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Home > Archive > Heartburn Support > January 2006 > Unknown Diagnosis/ Stomach Problems/ Gall Bladder Removal
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Unknown Diagnosis/ Stomach Problems/ Gall Bladder Removal
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| MrUsaMike 2006-01-05, 12:58 am |
| Hello Fellow Members:
In August of 2005, my stomach felt like someone had pored cement into
my intestines. I subsequently had some heart burn but no acid reflex in
my throat. My lower abdomen felt like it was inflamed or at least the
membrane touching the intestines did. I was put on protonix,
sulcrafate, and etc. Multiple tests and a hyda scan revealed that it
had to be my gall bladder. Out it came and still no relief from the
esophogus pain/ spasmism, lower abdominal pain/ burning sensation. My
doctor scoped every which way (Upper and Lower), scanned, xrayed, and
the majority of tests. The DR. did say that I had diverticula. and some
air in my upper chest/ abdomen. Were down to the last few tests. Blood
work, slighlty higher liver enzyme reading, stomach digestion normal,
will have a PH test but i remain the mystery patient. Anyone in a
similar situation? One of my GI' s said that it might be a Functional
Bowel Disorder or a bad valve in my esophogus that needs to be
tweaked.. Im new to this need to hear any suggestions.
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| Howard McCollister 2006-01-05, 12:58 am |
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"MrUsaMike" <mrusamike@hotmail.com> wrote in message
news:1136423458.207873.252840@o13g2000cwo.googlegroups.com...
> Hello Fellow Members:
>
>
> In August of 2005, my stomach felt like someone had pored cement into
> my intestines. I subsequently had some heart burn but no acid reflex in
>
> my throat. My lower abdomen felt like it was inflamed or at least the
> membrane touching the intestines did. I was put on protonix,
> sulcrafate, and etc. Multiple tests and a hyda scan revealed that it
> had to be my gall bladder. Out it came and still no relief from the
> esophogus pain/ spasmism, lower abdominal pain/ burning sensation. My
> doctor scoped every which way (Upper and Lower), scanned, xrayed, and
> the majority of tests. The DR. did say that I had diverticula. and some
>
> air in my upper chest/ abdomen. Were down to the last few tests. Blood
> work, slighlty higher liver enzyme reading, stomach digestion normal,
> will have a PH test but i remain the mystery patient. Anyone in a
> similar situation? One of my GI' s said that it might be a Functional
> Bowel Disorder or a bad valve in my esophogus that needs to be
> tweaked.. Im new to this need to hear any suggestions.
>
You should have had ambulatory pH testing and esophageal manometry as soon
as the HIDA scan came back negative. Also, be aware that a negative EGD does
NOT mean that you don't have esophageal reflux, only that that reflux hasn't
caused any visible damage to the esophagus. As far as I can tell, your
workup to date has demonstrated a relative lack of conceptual understanding
by your doctor.
Irritable or "functional" bowel disease is a waste basket category for
gastroenterologists. They apply that label when they can't make a diagnosis
of anything else. Normally, they would wait until they have completed a
rational workup before they tossed you into that wastebasket, however.
The other thing to consider is that, if your chest/abdominal pain didn't
respond to the Protonix, you may be having non-acid reflux, in which case
ambulatory pH testing will not be useful without concomitant impedance
testing for appropriate bolus transit.
Look at
http://www.ncbi.nlm.nih.gov/entrez/...8&dopt=Abstract .
Do a google search on esophageal impedance testing (multichannel
intraluminal impedance testing) and make copies to take to your
gastroenterologist.
HMc
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