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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Back Pain, Stomach Pain. Post Appendectomy. HIDA Scan Showed Tracer In Intestine, Stomach. Gall Bladder Issue?

My son is post appendectomy two weeks. He has had severe back pain and stomach pain. The surgeon thinks his gall bladder is causing the problem. An ultrasound showed no stones. The HIDA scan showed about half the tracer in the small intestine and the rest in his stomach. I haven't heard back from the Dr. yet. Does this suggest gall bladder issues, or is it more like a bile leak?
Mon, 26 Aug 2013
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General Surgeon,  's  Response
Hi ! It is unusual to have such server back pain an stomach pain after two weeks of post appendicectomy. The HIDA scan shows possible bile accumulation in the intestines and stomach. IS there any abdominal distension ? If so, then it could be due to some post operative adhesions.
Does your son consume alcoholic beverages. In that case he may be having some inflammation of his pancreas which could give rise to such pain in the back and stomach.
I feel that you should discuss with your doctor on these aspects, who may advise you for a serum amylase, serum lipase, and also a CT/MRI scan to rule out the same.
I wish your son an early recovery.
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Severe Back Pain, Stomach Pain. Post Appendectomy. HIDA Scan Showed Tracer In Intestine, Stomach. Gall Bladder Issue?

Hi ! It is unusual to have such server back pain an stomach pain after two weeks of post appendicectomy. The HIDA scan shows possible bile accumulation in the intestines and stomach. IS there any abdominal distension ? If so, then it could be due to some post operative adhesions. Does your son consume alcoholic beverages. In that case he may be having some inflammation of his pancreas which could give rise to such pain in the back and stomach. I feel that you should discuss with your doctor on these aspects, who may advise you for a serum amylase, serum lipase, and also a CT/MRI scan to rule out the same. I wish your son an early recovery.