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Can A MRCP And CT Scan Rule Out Any Sort

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Posted on Thu, 22 Aug 2019
Question: Can a MRCP and CT scan rule out any sort of bile duct issues ( pancreas or gallbladder)?
doctor
Answered by Dr. Dr.P.Ratnakar Kini (6 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

MRCP and CT scan would rule out all the structural issues related to gallbladder, bile duct and pancreas.

But there are a few functional issues like gallbladder dysmotility, sphincter of Oddi dysfunction which cannot be diagnosed with MRCP or CT scan and may require other tests.

Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (2 hours later)
Does it rule out cancers of the bile ducts?

I had these test and my Lft,ggt, lipase,amylase and ultrasound of the abdomen were all normal.

I still have the mild pain under the right ribs and right flank with excessive gas.

What could be the reason for my symptoms?
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Follow up: Dr. Dr.P.Ratnakar Kini (1 hour later)
I have also done an endoscopy and stool test for h-pylori and elastase all normal
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Follow up: Dr. Dr.P.Ratnakar Kini (17 hours later)
Also, the dysfunction and motility issues are they serious and do my symptoms and my evaluation lead to anything serious ?
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Follow up: Dr. Dr.P.Ratnakar Kini (4 minutes later)
Also, after I eat something fatty in nature I feel like acid is hitting my stomach walls and it feels inflamed and hurts a bit with lot of belching.

Is it a bile duct thing or something to do with acid irritating my stomach?
Like Gerd or gastritis?

I have also done an upper Endoscopy again normal
doctor
Answered by Dr. Dr.P.Ratnakar Kini (2 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for getting back to me with more questions.
Yes, CT/MRI scan will rule out cancers of the bile duct.
The dysfunction and motility issues are not serious ones.
You can discuss with your doctor about getting tested for these issues.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (15 minutes later)
In the meantime what should I be doing? What could be some of the reasons for my symptoms?

Does GERD/Gastritits cause pain under ribs, flanks and shoulder blades?
doctor
Answered by Dr. Dr.P.Ratnakar Kini (8 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
No GERD/Gastritis does not cause pain in the flanks and shoulder blades.
You can continue taking Omeprazole. Take Tylenol also.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (1 hour later)
So, what could be causing pain in the flanks and shoulder blades?
doctor
Answered by Dr. Dr.P.Ratnakar Kini (22 minutes later)
Brief Answer:
Functional pain/Musculoskeletal pain

Detailed Answer:
Hi,
You have done almost all the tests for knowing the cause of pain and all are inconclusive.
The pain could be a functional pain or a musculoskeletal pain.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (10 minutes later)
Could a musculoskeletal pain last for 4 months without aggravating ? It’s pretty constant and feels like it’s always there.

Does this sound more like a referred pain or a functional pain, I am not able to distinguish between the 2?

Will Tylenol cause reflux or acidity?
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Follow up: Dr. Dr.P.Ratnakar Kini (1 minute later)
My doctor has asked me to take an antibiotic for bacteria overgrowth for 2 weeks (xiaxfin- not sure if I spelt it right) , should I take the medicine?
doctor
Answered by Dr. Dr.P.Ratnakar Kini (8 minutes later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Yes musculoskeletal pain can persist like that.
But I have mentioned about functional pain as the first possibility in my previous post.
No Tylenol will not cause reflux or acidity.

If you have got abdominal bloating you can take a course of Xifaxan.
Regards,
Dr.R.K.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2215 Questions

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Can A MRCP And CT Scan Rule Out Any Sort

Brief Answer: Answer given below Detailed Answer: Hi, Thanks for posting your query. I am Dr.R.K and I am pleased to assist you. MRCP and CT scan would rule out all the structural issues related to gallbladder, bile duct and pancreas. But there are a few functional issues like gallbladder dysmotility, sphincter of Oddi dysfunction which cannot be diagnosed with MRCP or CT scan and may require other tests. Regards, Dr.R.K.