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What Causes Pain Below The Breast Radiating To Arm And Upper Back?
Question: I have pain below my right breast and radiates to my right arm and my upper right back it gets some times really bad sharp stabbing pain at night and feels worst when I eat I had an ultra sound that showed that my gallbladder is bad but then I had an. Nuclear scan that I had to sip XXXXXXX liquid and they injected me with the nuclear liquid that was back in dec of 2013 and the sergeant doc said it worked fine I don't need surgery and I just waited and now the pain is getting worst I called my gastrology. Doc and he told me to go back to the surgery doc I really don't know what's going on and getting tired of going back and forth what do. You think is going on with me please help
Brief Answer:
Need surgery consider it
Detailed Answer:
Thank you for asking
Pain right hyoochondrium referring to back and tip of shoulder worsening by meals with ultrasound suggesting of liver sludge is all very classic of cholecystitis a gall bladder infection. It needs to assess pancreatic function too as some times that sludge involve pancreas and cause acute pancreatitis which also presents this way. GERD may cause this pain too but proton pump inhibitors and diet lifestyle modification should have sufficed.
In nut shell no matter what doctors say you need to get rid of this gall bladder.schedule a date with a laporoscopic hepatobiliary surgeon and let them take care of your this complain. Minimal invasive techniques are available and easily recoverable from.
Don't waste time and go through the procedure. You eventually have to get rid of this gallbladder.
I hope it helps.take care and don't forget to close the discussion please.
may the odds be ever in your favour.
Regards XXXXXXX
Need surgery consider it
Detailed Answer:
Thank you for asking
Pain right hyoochondrium referring to back and tip of shoulder worsening by meals with ultrasound suggesting of liver sludge is all very classic of cholecystitis a gall bladder infection. It needs to assess pancreatic function too as some times that sludge involve pancreas and cause acute pancreatitis which also presents this way. GERD may cause this pain too but proton pump inhibitors and diet lifestyle modification should have sufficed.
In nut shell no matter what doctors say you need to get rid of this gall bladder.schedule a date with a laporoscopic hepatobiliary surgeon and let them take care of your this complain. Minimal invasive techniques are available and easily recoverable from.
Don't waste time and go through the procedure. You eventually have to get rid of this gallbladder.
I hope it helps.take care and don't forget to close the discussion please.
may the odds be ever in your favour.
Regards XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I am sending you a copy if my ultrasound repot also i need to let you know that my mom passed at thar sge of 70 two years ago from liver and colon cancer she also had breast canser ((( Your ultrasound shows a fatty liver with 3 small cysts. The cysts are benign and not a concern. The gallbladder shows sludge and possible thickening of the anterior wall. This may or may not be significant. Finally, there is a small simple cyst in the left kidney, which is also a benign finding. Because of the gallbladder abnormalities, I would like you to see your gastroenterologist and we can refer you if needed. Please let me know. The radiologist has recommended repeating the ultrasound in 3 months. However, I would like you to discuss this with your gastroenterologist. Let me know if you have questions and whether or not our referrals needs to set up your appointment with the GI doctor.)))) XXXXXXX Karriker
Narrative
--Attending MD:
A00317--Ordering MD: XXXXXXX KARRIKER
Date of Birth: 06/09/1963
Sex: F
Admit Date: 11/18/2013 08:45
PROCEDURE: VUS 0524- US ABDOMEN COMPLETE - Nov 18 2013
Accession#: B0000
INTERPRETATION:
Complete abdominal ultrasound.
HISTORY: Right upper quadrant pain.
TECHNIQUE: Real-time images through the abdomen were obtained using the
transabdominal probe.
FINDINGS: The echotexture of the liver is diffusely increased, suggesting
diffuse fatty infiltration. Liver measures 13.8 cm in the sagittal plane.
There are 3 small cysts within the liver, 2 cysts being in the right
hepatic lobe, measuring 0.7 x 0.6 x 0.6 cm, and 0.7 x 0.8 x 0.7 cm, and a
single cyst in the left lobe, measuring 0.3 x 0.4 x 0.5 cm. Gallbladder
contains some sludge, but no gallstones, and is nontender. A 4 mm
hyperechoic focus is noted near the neck of the gallbladder, without
shadowing, which may represent a small polyp. There is also questionable
focus of diminished echogenicity or thickening in the anterior wall of
the gallbladder. It is not clear whether this is a real finding. A single
small echogenic focus with common tail artifact is noted, suggesting mild
adenomyomatosis. The pancreas is only partially visualized. The head and
body of the pancreas are reasonably well seen and are grossly normal.
