blocks in hopes of "quieting"
the nerve that fed the GB. When that didn't help, she was then given pain meds.
It's been well over 6 yrs now and her "phantom" GB pain is the same.
It remains the same, and is No worse or No better, just is exactly the same.
She found much relief in "opiod pain meds" and made this pain a little more tolerable.
But after a few years of being on paid meds she wanted to see if the pain was tolerable without them.
So she went off the opiod pain meds, but after 3 or 4 months this pain was too intolerable
and found it impossible to "handle" as it just wore her down to where she began entertaining ending her life
as way of ending her pain...do we blame her?
It must have taken several months of the pain meds to dissipate out of her body completely and when this happened
then the Phantom pain increased back to being sharp and knife like feeling.
She began taking the opiod pain meds that gave her some quality of life back to where this pain
was at least somewhat tolerable.
This pain is very sharp and "grabbing"...is always triggered with certain movement.
So when she stretches or turns her head the pain increases to where she is compelled to gasp out in pain, is that bad!
But is usual just a dull pain until she moves or stretches, turns her head either side, up or down, arching her back even slightly causes the knife like pain to increase.
Its ruined her sex life as when she goes to reach orgasm, the pain increases and grabs her and she must stop any and all muscle contractions or movements. She can also feel it when she drinks or eats anything hot/warm.
Or whenever she lays flat on her back, causing muscles to be stretched out and causes the pain to grab...
keeping her legs bent, knee's up, the pain isn't as bad but still painful.
in order to keep the muscle or pain from grabbing when she does lay back, she must do so in slow increments
as she "rearranges" the stomach muscles as she lays back
Her theory: is that during the laparoscopic surgery and staples placed where the GB was removed, then
one of the nerves or muscles/viscera or what ever got entrapped in the staple.
She has sought surgeons advice but they fear removing this last staple will damage the bile duct even further.
When this first happened, doctors at first skeptical, perhaps was "drug seeking"...
but she refused them when first offered and had refused pain meds during her other surgeries she'd had years earlier.
She has never been addicted to anything stronger than having a daily can of Dr Pepper.
All her life she never enjoyed drinking and being under the influence of anything and found pain meds made her "stupid" and hated the way they made her feel, loss of control over her emotions and every day functioning.
But now that this pain "hit her" is her only way "out" of the sharpness of this phantom GB pain is just too overwhelming.
She has no other options and continues her search in seeking the cause.
She's even willing to take the risk of death in having the last staple removed if there is even one small chance of stopping this pain.
If you really think about it...the staple having entrapped or caught either a nerve or part of a muscle/viscera
and perhaps if this last staple is removed this could possibly be the end of her pain.
When this first happened she began searching on the internet and found a few others with similar complaints.
So she's not the only person suffering this debilitating condition.
She kept close contact with one of the gals but this woman kept writing about taking her own life
as a solution/end of the continuous and on going pain and suffering.
She kept encouraging her to "hang on"...perhaps a solution could be found in near future.
But these communications came to a sudden stop and hasn't heard from her ever again.
She's assumed she carried out her suicide plan as she wrote of this in every single email.
This woman was no dummy, well educated with Masters degree, was director of human resources for large corporation.
But what a wasted life, but can't blame her as this pain is very debilitating, especially when she's been standing or sitting for long lengths of time. Because of this fact, gives all more reason to believe in "caught" nerve/viscera theory....as when she has been in bed for long periods of time, laying flat on her back, then this pain is nearly gone. But at end of a busy day and on her feet, the pain is more than debilitating and must be medicated in order to keep from "loosing it".
So if anyone has something to add here, would be much appreciated.
No matter how small or insignificant you think...please don't hesitate to add your thought
for you never know what solution may turn up....could be simple, but then could be complicated'
but doesn't matter as long as we find a solution...the sooner, the better!
Thanks for reading this and please, don't hesitate to add your thoughts.
Its becoming a "life or death situation as this patient is being taken off opiod pain meds...her pain management dr claims the DEA is down all pain med dr and says she must learn to just buck up and deal with this pain....WHAT?
THAT is no way to treat someone suffering such debilitating pain....IMHO!...(in my humble opinion)
But the patient kept complaining and months later, nothing helped relieve her pain.
She was seen by numerous gastro doc's who performed ERCP's looking for the cause of this "pain"
but nothing could be found that would cause such pain she describes as a sharp "knife" cutting into the gall bladder area, and the pain radiates in the back to a small specific spot.
The patient can point out the exact spot on her back each and every time.
During one ERCP she woke up screaming and struggling, pulling out the scope,
She told the Dr that he'd touched the spot that was causing the pain...
he'd simply blown in a puff of air into the bile duct.
