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Will A Surgeon Be Able To Remove My Gallbladder Without The Radioactive Iodine Scan?

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Posted on Mon, 18 Jul 2022
Question: Because of an allergic reaction to IVP , I opt out of the heita scan , I have had an ultra sound ,an MRI ,and an endoscopy none of which revealed any gallbladder stones or other abnormalities . I think ,based on my symptoms I have bilary dyskinesia. Will a surgeon remove my gallbladder without the radioactive iodine scan ? I can provide a recent MRI and endoscopy findings.
doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
Further details as well as reports needed.

Detailed Answer:

Hi,

I would need you to elaborate upon the actual complaints (symptoms) you have. Unless that is done, it would be difficult for me to provide an answer. I would also wait for you to upload the MRI and endoscopy reports which will enable me to guide you further.

I would await your response.
Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Prof. Kunal Saha (2 hours later)
Mayo Clinic said that I had stomach and duodenal erosion. The MRI revealed no gallstones or any decernable abnomalities with my pancreas liver or gallbladder. My symptoms occur within 2hours after my evening meal.High fat foods and high density foods along with alergenic foods cause A sharp pain in the center of my chest just above my sternum lasting about 5 minutes then subsiding.I am guessing that my gallbladder is late in ejecting the bile into my duodenum delaying the neutralization of stomach acids.The radio active iodine test heita scan causes extremely adverse reaction in me ,fainting barfing ,diarrhea and temporary blindness.It has been 1 year and nothing seems to eradicate my symptoms.
doctor
Answered by Dr. Prof. Kunal Saha (4 hours later)
Brief Answer:
Slowing of gastrointestinal movement seems to be the culprit

Detailed Answer:

Hi,

Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation.

In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.

Hopefully that should help. Let me know if I could help further.
Regards
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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Will A Surgeon Be Able To Remove My Gallbladder Without The Radioactive Iodine Scan?

Brief Answer: Further details as well as reports needed. Detailed Answer: Hi, I would need you to elaborate upon the actual complaints (symptoms) you have. Unless that is done, it would be difficult for me to provide an answer. I would also wait for you to upload the MRI and endoscopy reports which will enable me to guide you further. I would await your response. Regards