How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Anil Kumar Your Own Question

Dr. Anil Kumar
Dr. Anil Kumar, General Physician
Category: Health
Satisfied Customers: 6761
Experience:  M.D. with over 30 years of experience in practice.
4713694
Type Your Health Question Here...
Dr. Anil Kumar is online now
A new question is answered every 9 seconds

This past Tuesday, I began feeling unwell - almost like a flu

Resolved Question:

This past Tuesday, I began feeling unwell - almost like a flu but the only symptom being feeling a bit 'off' in my stomach. No pain, just very mild nausea. Wednesday wasn't much better - I didn't eat much all day but managed to eat a little at dinner time and didn't have a bad reaction after eating. Again, just didn't feel great.

Thursday I woke up feeling fine, but by about 11am I experienced a sharp pain in my upper, middle abdomen that came and went a few times. I managed to eat some lunch but didn't really want to. By dinner time, I felt so nauseous I couldn't eat anything and there were moments when I contemplated going to the hospital, I felt so off. Friday was another day of on and off nausea. I tried to eat but couldn't - it just made me feel worse. By Friday evening I felt pretty much constant nausea and a pain/pressure in the upper middle abdomen.

Finally, Friday night I went to a walk in clinic where my abdomen was palpitated and found to be tender, in the center and slightly to the right of center, under my ribs. I was given a CT scan with contrast that stated: appendix normal; liver, spleen and pancreas unremarkable; no evidence of cholelithiasis or biliary obstruction; no retroperitoneal or pelvic lymphadenopathy; no evidence of lytic or blastic lesion or soft tissue mass.

Then I was given an ultrasound (duplex dopper & colour flow doppler) that stated the following: liver normal in size, contour, echogenicity, no focal mass or perihepatic fluid; borderline gallbaddler wall thickening (2.8-3mm), no stones or pericholecystic fluid identified; common bile duct not measured; no intrashepatic or extrahepatic biliary ductal dilation seen; right kidney normal.

Can you please tell me your impression of all this? I'm now on Prilosec and Gaviscon (this was day 2) but it really doesn't seem to help much and I'm SO uncomfortable and worried - and still can't manage to eat much.

Thank you.
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Anil Kumar replied 1 year ago.
Hello,
I understand your concern and it's my first priority to serve you.
And as you describe,your CT scan and Ultrasound reports are fine apart from borderline gall bladder thickening.
However your symptoms are suggestive of other possible causes like Gastritis,Peptic ulcer so you need to be seen by a Gastroenterologist and further Upper GI scopy,H.Pylori test,HIDA scan should be done in your case.
Even as your symptoms are not relieving with Prilosec so you may require other prescribed medications which may include H-2-receptor blockers,Prokinetics,antibiotics.
It is very essential to undergo further investigations to make a proper diagnosis and further management.
In the meantime you can take Prilosec before meals and Zantac 150 mg twice a day( morning and at bedtime).
Drink plenty of fluids.
Avoid spicy,fried food,caffeine,alcohol,carbonated beverages.


I hope this helps.
Please rate me highly, if you are satisfied with our conversation.
If you have any further query then feel free to ask.
Bonus and positive feedback are highly appreciated.

Thank you.





Customer: replied 1 year ago.

Can a peptic ulcer cause borderline GB wall thickening? Or are the two unrelated? Otherwise, what could be causing the thickening? What does a normal GB wall measure (i.e. how far off am I from normal - or could I just be on the high side of normal)??

Expert:  Dr. Anil Kumar replied 1 year ago.
Hello,
Thanks for the follow-up.
There many causes of gallbladder wall thickening.
When you take diets that are heavy in fats,drink alcohol, you might possible trigger this.
A gallbladder wall should not be more than 3 mm thick.
As per your reports,you have borderline gall bladder thickening and it doesn't cause pain in abdomen by itself without any other significant findings like Gall bladder stone,Cholecystitis(Inflammation of gall bladder),pericholecystic fluid.
Thickening of the gallbladder wall is a relatively frequent finding at diagnostic imaging studies. And it should be screened at regular intervals.
However gall bladder thickening can be associated secondarily with peptic ulcer.

I suggest you to make an appointment with your Gastroenterologist for further evaluation and management.

I hope this helps.
Please rate me highly, if you are satisfied with our conversation.
If you have any further query then feel free to ask.
Bonus and positive feedback are highly appreciated.

Thank you.



Customer: replied 1 year ago.

Just to ensure I understand:


 


So my pain cannot be explained by the thickening of the GB wall alone, correct? But it might be explained by a peptic ulcer (which is what the emerg doctor was thinking)?

Expert:  Dr. Anil Kumar replied 1 year ago.
Hello,
Yes, such borderline Gall bladder thickening itself doesn't cause pain and it may be possible to have peptic ulcer which is causing such pain.


I suggest you to make an appointment with your Gastroenterologist for further evaluation and management.

I hope this helps.
Please rate me highly, if you are satisfied with our conversation.
If you have any further query then feel free to ask.
Bonus and positive feedback are highly appreciated.

Thank you.

Dr. Anil Kumar, General Physician
Category: Health
Satisfied Customers: 6761
Experience: M.D. with over 30 years of experience in practice.
Dr. Anil Kumar and 3 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Dr. Anil Kumar
Dr. Anil Kumar
Physician
4118 Satisfied Customers
M.D. with over 30 years of experience in practice.