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Suffering from severe pain in the back post diagnosis of GB calculus with cholecystitis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Dear Sir,
My wife has been diagnosed with GB Calculus with chronic cholecystitis during a routine Ultra Sound. The GB is stated to be distanded. It shows intra luminal multiple calculu with arc like shado. No evidence of mass sludge is seen. Other Upper Abdomen parameters and also all Lower Abdomen & KUB parameters are normal. There is no symptoms as such. For the last 3 days she is having burning sensation/pain in the back which goes down to the legs
Does it call for Cholecystectomy immediately, or will it be better to wait for symptoms? Also pl indicate what are the symptoms one should expect due to GB stone.
Doctor :   Hi
Doctor :   Dr XXX here
Doctor :   Let me read your query
Doctor :   Ok
Doctor :   Let me breif you
Doctor :   The symptoms are
Doctor :   1.dyspepsia including abdominal bloating and discomfort after eating
Doctor :   2.Intolerance to fatty foods
Doctor :   3. Belching
Doctor :   4.flatulence (passing gas or farting).
Doctor :   The most common symptom of gallstones is biliary colic.
User :   Hi! Dr.XXX . Does her condition call for surgery or it is not required at present. She has no symptoms as such
Doctor :   Its caused due to extrahepatic ducts-cystic, hepatic or common bile-are suddenly blocked by a gallstone
Doctor :   Yes
Doctor :   when there is severe pain with burning sensation
Doctor :   But could also be due to severe gastritis
Doctor :   Get her examined and if she responds to antacids then she will not require intervention
Doctor :   If she doesnt respong then will require repeat scan and proceed further with surgery
Doctor :   The typical finding will be increase in serum amalyase
Doctor :   If the pain lasts more than 4-5 hours, it means that a complication - usually cholecystitis - has developed.
Doctor :   Occasionally, the pain also may be felt in the back at the lower tip of the shoulder back on the right side
User :   in the back/hip region which goes down to the legs. The problem has been there since last 2 to 3 days otherwise she has no problems, she is a diabetic for about 5 yrs though
Doctor :   Ok
Doctor :   Get her examined once
Doctor :   Is she having symptoms flare up after food
User :   No, there is no flare ups after food
Doctor :   Ok then that rules out gastritis
Doctor :   Is the pain persistant ?
User :   No it comes and goes and it is only for the last 2 to 3 days
Doctor :   Is she relieved by changing sleep positions
User :   It feels good when she lies down
Doctor :   Ok then its a sign of cholecysytits
Doctor :   She needs antispasmoidics and painkillers
Doctor :   And one day observation for a one day
User :   In plain terms doctor do u feel that surgery is required? or further investigations r needed & if so whom should I consult. No pain killers r needed
Doctor :   The condition is fully releived only after surgery
Doctor :   And on meds there are more chances of recurrance
Doctor :   I will suggest laproscopic removal which is a simple procedure and just require a days hospitilaztion
Doctor :   You should consult an Gastroenterologist
Doctor :   *1 day of hospitilazation
User :   Can u suggest a good Gastroenterologist?
Doctor :   Your location?
User :   XXX
Doctor :   Dr.      XXX
User :   Pl suggest among one of the best in India. Location does not matter
Doctor :   Ok just a moment
Doctor :   Dr. XXX
User :   Can u give the telephone no. for booking an appointment?
Doctor :   Sorry we dont have it in our data base
Doctor :   I will rather give you the number for Appollo hospitals
Doctor :   000-00000 or 0000
Doctor :   You can seek their help
User :   Thanks Dr. for all yr help. Good Night
Doctor :   Thanks for consulting me
Doctor :   Wishing her a speedy recovery
Doctor :   Bye for now
Doctor :   Gud night
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