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Dr. David
Dr. David, Board Certified MD
Category: Medical
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Experience:  Board Certified Physician
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I had my gallbladder removed in April 2015. After the

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I had my gallbladder removed in April 2015. After the surgery the pains which were caused by pancreatitis disappeared. 2 months later the pain continued and in Late February or Early march my upper GI doctor told me that he suspected the pains were only muscular from the healing process.When i was rushed to A&E from struggling to breathe caused by the pain which resembled pancreatitis the doctor concluded he thought it was Sphincter of Oddi Dysfunction and i needed to be referred. 2 weeks on and i found out he never referred it. The pain has gone on too long and i need to get faster treatment, from you medical perspective, other than going private can i speed it up?
Submitted: 10 months ago.
Category: Medical
Expert:  Dr. David replied 10 months ago.
This is Dr. Davidit sounds like the pain was quite severe.after gall bladder surgery, 5-40% of patients can have a post cholecystectomy syndrome of pain in the right upper quadrant from scar tissue and from the prior surgeryyou need to ask your doctor for a referral for him to see a GI doctor again and to get a CT scan or MRI scan of your abdomen to look for scar tissue and causes of pain.you still need blood testing to check amylase and lipase levels to check for continued pancreatitis.if you are drinking alcohol or eating very fatty foods, this can cause gastritis pains from inflammation of your stomach from excessive stomach acid and pains as well.are you drinking alcohol or eating very fatty foods?
Customer: replied 10 months ago.
I can confirm bloods have been taken and they have come back normal every time. Alcohol is rarely drunk and on multiple occasions of the pains attacking I had not drunk alcohol for at least 3 weeks prior.In terms of Fatty foods I do eat these on occasion and again does not always fall in line with this. My best example is boxing day just gone. Christmas eve, Christmas day and boxing day I saw different family members and at each I ate a healthy roast dinner which did not include roast potatoes as I do not enjoy them.An ultrasound and MRI have taken place and still found no proof of the diagnostic of pain from scar tissue as originally assumed. No analysis was done in terms of if it was sphincter of oddi dysfunction.
Expert:  Dr. David replied 10 months ago.
you need to keep pressing your doctor to get your a referral to see a GI doctor.you should keep a food diary to see what foods worsen your symptoms. you might need an upper endoscopy scope down into your stomach to check for stomach and duodental ulcers.you should have your stools checked for microscopic blood with a stool occult blood guiac test.sometimes duodenal ulcers can cause pain and slowly bleed and there will be evidence of microscopic blood in your stoollet me know if you have other questions.if done for now, please leave positive rating of 3-5 stars so I can get credit for helping you todaywe only get credit for helping clients after positive feedbackyou can always reach me directly with "a question for Dr. David" in the medicine or oncology categories if you have other questionshere is my website if you need to reach me:http://www.justanswer.com/medical/expert-dr-david/Thanks for using JustAnswers.com
Customer: replied 10 months ago.
Hi there,I appreciate the help but all the tests for these have been done.The endoscopy showed enlarged lymph glands they were concerned about but the GI specialist concluded it was unrelated.I know the NHS have strict rules on procedures as my Gallbladder removal wasn't going to take place as it was first rejected due to my age. It was only removed due to being rushed into hospital. On top of all this they left a piece of Gall Bladder on my stomach and originally they believed it to be a lump and they wanted to do a laparoscopy which was at first rejected due to my age (19) due to the low chance of being cancerous, it was the second time it was accepted for my own piece of mind.Is there nothing I can say or do to speed up referrals, tests and procedures as this should have all been sorted in a matter of weeks but is now a year on.
Expert:  Dr. David replied 10 months ago.
endoscopy would not see lymph nodes or see enlarged lymph nodes.endoscopy looks on the inside of your esophagus and stomach and duodenumyou said yourself the NHS has strict rules on procedures and referrals.
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 44447
Experience: Board Certified Physician
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Customer: replied 10 months ago.
The lymph node that was enlarged is inside my stomach. As seen here:
http://patient.info/health/mesenteric-adenitis
Expert:  Dr. David replied 10 months ago.
an endoscopy can't see enlarged lymph nodes in the mesentary.

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