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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Gall Bladder Removal. Bloating Stomach, Pain Near Rib Cage. Done HIDA Scan. Cause?

I had my gallbladder out 2 years ago. I've had a HIDA scan, a scope down my nose with manometry, gastric emptying and most recently an ERCP where they cut my sphincter of oddi muscle. I still have severe bloating in upper stomach and I feel like I'm being squeezed around my rib cage and breast bone. Sometimes that pain goes into my back. They just keep giving me pain meds and they don't know what is causing it. I've been to ER and they say it's not my heart. Im scared and frustrated...
Sat, 29 Jun 2013
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General Surgeon 's  Response
Hello!

Thank you for the query.

As bile ducts and stomach problems has been ruled out, your symptoms can be caused by small or large intestines issues. It can be just a chronic bowels infection or more serious partial bowels obstruction due to inflammatory bowels disease or even colon cancer (probable if you are over the age of 50). Chronic pancreas inflammation is also possible.

I suggest you to have some more tests to rule out mentioned conditions.
You should have stool tests, amylase, urine amylase, lipase and colonoscopy at first. If nothing will be found, abdominal CT with oral contrast (enteroclysis) should be done.

Hope this will help.
Regards.
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History Of Gall Bladder Removal. Bloating Stomach, Pain Near Rib Cage. Done HIDA Scan. Cause?

Hello! Thank you for the query. As bile ducts and stomach problems has been ruled out, your symptoms can be caused by small or large intestines issues. It can be just a chronic bowels infection or more serious partial bowels obstruction due to inflammatory bowels disease or even colon cancer (probable if you are over the age of 50). Chronic pancreas inflammation is also possible. I suggest you to have some more tests to rule out mentioned conditions. You should have stool tests, amylase, urine amylase, lipase and colonoscopy at first. If nothing will be found, abdominal CT with oral contrast (enteroclysis) should be done. Hope this will help. Regards.