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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Upper Right Abdomen Post Cholecystectomy?

Hello doctor, I had gallbladder removal surgery in January this year... Surgery was successful.... I was feeling healthy... But suddenly in June I started having pain again right side upper abdomen... Went to surgeon... He told us that one stone got stuck in my CBD... Ercp.needs to be performed... After following ercp. They asked me to come back after 15 days for stent removal..... After ercp.. Nothing is normal as it used to be earlier.... I started feeling pinching pain right side.... Heaviness right abdomen.... In July I ate outside food.... And after that I started feeling nausea.... I went to my Gp. He told me you have a tendency to develop stone... However I told him that I have been feeling nausea since the day I ate outside.... May b it is food poisioning.... He told you have to be careful about diet as you have an tendency... He prescribed me ursocol 250mg... But problem got worsen... In August I missed my period.... And nausea feeling was also increased.... I went to my gayno... She told that she doubted for cysts... She suggested me to do whole abdomen sonography as I was having digestion problems too.... In sonography my liver and pancreas were found inflammed... They were fatty.... Lft was also increased.... I went to my gastroentologist... He prescribed me orni. Tablet and rekool too.... I did 5 days course of orni... And felt better.... But now nausea is reduced... But I have to visit toilet frequently whole day for passing motions.... It feels after passing whole stool.. Some stool is stuck in my rectum...... It is very irritsting... I feel bloated.... And sick all the time.... Whole day I have a urge to pass the motion.... After going 5-7 times... This urge of going for toilet gets finished.... I am very worried about my health as I am a mother of 6 years old kid... Please reply... Would be very greatful... Thanks in advance Regards!
Wed, 8 Apr 2020
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General Surgeon 's  Response
Hello,

As per my surgical experience, the Post Cholecystectomy syndrome with CBD stone removal on later date via ERCP is not normal at all and has to be evaluated with greater details. There is strong possibility of narrowing of the CBD through stricture or scarring and has to be looked up for. In my clinic, after basic lab reports, ultrasound of the abdomen and pelvis, an MRI of the abdomen yield best results for the current issue diagnosis and manage accordingly.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Pain In Upper Right Abdomen Post Cholecystectomy?

Hello, As per my surgical experience, the Post Cholecystectomy syndrome with CBD stone removal on later date via ERCP is not normal at all and has to be evaluated with greater details. There is strong possibility of narrowing of the CBD through stricture or scarring and has to be looked up for. In my clinic, after basic lab reports, ultrasound of the abdomen and pelvis, an MRI of the abdomen yield best results for the current issue diagnosis and manage accordingly. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon