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Abdominal cramp, Back pain, vomitting, chills, gastric - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: GERD
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I have had abdominal problems for 6 to 8 months at least. I had an
ultrasound January a year ago to see if I had ulcers and none were found.
Since then I have had issues from time to time with pain and cramping in my
mid abdominal area. Probably since September or so, I have had the same
soreness and cramping in my mid abdomen but this would be in the middle of
the night clear out of my sleep and bent over with cramps, going to the
bathroom (not necessarily diarrhea) and then back to the sofa and back again
and sometime in a full sweat and then vomiting and always severe chills and
then the cramps go on for hours (4-10). I have eaten pizza, steak, pork
chop that I have noticed that caused this (greasy, fatty foods that would
never bother me). I am sore the next day. I have tried to stay away from
those foods so not to get sick. I ate a granola bar at work a few weeks ago
and had the worst episode yet with severe cramping in mid abdomen, going to
the bathroom, full sweat all over, and then vomiting badly and then was
driven home from work with severe chills and the cramps lasted until I went
to bed. I am totally scared to eat...I am on soup, toast, crackers,
pretzels, apple sauce, apple juice, water, rice, a few mashed potatoes and a
little pasta. I also have belching all the time that I never had. I went
to my internist and he ordered a HIDA scan and they said it was normal but
as soon as I was injected with the fatty food substance, I had the same
cramping pain. I then went to a GI doc and he performed an endoscopy and
took tissue from my stomach and esophagus and said it was normal. I then
had a full abdominal scan with contrast and that was normal. I told the doc
that I didn't want to diagnose myself, but it seemed like gallbladder
problems to me. They do not see stones. He sent me to a surgeon and he
said that my symptoms are
User :   that of gallbladder and the HIDA scan cramping is
as well. He said he would remove it, but wanted me to have a full heart
workup. I have had (2) EKG's, stress test, pictures of heart and an
echocardiogram and all were normal. My internist and cardiologist feel like
it is my gallbladder. My Gastro doc is just very passive and not direct
with his answers. He told me if it was affecting my lifestyle to have it
out. He just didn't give me a "warm fuzzy" about it. I work in a hospital
and have told a Gastro doc my symptoms and she said she felt it was
gallbladder as well. I am scheduled for surgery on Monday morning to remove
it and just wondering if you think this will take care of my problems or
cause other things to happen to my system.
Hi, may I answer your health queries right now ? Please type your query here...
Doctor :   Hi
Doctor :   let me read ur query
User :   are you a gastro doc
Doctor :   it may take a few minutes
Doctor :   yes i am
User :   did i chat with yesterday
Doctor :   no
Doctor :   can i proceed
User :   I'm looking for more opinions to make me feel less stress on this surgery
Doctor :   ok
Doctor :   give me a few minutes to read ur query
Doctor :   From the description provided , it does seem that your symptoms are due to GALL bladder involvement
User :   does it seem diseased to not operating properly
Doctor :   the symptoms that increase with ingestion of fat rich foods, give the proof that the pathology lies with the gall bladder itself
User :   so would you agree that it should be removed?
Doctor :   since the cramping was seen after injection of CCK while doing the HIDA scan, it is definitive proof that your symptoms are due to GB issues
Doctor :   I totally agree that surgery will be effective to resolve your symptoms
User :   do you know why they would say it was normal when I felt that same cramping that makes me sick? Or are they just going by the percentage they check?
Doctor :   the cramping that you have is brought about is due to GB contraction and this is normally brought about by stimulation by the hormone CCK released by the intestine , when fat rich foods enter the duodenum.
Doctor :   usually this contractions should not produce any pain or other symptoms
Doctor :   but in your case, they are symptomatic and are affecting you very much
User :   OK, if you feel like it is a viable to have it removed then I guess I will be in surgery on Monday. I am just hoping to not have all the bad effects of diarrhea that I read about and so on.
Doctor :   your doctors, mean to say that the cramps, that u feel are due to normal physiological stimulation, but the response to the stimulation is in excess of normal
Doctor :   usually about 85% individuals who have surgical removal of the GB do recover soon without any after effects
User :   Thanks for your medical advice and helping me feel better with another opinion.
Doctor :   it is only in a minority of other patients , having other co-morbidies, like diabetes, liver disease, reduced gastric motility disorders that present with issues due post surgical diarrhea, etc
Doctor :   and all such issues resolve with following a low fat and cholesterol less diet
User :   Thank you very much!
Doctor :   you are most welcome
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