But that caused pain so severe it woke her up, causing her to scream and struggle even while sedated..
The doctors now convinced she was telling the truth.
This pain was just about to drive her crazy and she frantically kept seeking opinions from numerous gastro docs.
But all there findings proved negative and couldn't find the cause for this pain and was then
referred to a "Bile Duct" specialist.
He performed exploratory surgery during which he removed 3 of the 4 staples placed during original GB surgery.
But his finding also negative as nothing out of ordinary and advised her to seek a pain clinic.
A pain management specialist performed 12 spinal blocks in hopes of "quieting"
the nerve that fed the GB. When that didn't help, she was then given pain meds.
It's been well over 6 yrs now and her "phantom" GB pain is the same.
It remains the same, and is No worse or No better, just is exactly the same.
She found much relief in "opiod pain meds" and made this pain a little more tolerable.
But after a few years of being on paid meds she wanted to see if the pain was tolerable without them.
So she went off the opiod pain meds, but after 3 or 4 months this pain was too intolerable
and found it impossible to "handle" as it just wore her down to where she began entertaining ending her life
as way of ending her pain...do we blame her?
It must have taken several months of the pain meds to dissipate out of her body completely and when this happened
then the Phantom pain increased back to being sharp and knife like feeling.
She began taking the opiod pain meds that gave her some quality of life back to where this pain
was at least somewhat tolerable.
This pain is very sharp and "grabbing"...is always triggered with certain movement.
So when she stretches or turns her head the pain increases to where she is compelled to gasp out in pain, is that bad!
But is usual just a dull pain until she moves or stretches, turns her head either side, up or down, arching her back even slightly causes the knife like pain to increase.
Its ruined her sex life as when she goes to reach orgasm, the pain increases and grabs her and she must stop any and all muscle contractions or movements. She can also feel it when she drinks or eats anything hot/warm.
Or whenever she lays flat on her back, causing muscles to be stretched out and causes the pain to grab...
keeping her legs bent, knee's up, the pain isn't as bad but still painful.
in order to keep the muscle or pain from grabbing when she does lay back, she must do so in slow increments
as she "rearranges" the stomach muscles as she lays back
Her theory: is that during the laparoscopic surgery and staples placed where the GB was removed, then
one of the nerves or muscles/viscera or what ever got entrapped in the staple.
She has sought surgeons advice but they fear removing this last staple will damage the bile duct even further.
When this first happened, doctors at first skeptical, perhaps was "drug seeking"...
but she refused them when first offered and had refused pain meds during her other surgeries she'd had years earlier.
She has never been addicted to anything stronger than having a daily can of Dr Pepper.
All her life she never enjoyed drinking and being under the influence of anything and found pain meds made her "stupid" and hated the way they made her feel, loss of control over her emotions and every day functioning.
But now that this pain "hit her" is her only way "out" of the sharpness of this phantom GB pain is just too overwhelming.
She has no other options and continues her search in seeking the cause.
She's even willing to take the risk of death in having the last staple removed if there is even one small chance of stopping this pain.
If you really think about it...the staple having entrapped or caught either a nerve or part of a muscle/viscera
and perhaps if this last staple is removed this could possibly be the end of her pain.
When this first happened she began searching on the internet and found a few others with similar complaints.
So she's not the only person suffering this debilitating condition.
She kept close contact with one of the gals but this woman kept writing about taking her own life
as a solution/end of the continuous and on going pain and suffering.
She kept encouraging her to "hang on"...perhaps a solution could be found in near future.
But these communications came to a sudden stop and hasn't heard from her ever again.
She's assumed she carried out her suicide plan as she wrote of this in every single email.
This woman was no dummy, well educated with Masters degree, was director of human resources for large corporation.
But what a wasted life, but can't blame her as this pain is very debilitating, especially when she's been standing or sitting for long lengths of time. Because of this fact, gives all more reason to believe in "caught" nerve/viscera theory....as when she has been in bed for long periods of time, laying flat on her back, then this pain is nearly gone. But at end of a busy day and on her feet, the pain is more than debilitating and must be medicated in order to keep from "loosing it".
So if anyone has something to add here, would be much appreciated.
No matter how small or insignificant you think...please don't hesitate to add your thought
for you never know what solution may turn up....could be simple, but then could be complicated'
but doesn't matter as long as we find a solution...the sooner, the better!
Thanks for reading this and please, don't hesitate to add your thoughts.
Its becoming a "life or death situation as this patient is being taken off opiod pain meds...her pain management dr claims the DEA is down all pain med dr and says she must learn to just buck up and deal with this pain....WHAT?
