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What is meant by distended gallbladder with no evidence of cholelithiasis, sludge and pericholecystic fluid?

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Internal Medicine Specialist
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what does it mean to have a distended gallbladder with no evidence of cholelithiasis, sludge, pericholecystic fluid or wall thickening - with continued pain? do i need to see a specialist?
Posted Tue, 16 Oct 2012 in Liver and Gall Bladder
Answered by Dr. Enrique Molina 18 minutes later
This means your gallbladder is normal. Usually the gallbladder gets distended when you are fasting, and the lack of the evidence of the items mentioned on your question means that there is nothing wrong with your gallbladder.
The pain is probably coming from somewhere else, reasons why you should seek further advice from your doctor. If your pain is located in the gallbladder area (right upper quadrant of the abdomen), then other problems could be going on, such as liver enlargement, stomach problems, pancreas problems, muscular problems, biliary tree problems. Laboratory studies can also help guide the diagnosis based on your actual symptoms. Sometimes you need more specialized imaging tests (such as cat scan or mri of the abdomen) for further assessment. A specialist can help based on what your primary doctor finds.
Hope that helped.
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