Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

190 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes upper abdominal pain and vomiting after gall bladder surgery?

Answered by
Dr.
Dr. Ramadevi Wani

OBGYN

Practicing since :1985

Answered : 1285 Questions

default
Posted on Fri, 3 Mar 2017 in Abdominal Pain
Question: Please help with my upper abdominal pain and vomiting after babies c-section and gallbladder surgury! Its been 3 months!

Symptoms-

Extreme upper abdominal pain/pressure that radiates to my back between shoulder blades and behind my stomach after eating that causes nausea and vomiting within minutes after eating or drinking anything including water sometimes. Forced vomiting has also occurred to alleviate some pain because of how severe it is. I also have belching and high blood pressure and 1 test shows slightly elevated liver enzymes. They also found a small sliding hiatal hernia which they say is not enflamed and would not cause this.



Lab Work-

I have had several CAT Scans (approximately 4) from 2 different hospitals, a barium X-ray, 2 endoscopies from 2 separate gastrologists , an ekg, a catscan of my brain, and tons of blood work including endoscopy biopsy and everything is apparently fine besides what was mentioned in the symptoms. Before my gallbladder removal I had a hiatus scan that they said showed my gallbladder was not functioning. (This is why they chose to remove it but obviously has not fixed the issue and is currently getting worse.)

When it started-

This all started after excess vomiting during my pregnancy. I ended up being diagnosed with pre-Eclampsia that turned into helpp syndrome (Really high blood pressure, protein in urine and high liver enzymes and ended up emergency delivering a month early by c section November 22nd 2016.) Before leaving the hospital after the babies c section I ate a decent sized meal again for the first time in several weeks and ended up with what they said was a gas bubble and got sent home where my symptoms slowly got worse each day eventually causing me to go to the ER on several occasions. I eventually ended up getting my gallbladder removed 3 weeks ago after a hiatus scan and was great for 3 days on oxycodine. I have since been hospitalized 4 times where each time they did testing gave morphine for pain and never find anything in the ER. Each time they Released me without solving the issue. I am currently and finally still admitted from my gallbladder surgeon (whom I really like and I can tell he really wants to help) who got me admitted finally after begging but I am going home tomorrow after 4 days and tests at the hospital because they say there is no other tests at the time. I am scared and really want help. Morphine and oxy or any pain med for that matter is the only thing that helps once it kicks in.

Again I can be fine all day sometimes and eating anything will immediately return my symptoms while other times I can eat a few bites and feel ok and an hour later have a sip of ginger ale or ensure and feel immediate pain again. The pain is on my upper middle abdomen and middle chest and radiates directly to my back as well between my shoulder blades and behind my stomach.

Are there any other suggestions or tests? Any possible things to check for as well? Please any advice will be great! Nothing NOTHING is making this go away and it is unbearable. If I go home again I will be back in the ER within 3 days with dehydration because without IV my symptoms get worse each day to the point of extreme dehydration from vomiting and pain.

I will also state that since the 4 days in the hospital I have extremely improved but this has happened before and the second I get home I end up here again! The only reason I think I’m improving here is because the pain meds allow me to eat small portions (liquid diet) without the pain. (Without the pain meds the pain will NOT go away)

I also threw up blood that looked like coffee grounds about 3 times or so but they said its normal because of the amount of vomiting I am having. If I’m not in the hospital and it gets bad, the pain and nausea become so bad I vomit every 15 minutes and end up going to the ER from the pain and fear of dehydration.

History-

I have a history of gerd and was on nexium for a whole year (still on it)

Prescriptions-

I am currently prescribed klonapin for anxiety from all the stress, bp medicine as needed and oxy as needed for when I do try to eat or drink while in the hospital. I was recently removed from morphine which I was on again for the past 3 days and the oxy seems to be working just as well.


Extra notes-

Pre pregnancy weight is 170LBS I am now 145 LBS. (Down 72 lbs since my 217 birth weight)

No fever has ever been recorded

Current BP in the hospital is 120/90 and 110bpm heart rate

BP before I was admitted this time without the pain meds was 175/114 consistently until I got blood pressure medication.

Liver enzymes are still slightly elevated but have gone down since my 4 day stay in the hospital began.

My BP has been quite normal since then without BP medication though.

Please help!

Is it possible this is still from gallbladder surgury? It has been several weeks.
doctor
Answered by Dr. Ramadevi Wani 1 hour later
Brief Answer:
Get an ERCP ( endoscopic retrograde cholangio-Pancreatography) done

Detailed Answer:
Hi,
Welcome to Healthcare Magic.
I am Dr Ramadevi Wani.
I am sorry that you are still suffering with this pain and vomitting.

I have read your notes thoroughly. In my opinion, the reason for this pain is probably:

1. There is still a small stone in the common bile duct causing these symptoms.

2. You may be having sphincter of Oddi dysfunction. It is a condition in which the sphincter fails to contract and relax in normal fashion obstructing bile flow.
Gastroenterologists can explain it better.

