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rule other things out with an endoscopic U/S?

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GI doc thinks if I get my GB removed that'll solve my problems but I'm wondering whether I need to rule other things out with an endoscopic U/S. Anyone have any thoughts? Thanks!!!!

SYMPTOMS:
* 5 weeks ago I lost my appetite. I've lost about 8 pounds in that time. If I eat a normal meal I get abdominal pain/discomfort and gas/bloating. So I'm eating very little to avoid the pain.
* About 3 weeks ago, I developed a pain under my right shoulder blade, which has been getting worse and worse. It seems related to eating/drinking. There is also slightly lower dull ache that appears.
* Also, after I ingest anything, I usually have a very very foul taste in my mouth.
* stools normal.

DIAGNOSTIC TESTS:

* HIDA w/CCK showed EF of 24% (and I had severe abdominal pain during test, though it didn't elicit the shoulder blade pain that I've been having)
* mildly elevated AST
* normal U/S
* Endoscopy revealed mild gastritis and hiatal herni


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replied May 9th, 2011
Gallbladder Disease Answer A22774
Hello,

Welcome to the ehealthforum and I am really glad to help you out. Loss of appetite can be due to the gall stones and this can cause loss of weight as well.

You're likely having gall stones along with inflammation of the wall of the gall bladder. The symptoms are due to gall stones and as you're having severe pain then cholecystectomy(removal of gall bladder) needs to be done.

I would suggest you to consult a surgeon regarding this. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided.

For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care.



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