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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Problem In The Gall Bladder

My husband had surgery back in May - removal of a sarcoma tumor and part of his lymphatic system. His left leg pools and he has to keep it up to keep swelling down. The issue is he walked about 3/4 mile last weekend and experienced a numb, tingling sensation in his left shoulder that ran down along with weakness and fatigue. I took him to the emergency (where they diagnosed him with TIA).. They ran cat scans, electrocardiiogram and blood tests. They could find nothing except his gall bladder is slow and his liver numbers were off. He also says his guts are constantly in an uproar each time he eats or drinks, and that it seems to be connected to the tingling in the left arm. Please help us make sense of this! He has been to the hospital twice in three days. :(
Tue, 22 Mar 2016
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General Surgeon 's  Response
hi.

noted history of abdominal upset/pain, usually aggravated by food intake, with radiation to the arm. it is possible that your husband has gallbladder pathology, most commonly gallstones. if it is indeed secondary to gallstones and his symptoms are occurring frequently and persistent, it is best if he consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. what he has is chronic cholecystitis, probably secondary to cholelithiasis (gallstones). the most important thing to take note here is that an elective or scheduled cholecystectomy has better post-operative outcomes and less risk of developing complications as compared to the one done emergently. diagnostics (such as ultrasound, liver function tests, blood count, etc.) and management (medical and surgical) will be directed accordingly. definitive treatment for gallstones is cholecystectomy or surgical removal of the gallbladder along with the stones. it can be done laparoscopically (goldstandard) or thru open technique. low fat diet is also recommended.

hope this helps.

good day!!

~dr.kaye
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Suggest Treatment For A Problem In The Gall Bladder

hi. noted history of abdominal upset/pain, usually aggravated by food intake, with radiation to the arm. it is possible that your husband has gallbladder pathology, most commonly gallstones. if it is indeed secondary to gallstones and his symptoms are occurring frequently and persistent, it is best if he consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. what he has is chronic cholecystitis, probably secondary to cholelithiasis (gallstones). the most important thing to take note here is that an elective or scheduled cholecystectomy has better post-operative outcomes and less risk of developing complications as compared to the one done emergently. diagnostics (such as ultrasound, liver function tests, blood count, etc.) and management (medical and surgical) will be directed accordingly. definitive treatment for gallstones is cholecystectomy or surgical removal of the gallbladder along with the stones. it can be done laparoscopically (goldstandard) or thru open technique. low fat diet is also recommended. hope this helps. good day!! ~dr.kaye