Discuss with your gastroenterologist and have ERCP with sphincter manometry done. This may help in guiding further management.
Best wishes,
Dr Rama

Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. Ramadevi Wani 8 minutes later
Wouldnt a CT Or endoscopy show this?
doctor
Answered by Dr. Ramadevi Wani 3 hours later
Brief Answer:
ERCP IS NEEDED.

Detailed Answer:
Hi,
Welcome back.
CT or endoscopy would not show sphincter of Oddi dysfunction.
Best wishes,
Dr Rama
Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. Ramadevi Wani 10 hours later
After looking into it and mentioning this and gastroperesis to the doctor they are trying to find soewhere to do an ercp. Thank you so much, I will let you know how the procedure goes if i get it done. You have given me hope as this makes so much sense compared to everything else. If this procedure comes back with no results what might be the next step? We have had so many tests and if it comes back negative I will be heart broken as there is no other answer but IBS AND This does not make much sense. Again thank you!
doctor
Answered by Dr. Ramadevi Wani 14 hours later
Brief Answer:
Details below.

Detailed Answer:
Hi,
Welcome back.
Please note that ERCP+/-sphinctorotomy is a difficult procedure and should be done by experts in the field. It also carries a significant risk of complications. Do discuss in detail with your surgeon before going for surgery.

You may also consider trying antispasmodics and painkillers for some more time. In some the pain subsides with medicines only.
Best wishes,
Dr Rama
Above answer was peer-reviewed by : Dr. Kampana
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication ,  
Medical Topics

Recent questions on  Bp medication

doctor1 MD

Hi I have a BP monitor at home . Right now my reading is 130/86. I have a Bicuspic valve. Today I have been put on a low dose of BP medication after my clinic measured my BP at 151/113. This was taken immediately on arrival at the clinic after walking from the car park and a rather stressfull car journey. Am I right to be concerned about the starting medication on this evidence? .. I have recently had my personel BP monitor calybrated ..AGE 50 thank you

doctor1 MD

Hi, I have been suffering for 7 months with a whole range of symptoms and I seem to be getting nowhere with my doctors. After being ill for about 5 months I had an anxiety attack while driving on the motorway and now the doctors always revert back to anxiety as the root to my problems.even though I was ill for 5 months prior to the anxiety attack. I have been diagnosed with high blood pressure and Im on my 4th brand of BP tablets and beta blockers. I admitted myself into A and E on numerous occasions with chest pains, light headedness and abdominal bloating and diarrhoea but after an ECG, blood pressure and blood tests they say it s probably a reaction to the BP medication. I have been on an ECG monitor for 5hrs in the hospital, had a 24hr portable ECG fitted, loads of blood tests, 24hr urine sample, cardio scan (the one with the jelly) and liver scan (because I drunk heavily for years but now have cut down dramatically). All tests have come back as OK but I m still suffering. My wife has been diagnosed with Helicobacter Pylori which, after extensive research on the internet, it s not certain whether or not it is contagious so I m being sent for a breath test on Wednesday and a 24 hr BP test on Friday. My symptoms are: Chest pain (front and back), chest tightness, palpitations (periodically), stomach pain, excessive gas (both ends), stomach swelling with an aching feeling in the stomach and sides, periods of diarrhoea (the last bout lasted 30 days), chronic fatigue, occasional blurred vision which lasts a full day, skin blotching on the arms, I can only lie on my back when sleeping…if I lie on my side I get weird sensations in my chest which makes me jump, I sometimes have trouble sleeping, movement of air from stomach to anus (rumbling), when driving I start feeling nauseous and get tight chested (it seems to be the car vibrations which causes it), I sometimes feel light headed (while sitting or laying down) and feels like Im going to faint, pressure in my temples and tingling sensations in my arms and legs. Can you please help?

doctor1 MD

Dear Doctor,

In the past two years i have been experiencing fast heart beat and their after i feel week for at least 5 minutes. This same attack only lasts for 5 to 10 minutes. I have been to private clinics and government clinics to see the cadiologist and done a lot of tests eg echo,ecg,x-rays, etc and i was at one time put on BP medication but i was told to stop drinking the medicine. They told me to avoid drinking cold water and said i have thin blood versels. How can you help me as at the moment i do not take any medicine.

doctor1 MD

My 73 y.o. mother had a hernia repair yesterday (under general anesthesia) is now on 5mg Lortab 1-2 tabs q 6 h... we just got her some phenergan for her nausea. She couldn't sleep last night d/t "heart beating in her teeth & loud in her ears" . Her blood pressure was normal upon release from procedure... & is on BP medication. Is this "normal" ?

doctor1 MD

Hi sir, my father 63 had a heart bypass surgery one year ago, he is fine but he has suddenly giddiness and felt down,. we met doctor and he took Ecg and BP everything is fine. after one month again he had giddiness and felt down then again met our...

doctor1 MD

I have been under a lot of pressure and stress lately and I have a history of anxiety . My blood pressure has been around 140/100 and I can’t seem to calm myself down enough right now and when I get nervous it goes a bit higher. I’ve never had...

doctor1 MD

Im experiencing tight chest and high blood pressure .