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Chest pains after gall bladder surgery - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User :   For several years now i have been having chest pains up under my heart, down the right side, in my back approx. where my kidneys are located and in my lower abdomen on the right side. i have had ct scans, x-rays, and a numerous amount of tests. i also had my gallbladder removed b/c my docter thought that i might have gall stones. i did not have gall stones and my gallbladder was perfectly healthy. I am at a loss at what to do now being i have tried so much. as of last night i had pains in my back that felt like someone was hitting me with a hammer and this morning i am having strong chest pains on the right side where my gallbladder surgery was. any thoughts or suggestions?
Doctor :   Hi
Doctor :   Iam.Dr.XXXXXX
Doctor :   Let me read your post
User :   Hi
Doctor :   May i know your age?
User :   27
Doctor :   ok
Doctor :   Are you having nausea or indigestion?
Doctor :   What causes the pain?
Doctor :   Any relieving factors if so?
User :   yes i had nausea last night. i felt like i was going to throw up. i also have acid reflux from time to time. i am not sure what is causing the pain.
Doctor :   Heart is located on the left side in most people
User :   as far as relieving factors, none that i know of.
Doctor :   ok
Doctor :   The problem can be related to acid reflux too
User :   i have had a echo done on my heart and everything was ok
Doctor :   OK
Doctor :   I s your pancreas normal?
User :   i haven't had the acid reflux in a while, probably several months, i did go on nexium for a while to see if that would help but it did not
User :   not sure about the pancreas
User :   i haven't had that checks
User :   checked*
Doctor :   Causes of right upper abdomen region pain includes: * gallbladder disease
* duodenal ulcer
* acute pancreatitis
* pneumonia
* subphrenic abscess
Doctor :   ok
Doctor :   I s there any relation with food?
User :   well i thought that there might be so i changed my diet and cut out most fatty foods but that hasn't seemed to help
Doctor :   Do you have a history of kidney stones?
Doctor :   ok
User :   not personally, but my mother has had them several times
Doctor :   Is your pain more after lying down in bed?
User :   yes
User :   much more in the morning when i wake up from lying down all night
Doctor :   Do you feel nausea then?
User :   not really
Doctor :   ok
Doctor :   So all your investigations were normal?
User :   yeah, thats why i am having such a hard time knowing what to to. it cost me lots of money and i dont want to go through that again if i am not oing to find answers
Doctor :   You might be having hiatus hernia some times
User :   okay
Doctor :   Because that comes when you lie down
Doctor :   and all investiagtions can be normal
Doctor :   except barium meal studies
Doctor :   A hiatus hernia or hiatal hernia is the protrusion (or herniation) of the upper part of the stomach into the thorax through a tear or weakness in the diaphragm.
Doctor :   The most common (95%) is the sliding hiatus hernia, where the gastroesophageal junction moves above the diaphragm together with some of the stomach
Doctor :   In most cases however, a hiatal hernia does not cause any symptoms. The pain and discomfort that a patient experiences is due to the reflux of gastric acid, air or bile.
Doctor :   WWW.WWWW.WW Doctor :   The following are risk factors that can result in a hiatus hernia.* Increased pressure within the abdomen caused by: o Heavy lifting or bending over
o Frequent or hard coughing
o Hard sneezing
o Pregnancy and delivery
o Violent vomiting
o Straining with constipati
User :   i had a barium swallow done in that the same thing? i also had a colonoscpy and endoscopy done
User :   both were normal
Doctor :   Ok
Doctor :   Since you have a history of kidney stones in family
Doctor :   that has to be investigated too
User :   ok
Doctor :   Was an ULtrasound abdomen done?
User :   yeah
User :   nothing found
Doctor :   ok
User :   although i'm told that sometimes they can miss something if the stones are in a unviewable place?
Doctor :   Yes
Doctor :   But do you have pain during urination
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