This is Dr. David
MRCP can detect dilation of the biliary system.
and problems in parts of the liver.
but you also need blood liver enzyme testing
and sometimes a liver biopsy to know for sure.
what liver disease are you worried about?
alk phos can be elevated for many reasons.
have you had a bone scan?
how old are you?
no, unlikely to be from liver damage.
normal alk phos is between 20-140
so some normal ranges for alk phos is is 44 to 147 IU/L
so 140 isn't really elevated.
it could be from acid reflux and inflammation of your esophagus.
do you have a history of acid reflux?
you could be having irritation of your right diaphgram after eating with distention of your stomach
which could be pressing up on your diaphram and causing right shoulder pain
any sort of irritation of the diaphgram can cause referred shoulder pain.
you need a chest xray
and a chest CT scan
to look for any pleural fluid and to look for any sort of irritation of the right hemidiaphram.
it could very well be due to your gall bladder which is under your right rib cage.
an ultrasound of your gall bladder can tell if your gall bladder is inflamed and enlarged.
your gall bladder is also put to work when you eat a big meal.
have you had a gall bladder ultrasound yet?
I would do this first before an MRCP
you can get a HIDA scan which can show functionality of your gall bladder.
and ejection fraction of your gall bladder to see if it is working properly.
if the gall bladder is not working properly, then that could be the problem and causing a backup when you eat
and inflammation and irritation of the diaphram and right shoulder pain.
I would ask your doctor to get a gall bladder HIDA scan.
sludge in the gall bladder is very common
and doesn't mean it is not working properly.
a HIDA scan will show if the gall bladder is doing what it should be doing.
which is ejecting bile into your small bowel.
sludge is very common.
and is not specific for your gall bladder not working.
you need a HIDA scan
and also a chest xray or chest CT scan to check for fluid outside of your right lung.
so sludge may or may not be part of the problem.
it is not enough information yet.
have you had a chest xray or chest CT scan?
problem with gall bladder flush is that sludge comes back.
sludge is just thick bile seen in the gall bladder.
most people have gall bladder sludge.
sludge is thick bile and sediment in the gall bladder.
many people have this in their gall bladder.
most people don't have to have their gall bladder removed because of this.
thick bile, cholesterol all mixed together so thick they become solid.
if the sludge is causing gall bladder dysfunction, and pain symptoms then the gall bladder has to be removed.
yes, gall stones can look green.
it would show inflammation of the liver,
or fatty replacement of the liver.
or dilated bile ducts.
yes, a liver ultrasound or MRI scan would show cirrhosis.
which is advanced fatty replacement of the liver.
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