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I am a 31 yr old female and I have been experiencing excrutiating pain in spasmodic episodes. It is in the upper right of my abdomin. This pain radiates to my back. Accompanied by nausea, bloating, gas, fatigue.  The site is tender to the touch and will cramp intermittently after being pressed down on. Drs did an utlrasound which came back with no abonormalities in size and no presence of gallstones. Drs performed a HIDA Scan and this showed an ejection fraction of 65%. During the test, when the cyncalide was injected, I could feel slight pain in the gallbladder during spasms. Drs are hesitant to take this out. What are the recommendations or other diagnoses of anyone out there who has dealt with this before? I have heard of sludge in the GB but not sure if that can be causing it. PLEASE HELP

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  • Posted

    Well I have to say that sounds pretty much like bilary colic to me. You describe it well. Others here have reported the same, has theirs removed and stones were found. They are not always easily spotted.
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  • Posted

    See your doctor and ask for a full liver function test and blood test for inflammatory markers. You might have an inflamed gallbladder. There is even a chance, however remote that you have an infection in your gall bladder. I'm pretty sure this would have been picked up on though. 

    What im saying is that a person can have a problem with their gallbladder that has nothing to do with stones, gravel or 'sludge'.

    You could have a hernia in the muscle wall of the upper right abdominal quadrant. Your gallbladder may have already passed a small stone which has made its way to your pancreas. If this was the case the pain would be excruciating. If you are experiencing intolerable levels of pain, you must see a doctor right away.

    I hope you get a diagnosis soon.

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  • Posted

    Hi, Alece, sorry you're experiencing these troubles.  Ultrasounds may not show gallstones, especially if you have smaller, granular stones, i.e. sludge. If you haven't already seen a specialist, now is the time to ask to see one.  A CT scan should, hopefully, show what's going on.  Above all, the fact that you are experiencing pain should be enough to indicate something is wrong. In my opinion, it is your doctors' responsibility to assist you in finding out what is wrong--not to say, "It's not your gallbladder," and walk away.  However, you might consider getting a colonoscopy and endoscopy to look at all of your GI tract. Also, your doctor could do liver function tests, which would be valuable.  

    If they're asking you what your level of pain is, don't minimize it.  On a scale of 1 to 10 if it's an 11, tell them so.  Unfortunately, "good patients" are liked by doctors, but because the patient is so cooperative, they tend to minimize what that patient is experiencing.  

    The gall bladder acts as a valve between your liver, which excretes bile to be stored in your gallbladder.  The bile is released by your gallbladder into your small intestine when you digest a meal.  Bile is a yellow acid.  If you have too much, it will cause nausea and will be excreted with your bowel movements.  The liquid is extremely caustic.  If your gallbladder has stones or sludge it will sometimes release too much bile into your system.  Each person is different.  Do the research and find out what will work for you.  Best of luck!  Let us know how you do.  

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    • Posted

      I read your reply to Alece. It was very informative. I'm currently waiting to have my gallbladder removed. Your explanation was better and more informative than any given to me by my GP or surgeon. Very glad I read it. Thank you for posting such useful information.
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    • Posted

      Thank you, Jack--most of my knowledge was hard won, I'm afraid!  confused I'm glad that it was helpful  Best of luck to you, too.  Let us know how you do!
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