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Question

i had a gastric bypass surgury in 1993. my question at this time is i deal with inflamation of my pancreas on and off. i recently was hospitalized for this and enlarged gallbladder and bile duct attached to it, both were twice in size but no gallstones or inflamation were noted on an ultrasound, yet i continue to experience severe stomach pain and flank pain on my right and left side along with flank pain on both sides of my back. i was recently diagnosed with kidney disease from possible hydration issues and over counter anti-inflamatories due to           creatine levels of 1.3, 1.6, 2.4. i also have neuropathy of unknown cause in my extremities and fibromyalga. most of my issues seem to be autoimmune to me. i have swollen glands on right side of my neck. chronic low back pain, neck pain and recent headaches. my history includes anemia and low vitamin D deficiency and osteoprosis. any answers about my swollen gallbladder and bileduct with no stones, or inflamation except my pancreas?

Submitted: 459 days and 22 hours ago.
Category: Health
Value: $9
Status: CLOSED
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Optional Information

Age: 48; Female, Minnesota

Already Tried:
i see an internist and multiple specialists. ct scans mri,ultra sounds,xrays,blood tests,did not get proper follow up care after gastric bypass surgery, no b12 shots for several years or annual visits. i get my b12 shots now. pet scan of neck highlighted one gland on right side of neck with no pathology detected also some suspicious glands noted. i take meds for high blood pressure and was told as a result of a test, that i had mild pulmonary hypertension. i was also diagnosed with asthma. i quit smoking jan-07.

Posted by Dr. Arun Phophalia 459 days and 20 hours ago.

Info Request

Greetings.

 

What are the specialist you are consulting?

 

Was a HIDA scan done?

 

Dr. Arun

459 days and 18 hours ago.

Reply

I don't think i had an hida scan. right now i see a neurologist, a kidney specialist, an orthopedic for broken wrists and wrist surgery, bladder specialist, i have seen a cardiologist and a lung specialist in the past. sometime around 2003-2004 i experienced a lot of fluid retention at about the same time i dropped about 50 lbs. rather quickly. also around 2004 i developed some swinkage of both my kidneys and now there appears to be some scarring or scar tissue on both kidneys. i have night sweats and i've experienced some muscle wasting and major fatiegue and confusion and memory loss. i have not been able to work since oct. 2000. i am currently on ssi disability.

Accepted Answer

Hello,

 

The HIDA scan will identify the gall bladder dyskinesia (decreased functions or no contractility). You multiple system affection points towards (you too mentioned this) immunological phenomenon. The specialist best equipped to deal with this are clinical immunologists or rheumatologist. There are specific blood tests for this and a muscle biopsy (muscle enzymes would be part of the blood work) and / or biopsy of pleura (lung covering), peritoneum (abdominal covering) or any organ should be able to clinch the diagnosis. The treatment is in the form of disease modifying anti rheumatic drugs (DMARDs). The response to the treatment usually is excellent. They are not only able to arrest the progression of the disease but also many times can, "Switch Off" the disease process.

 

Please feel free for your follow up questions.

 

Dr. Arun

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Expert: Dr. Arun Phophalia
Pos. Feedback: 99.7 %
Accepts: 7004
Answered: 12/17/2008

Doctor (MD)

MBBS, MS (General Surgery), Post-doctoral Fellowship in Sports Medicine

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