How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17557
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now

I have had severe stomach pain for over a week and was

Customer Question

I have had severe stomach pain for over a week and was hospitalised for 5 days due to suspected gallstones a mri scan showed that I have an abnormally large bile duct since my discharge on Wednesday I have been having recurrent stomach pain and bowel problems I also have type 2 diabetes which is out of control and hypertension can you help please
Submitted: 4 months ago.
Category: Medical
Expert:  Dr. D. Love replied 4 months ago.

Hello from JustAnswer.

Was this a standard MRI or an MRCP?

What did the doctors provide for treatment when you were discharged from the hospital?

What is your blood sugar and blood pressure?

Customer: replied 4 months ago.
It was a mrcp Tey gave me analgesics and laxatives my BP was up at 200 over 150 and my highest be was 24.6
Expert:  Dr. D. Love replied 4 months ago.

Is you blood pressure still running this high?

What is your current blood pressure and blood sugar?

Customer: replied 4 months ago.
180 over 120 and 22.6
Expert:  Dr. D. Love replied 4 months ago.

Thank you for the additional information.

There are several issues to consider in this situation.

A dilated bile duct in someone that is suspected to have gallstones may be due to a gallstone that is trying to pass and gets lodged in opening of the bile duct into the small intestine. It is also possible that the gallstone has already passed, but irritated the bile duct opening into the small intestine, so that there is still some swelling after the gallstone is gone. An MRCP is more sensitive than a standard MRI at detecting a gallstone that is retained in the bile duct. If the MRCP did not see a gallstone, it is reasonable to try pain medicines for a few days while the swelling resolves, and see if the symptoms resolve. However, if the pain persists, it would be reasonable to consider the most sensitive test to detect whether there is a small gallstone that is still in the bile duct, called an ERCP. This is done through a scope that is placed into the small intestine. The level of urgency of when to perform the ERCP would depend upon the severity of symptoms. If the pain is continuing to slowly improve, then it is fine to give it some more time, but if the pain gets severely worse, then you may need to have the ERCP done more urgently.

Your blood pressure, though, is also an urgent issue. When the blood pressure is above 180/110, the current recommendation is to rest for a few minutes and then recheck the blood pressure. If either number of the blood pressure remains above 180/110, it is recommended that you should be seen emergently.

The treatment for the blood sugar should also be intensified, but it can be addressed after management of the blood preessure.

Of course, acute illness and severe pain anywhere in the body can elevate blood pressure and blood sugar, so any interventions to ease the abdominal pain can also help get better control of the blood pressure and blood sugar.

So, if the recurrent abdominal pain is more severe or the blood pressure remains above 180/110 after a few minutes of rest, it would be appropriate for you to return to the hospital.

If I can provide any further information, please let me know.

Expert:  Dr. D. Love replied 4 months ago.

Please let me know if I can provide any further assistance.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.