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What Causes Pain Under Rib When Suffering From Gall Bladder Polyps?

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Posted on Fri, 27 Jun 2014
Question: I got my test back from the doctor and I have a 4mm polyp in my galbladder. i do have gerd and gastrious which is talking its toll on me.. I heave this weird pain right under my right rib. in fact i can touch it. It feels weird like you can almost move it around. According to my doctor she thinks it could be my gallbladder even though the polyp is small.
doctor
Answered by Dr. Pavan Kumar Gupta (3 hours later)
Brief answer....Generally such small polyps are ignored or put up for regular follow ups.
Detailed answer....
Hello,
Thanks for the query.
I have read your query well and would try to answer in best of my capacity.
Gall bladder polyps in general are benign but few polyps can turn into cancer.
Although gall bladder cancer is a rare disease but gall bladder polyps are very common and this makes them very important.
Gall bladder polyps are not known to cause any symptoms,in general.
Symptoms are encountered by people who have associated gall bladder stones or if polyps are large and near the mouth of gall bladder.In such cases,symptoms arise because of obstruction of bile flow.
Although you are having symptoms of GERD and gastritis but a polyp of size of 4 mm is unlikely to cause these symptoms.
The general protocol for treatment is to surgically remove the polyp,if it is bigger than 10mm.Polyps between 5-10 mm are followed up by regular follow ups every 6 months and polyps below 5mm in size are ignored
A general advice in such cases is  to wait and watch and get an ultrasound abdomen repeated after 6 months.In case you find it growing,then you may get it removed.
But if you or your doctor feel that the symptoms are unbearable and because of polyp only,then a removal can be contemplated.
I hope it helps,however you may revert to me for any further query.
Best of luck
Thanks
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

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What Causes Pain Under Rib When Suffering From Gall Bladder Polyps?

Brief answer....Generally such small polyps are ignored or put up for regular follow ups. Detailed answer.... Hello, Thanks for the query. I have read your query well and would try to answer in best of my capacity. Gall bladder polyps in general are benign but few polyps can turn into cancer. Although gall bladder cancer is a rare disease but gall bladder polyps are very common and this makes them very important. Gall bladder polyps are not known to cause any symptoms,in general. Symptoms are encountered by people who have associated gall bladder stones or if polyps are large and near the mouth of gall bladder.In such cases,symptoms arise because of obstruction of bile flow. Although you are having symptoms of GERD and gastritis but a polyp of size of 4 mm is unlikely to cause these symptoms. The general protocol for treatment is to surgically remove the polyp,if it is bigger than 10mm.Polyps between 5-10 mm are followed up by regular follow ups every 6 months and polyps below 5mm in size are ignored A general advice in such cases is  to wait and watch and get an ultrasound abdomen repeated after 6 months.In case you find it growing,then you may get it removed. But if you or your doctor feel that the symptoms are unbearable and because of polyp only,then a removal can be contemplated. I hope it helps,however you may revert to me for any further query. Best of luck Thanks