Hello Doctor,
What might be causing a significant amount of bile in my stomach? Could it be related to my gallbladder? My recent endoscopy showed everything else as normal. I've been experiencing symptoms like vomiting green bile, loss of appetite, loose shapeless stools, weight loss, and nausea. Both my CT scan and x-ray came back normal, and my blood work was also normal.
Hello,
Thank you for reaching out to Dr. Galen. Please find the below response to your query.
Diagnostic Approaches:
Consider abdominal and pelvic ultrasound as an initial diagnostic step.
Evaluate gallbladder function with a HIDA scan.
Consider MRCP or ERCP to assess the biliary tract.
Perform a liver function test to assess liver health.
Differential Diagnosis:
Rule out other potential causes such as gastritis, peptic ulcer disease, or pancreatitis.
Characteristics of Calculous Cholecystitis:
Inflammation of the gallbladder due to gallstones.
Symptoms may include upper right or central abdominal pain, nausea, vomiting, fever, and jaundice.
Treatment Options:
Manage symptoms with medications.
Use antibiotics if there is an infection.
Consider surgical removal of the gallbladder (cholecystectomy) to prevent future complications.
Thanks
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