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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Alcoholic With Severe Knee Pain. Gall Bladder Distended, UTI. Referred To Gastro Enterologist. Why?

My mother-in-law has been weak, sitting in her recliner 24/7 (due to knee pain ) and not even going to the bathroom. She has been using the bedsite portable potty for about a month. She has a history of alcoholism . We just got results of blood work--no sign of hepatitis . Abdominal scan showed gallbladder was distended. She also has a silent UTI. Still has dark urine. Today we were told we were being referred to a gastroenterologist . What are they looking for?
Mon, 4 Feb 2013
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Critical Care Specialist 's  Response
Hi thanks for your question.
Alcoholic,,Knee pain, silient UTI and finally distended gall bladder.
The treating physician has to fix a priority,which condition is more serious and needs urgent attentation of a specialist.So I think you should have asked this question from treating physicion who may be able to explain you better.In my openion reason for referal to the gasteroenenterologist could be a very much distened gallbladder,which may rupture leading to biliary peritonitis with high motality.The cause of distension of gallbladder must be the one which could be managed by non surgical means .
Hope this answers your question.
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General & Family Physician Dr. Dr. Zainab Hassanali's  Response
hi,
due to your mother inlaws history of alcoholism the reason for the referral is to rule out esophagial varices, ulcers or any kind of cancer.
most propable your mother in law will be done an endoscopy to rule out the above cases i have just mentioned.
the other reason is also for the gall bladder being distended what is causing it,that is why she is being referred.
hope to have answered your query
wish your mother in law a quick recovery.
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Alcoholic With Severe Knee Pain. Gall Bladder Distended, UTI. Referred To Gastro Enterologist. Why?

Hi thanks for your question. Alcoholic,,Knee pain, silient UTI and finally distended gall bladder. The treating physician has to fix a priority,which condition is more serious and needs urgent attentation of a specialist.So I think you should have asked this question from treating physicion who may be able to explain you better.In my openion reason for referal to the gasteroenenterologist could be a very much distened gallbladder,which may rupture leading to biliary peritonitis with high motality.The cause of distension of gallbladder must be the one which could be managed by non surgical means . Hope this answers your question.