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Having distended gallbladder. Pain under sternum, chest and back. Food gets stuck in esophagus and painful. Having history of GERD

Hi I m 49 year old female, witha history of gerd 15 years, have had upper right quadrent pain for 2 weeks,I also have a hiatus hernia for 10 years. Now the pain is in and under my sternum, excruitiating chest and upper back pain between my shoulder blades. When I eat feels like food is stuck in my esophagus , very painful. after i eat my stomach just kills me. Had a ultrasound on friday, they said i had a distended gallbladder.
Wed, 20 Jun 2012
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Pulmonologist 's  Response
thanks for ur query
u have gerd for 15 years with hiatus hernia for 10 years
distended gall bladder is a vague term
is there any pathology...stone something like that????
u need to consult a gastrosurgeon, need to have a proper evauluation of hiatus hernia and if needed surgery should be done to correct it...otherwise u should not have relief of ur gerd symptoms
i think ur all problem regarding ur complaint ll be releived
in the mean time u may try pantoprazole, itopride combination
u need to have atleast an ECG done
thank u
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Internal Medicine Specialist Dr. Sudhir's  Response
Hello.Thanks for the question.A well distended gall bladder is normal thing.Gall bladder gets distended when it gets filled with bile and emptied when bile is used up.Only other cause is obstruction of bile duct can cause distended gall bladder, but in that case sonography would have shown distended bile duct as well.I think ideal investigation in your case would be gastroscopy and if needed barium swallow.The type of pain which you have described seems more of related to esophagus and hernia than gall bladder.Thank you.
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General & Family Physician Dr. Aparna Kohli's  Response
Thanks for writing in.
I think that the pain that you are experiencing is due to GERD, hiatus hernia and probably peptic ulcer disease. The way ahead would be to do an endoscopy and rule out a peptic or duodenal ulcer. You can also try taking Tablet Prevacid OTC one tablet daily one hour before meals if you are not receiving a proton pump inhibitor like omeprazole or lansoprazole. I would also be interested in doing an ECG to rule out any heart condition that we are missing.
I dont think the right quadrant pain is due to gallstones as the ultrasound would have showed up the stones.
also, avoid caffeine, alcohol, spicy food and smoking. pain killers like aspirin can worsen your situation so be wary when you take them.
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