Tail of the pancreas is obscured by overlying bowel gas. Common bile duct
measures 3.7 mm. Portal vein is patent and demonstrates hepatopetal flow.
Spleen is normal, measuring 9.4 cm. The right and left kidneys measure
10.5 cm and 10.8 cm respectively, have normal cortical thicknesses and
echo textures, and show no hydronephrosis, calculi, or masses. A 1.1 cm
simple cyst is noted within the left kidney. IVC is normal. Aorta
measures 1.7 cm.
CONCLUSION:
1. Partial visualization of the pancreas.
2. No gallstones identified.
3. Gallbladder sludge, without gallbladder tenderness or pericholecystic
fluid.
4. Possible adenomyomatosis of the gallbladder.
5. Question gallbladder polyp and focus of gallbladder wall thickening. A
followup gallbladder ultrasound in 3 months is recommended.
6. Left renal cyst.
7. 3 small simple hepatic cysts.
8. Fatty infiltration of the liver.
___________________________________________________________
Read by: XXXXXXX W. DUNLOP,MD 138867 on Nov 18 2013 11:35A
MECKLENBURG RADIOLOGY ASSOCIATES, PA.
Transcribed by: PSC on Nov 18 2013 11:45A
Signed by: DR. XXXXXXX W. DUNLOP,MD on: Nov 18 2013 11:45A
Component Results
There is no component information for this result.
General Information
Collected:
11/18/2013 9:45 AM
Resulted:
11/18/2013 11:47 AM
Ordered By: XXXXXXX K Karriker, MD
Result Status:
Final result
Back to the Test Results List
Narrative
--Attending MD:
A00317--Ordering MD: XXXXXXX KARRIKER
Date of Birth: 06/09/1963
Sex: F
Admit Date: 11/18/2013 08:45
PROCEDURE: VUS 0524- US ABDOMEN COMPLETE - Nov 18 2013
Accession#: B0000
INTERPRETATION:
Complete abdominal ultrasound.
HISTORY: Right upper quadrant pain.
TECHNIQUE: Real-time images through the abdomen were obtained using the
transabdominal probe.
FINDINGS: The echotexture of the liver is diffusely increased, suggesting
diffuse fatty infiltration. Liver measures 13.8 cm in the sagittal plane.
There are 3 small cysts within the liver, 2 cysts being in the right
hepatic lobe, measuring 0.7 x 0.6 x 0.6 cm, and 0.7 x 0.8 x 0.7 cm, and a
single cyst in the left lobe, measuring 0.3 x 0.4 x 0.5 cm. Gallbladder
contains some sludge, but no gallstones, and is nontender. A 4 mm
hyperechoic focus is noted near the neck of the gallbladder, without
shadowing, which may represent a small polyp. There is also questionable
focus of diminished echogenicity or thickening in the anterior wall of
the gallbladder. It is not clear whether this is a real finding. A single
small echogenic focus with common tail artifact is noted, suggesting mild
adenomyomatosis. The pancreas is only partially visualized. The head and
body of the pancreas are reasonably well seen and are grossly normal.
Tail of the pancreas is obscured by overlying bowel gas. Common bile duct
measures 3.7 mm. Portal vein is patent and demonstrates hepatopetal flow.
Spleen is normal, measuring 9.4 cm. The right and left kidneys measure
10.5 cm and 10.8 cm respectively, have normal cortical thicknesses and
echo textures, and show no hydronephrosis, calculi, or masses. A 1.1 cm
simple cyst is noted within the left kidney. IVC is normal. Aorta
measures 1.7 cm.
CONCLUSION:
1. Partial visualization of the pancreas.
2. No gallstones identified.
3. Gallbladder sludge, without gallbladder tenderness or pericholecystic
fluid.
