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Pain in gallbladder area, difficulty swallowing. History of GERD. Treatment?

I was in the ER yesterday with a bad pain in my upper right stomach . It feel like in the gallbladder area. I have had my gallbladder removed years ago. I have gerd and have had very bad heartburn and i am taking protonics. In the ER they did a cat scan and blood work and said everything is normal. I have not been able to eat anything because I feel like food gets stuck, plus it causing me shortness of breath.
Asked On : Mon, 24 Dec 2012
Answers:  2 Views:  316
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Gastroenterologist 's  Response
Hello, mika,
I don't hink the pain you are experiencing is related to your old
surgery of the gallbladder. You mention that you have GERD and
have been on Protonix. You are on the right treatment , but it is
important that you are taking the drug properly. The best time to
take the drug is about one to one half hour before your big meal
of the day. If you are on 40mg. daily and still having symtoms,
you can increase the dose to twice a day and see if that makes any
difference. With your symtoms of "Food sticking" , I am a little
concerned that you may have still considerable inflammation of
the lower end of esophagus at the juction with the stomach or
you might even have a little narrowing at that area. What you need
is an endoscopic evaluation to look at that area and biopsy it.
CT-Scan cannot show that. You might see some changes if you
have an upper GI series X-rays at the minimum.
I wish you well.
Answered: Tue, 25 Dec 2012
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General Surgeon Dr. Ivan R. Rommstein's  Response
Apr 2013
Dear sir, it sounds to me like hiatal hernia associated with GERD or gastritis. Hiatal hernia many times cant be diagnosed by CT scan. Gastroscopy or barium swallow test should be done to rule out any kind of mechanical obstruction. If nothing is found then it can be IBD or some other functional stomach disorders. If you feel better after vomiting it means that the air and fluids are "trapped" in stomach and there is a problem with passage of food through pylorus. Bloated stomach then pushes diaphragm up an causes shortness of breath. You need to do tests i ve mentioned, change diet and avoid things which aggravates symptoms.

Wish you good health
Answered: Mon, 24 Dec 2012
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