THAT is no way to treat someone suffering such debilitating pain....IMHO!...(in my humble opinion)
In certain regions of the Country (USA) the DEA 'has' been coming down hard on general practitioner physicians; regardless of the reason for the prescribing. Even the specially licensed physicians get 'calls' regularly and have to "Justify need" for patients being prescribed either large dosages, or for long periods of time.
In general this is not abnormal, but what is is the crack-down on family Doctors.
I will offer some advice on the protocol for DEA license's (there are many kinds) but in brief for your friend to receive the help she/he deserves. The rest of the situation described will require my time to think about this more fully.
In the interim, certain physicians apply for a more expansive license allowing them to prescribe more and larger amounts of narcotics/opioids without being harassed 'as much', those include; Physiatrist (pseudo sports doctors, but not all), Pain management specialists (including neurologists with a specialty in pain).
These physicians with the special license will require, however, a more stringent protocol including: random urine and/or blood serum tests. To name a couple.
Have your friend in the mean time get a referral to one of these if possible.
If it is not inappropriate to ask, what region of the Country does this person's physician (prescribing) practice in? I am curious, because over the last 1 year there has been a large up-tick in DEA calls on family physicians, pharmacists, and the specially licensed as well.
This isn't a simple (off the top of my head) question/problem you supplied-- so I need some time to let it marinade (so to speak) before I offer any more, or any ideas... Hope this helps in the mean time.
In general this is not abnormal, but what is is the crack-down on family Doctors.
I will offer some advice on the protocol for DEA license's (there are many kinds) but in brief for your friend to receive the help she/he deserves. The rest of the situation described will require my time to think about this more fully.
In the interim, certain physicians apply for a more expansive license allowing them to prescribe more and larger amounts of narcotics/opioids without being harassed 'as much', those include; Physiatrist (pseudo sports doctors, but not all), Pain management specialists (including neurologists with a specialty in pain).
These physicians with the special license will require, however, a more stringent protocol including: random urine and/or blood serum tests. To name a couple.
Have your friend in the mean time get a referral to one of these if possible.
If it is not inappropriate to ask, what region of the Country does this person's physician (prescribing) practice in? I am curious, because over the last 1 year there has been a large up-tick in DEA calls on family physicians, pharmacists, and the specially licensed as well.
This isn't a simple (off the top of my head) question/problem you supplied-- so I need some time to let it marinade (so to speak) before I offer any more, or any ideas... Hope this helps in the mean time.
I am going to assume that the following was already done prior to, or repeated again after, surgery: upper endoscopy, colonoscopy, , CTscan of the abdomen(w/contrast), ultrasound/doppler of abdomen, and MRI of the abdomen (ALL upper right quadrant PLUS).
I am also assuming enteric issues have been ruled out like general necrosis, diverticulitis, septicemia, the appendix, peritonitis, etc.??..
AT this point, after having gone back in laproscopically, and having the issues you've stated above (concerning the duct and stapling) the option to remove the staple, and carefully put another one in a different spot, or putting an organic stitch (like catgut, not used as much anymore, but can be); in this way one can rule out the fascia/viscera having been pinched accidentally, also I am not entirely sure why the last staple is an issue at this point, and why it was left behind. There are other ways of anchoring than leaving a staple inside.
Anyway, as it stands, after (assuming) all above is said and done, add years of pain and suffering-- where signs 'do' point to the staple job-- go in take it. There are very small objects that can be replaced instead.
This is especially difficult not having all the information -- e.g. full list of meds, full list of illnesses, procedures/surgeries etc. If you can get me the laundry-list of info. and you do not want it posted we can work something out.
But, if it were me, I'd either insist they pull out the last staple, and/or replace it with another or something else (if it is important to keep it).
Wish I could be more helpful-- spent the last few days thinking about it off and on...
I am also assuming enteric issues have been ruled out like general necrosis, diverticulitis, septicemia, the appendix, peritonitis, etc.??..
AT this point, after having gone back in laproscopically, and having the issues you've stated above (concerning the duct and stapling) the option to remove the staple, and carefully put another one in a different spot, or putting an organic stitch (like catgut, not used as much anymore, but can be); in this way one can rule out the fascia/viscera having been pinched accidentally, also I am not entirely sure why the last staple is an issue at this point, and why it was left behind. There are other ways of anchoring than leaving a staple inside.
Anyway, as it stands, after (assuming) all above is said and done, add years of pain and suffering-- where signs 'do' point to the staple job-- go in take it. There are very small objects that can be replaced instead.
This is especially difficult not having all the information -- e.g. full list of meds, full list of illnesses, procedures/surgeries etc. If you can get me the laundry-list of info. and you do not want it posted we can work something out.
But, if it were me, I'd either insist they pull out the last staple, and/or replace it with another or something else (if it is important to keep it).
Wish I could be more helpful-- spent the last few days thinking about it off and on...