4. Possible adenomyomatosis of the gallbladder.
5. Question gallbladder polyp and focus of gallbladder wall thickening. A
followup gallbladder ultrasound in 3 months is recommended.
6. Left renal cyst.
7. 3 small simple hepatic cysts.
8. Fatty infiltration of the liver.
___________________________________________________________
Read by: XXXXXXX W. DUNLOP,MD 138867 on Nov 18 2013 11:35A
MECKLENBURG RADIOLOGY ASSOCIATES, PA.
Transcribed by: PSC on Nov 18 2013 11:45A
Signed by: DR. XXXXXXX W. DUNLOP,MD on: Nov 18 2013 11:45A
Component Results
There is no component information for this result.
General Information
Collected:
11/18/2013 9:45 AM
Resulted:
11/18/2013 11:47 AM
Ordered By: XXXXXXX K Karriker, MD
Result Status:
Final result
Back to the Test Results List
Brief Answer:
cholycystectomy b it is
Detailed Answer:
Thank you for asking
I read through your report and I want you to know that findings are suggestive of gall bladder infection.polyp in the gall bladder makes it more worth it for surgery.get one.
As far as fatty liver is concerned that is a mere imbalance between demand and supply of triglycerides and in western diets and alcohols and bears that is pretty common.obesity and weight gain also cause that. That is a later long term issue and needs abstinence and lifestyle modification from alcohol and weight gain etc.
Right now let's get rid of the gall bladder.thats the culprit for your pain.
Take care and do as directed.
Khan
cholycystectomy b it is
Detailed Answer:
Thank you for asking
I read through your report and I want you to know that findings are suggestive of gall bladder infection.polyp in the gall bladder makes it more worth it for surgery.get one.
As far as fatty liver is concerned that is a mere imbalance between demand and supply of triglycerides and in western diets and alcohols and bears that is pretty common.obesity and weight gain also cause that. That is a later long term issue and needs abstinence and lifestyle modification from alcohol and weight gain etc.
Right now let's get rid of the gall bladder.thats the culprit for your pain.
Take care and do as directed.
Khan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I dont drink at all never but it runs in my family history high cholostrol i am taking lavazz for it now so is that the reason for my galblader to go bad during this month i am fasting when it comes time for my dinner thats when my pains start i have been trung to lighten up on my dinner that way i dont get very bad pain and befor i start my fast next day i only try to drink some water and when i do that i feel real bad and it seems that the water gets stuck in the top of my stomach and doese not go down i have to sit up and cant go back to sleep for a few hours untill it resolves is all of this because of my galblader
Brief Answer:
get the surgery
Detailed Answer:
thank you for asking again miss asia
i just realized you are my Muslim sister and are having ramadan. good to hear you hate drinking. running in family explains. familila hypertriglyceridemias are main reasons for deranged lipid profile. and yes that is a one major risk factor for gallbladder issues. in nut shell, deranged lipid profile and fatty liver due to familial tendencies has played its role in gall bladder infections. please consider the surgery. it is nothing to worry about. these days one port surgeries using hardly 2 to cm cut are devised to remove gall bladder.
minimal invasive approach and get rid of this gall bladder for ever. or these issues will keep recurring with bigger sludges and stones and Allah Forbid common bile ducts blockages and that would be a disaster we dont want to face. now is the time. get the surgery. Bismillah it.
Take care
Asalam O Alaekum and happy festive Ramadan XXXXXXX XXXXXXX
get the surgery
Detailed Answer:
thank you for asking again miss asia
i just realized you are my Muslim sister and are having ramadan. good to hear you hate drinking. running in family explains. familila hypertriglyceridemias are main reasons for deranged lipid profile. and yes that is a one major risk factor for gallbladder issues. in nut shell, deranged lipid profile and fatty liver due to familial tendencies has played its role in gall bladder infections. please consider the surgery. it is nothing to worry about. these days one port surgeries using hardly 2 to cm cut are devised to remove gall bladder.
minimal invasive approach and get rid of this gall bladder for ever. or these issues will keep recurring with bigger sludges and stones and Allah Forbid common bile ducts blockages and that would be a disaster we dont want to face. now is the time. get the surgery. Bismillah it.
Take care
Asalam O Alaekum and happy festive Ramadan XXXXXXX XXXXXXX
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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