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Conditions and Diseases > Gallbladder Disease Forum > Fullness in epigastric region
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Q: Fullness in epigastric region
asked by: DoctorQuestion on July 21st, 2009
Thought gallbladder was bad, blood work and LFT came normal. Symptoms are close to gallbladder issues. Nausea and upset stomach within 4 hours of waking up, lasting till about 3pm. Upon eating, uncomfortable feeling of fullness in epigastric region, this sensation lasts about an hour or longer.


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Dr. Robert Wascher , MD
replied on July 25th, 2009
Gallbladder Disease Answer A6998
The definitive test for gallstones is an ultrasound of the gallbladder. In some cases, symptoms similar to gallstone disease can occur in patients without any ultrasound evidence of gallstones. Abnormalities in the coordinated function of the gallbladder and the sphincter muscle at the end of the bile duct (biliary dyskinesia) can also cause upper abdominal pain, nausea, vomiting, and bloating after meals, in some patients. The diagnosis of biliary dyskinesia is generally made using a special nuclear medicine scan of the gallbladder and bile ducts.

Finally, there are multiple other GI diseases that can also cause the symptoms that you have described. If your doctor's evaluation for possible gallbladder disease turns out to be negative, then it may be advisable to seek a referral to a GI doctor for further evaluation.

Sincerely/ Robert A. Wascher, MD, FACS

http://doctorwascher.com





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