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Do I have gall bladder disease?

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Hida scan reveals diseased gall bladder, but my symptoms do not match any I read about. I am concerned that having it out is not going to address the issue. I do not have abdominal pain, shoulder pain, constipation or change in stool color - my pain is very low pelvic pain that radiates around to my hip (not back, but area of hip joint) I do have nausea and vomiting that starts the pain.  Are these typical of gall bladder disease as well?


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Category: Family Physician-GP
Dr. John Monheit is online now

Expert:  Dr. John Monheit replied 4 Days.

Hello, the symptoms that you have described are probably suggestive of Gallstones also known as Cholelithiasis. Gallstones are collections of solid material that form inside the gall bladder. There are 2 types of Gallstones:

a)Cholesterol gallstones: Account for 80% of gallstones in developed countries. These are solitary with radiating appearance.

b)Pigmented stones: Account for 20 % of gallstones. They are multiple, sludge like, brownish black in color.

The risk factors associated with gallstones are:

a)More common in women.

b)It increases with age, around age of 40 yrs.

c)Common in certain families.

d)Obesity, birth control pills.

e)Diabetes mellitus.

f)Pregnancy.

Patients with such a condition usually present with biliary colic also known as gallstone pain or biliary pain. It causes attacks of abdominal pain, located in the right upper quadrant just under the lower ribs. You may feel nausea, vomiting and pain in the right shoulder or back. Biliary colic usually happens when the gall bladder contracts in response to a fatty meal. I would suggest you to get a set of investigations like complete blood test, ultrasound abdomen that is a sensitive test to detect gallstones. This can be treated with surgery known as Cholecystectomy where the gall bladder is removed .It can be done by open or by laparoscopic methods. You can also use a bile acid pill like Ursodiol that dissolves and breaks the cholesterol type of gallstones but takes several years for complete evacuation. It would be best to consult your surgeon with these reports for further treatment. Thank you


Dr. John Monheit
Category: Family Physician-GP
Experience: 
Residecny: North Colorado Family Medicine
Medical School: The Chicago Medical Center
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