Re: Stomachaches and a Stupid Question

[Guest guest]

Tell us all the meds you are taking and when and for how long and for what?

CE Grim MD

[Guest guest]

If your BP is normal now might want to think about stopping Lisinopril after talking with Drs. Tell them about your back pain and remind them that at one time you have very severe HTN.

[Guest guest]

Give us more details on what brings the pain on, where does it go, what makes it worse and/or better?

Related to menses?

CE Grim MD

[Guest guest]

Give us your FH of Gall bladder disease. Have you ever been x-rayed for it?

Does eating or drinking anything make it better?

Ever had a problem with pancreatitis?

Please let your Dr. know you are having this pain and the details.

[Guest guest]

In a message dated 11/29/04 9:43:05, spirlhelix@... writes:

Dr. Grim, can you add any other information I could

collect that might help the doctor decide whether to

suspect pancreatitis?

hard to Dx if its not assoc with abn lab tests. Be sure to R/O GB disease.

Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHS

Clinical Professor of Medicine and Epidemiology

Director, Hypertension Diagnosis and Treatment Center

Board Certified in Internal Medicine, Geriatrics and Hypertension

Published over 220 scientific papers, book chapters and 220 abstracts in the area of high blood pressure epidemiology, physiology, endocrinology measurement, treatment and how to detect curable causes.

Listed in Best Doctors in America

Specializing in Difficult to Control High Blood Pressure and the History and Physiology of High Blood pressure in the African Diaspora

[Guest guest]

Hi Pam,

Did you ever have an Ultrasound done of your Gall Bladder? I had alot of nausea and an ache on my right side that went around to my back (shoulder blade area). The Ultrasound showed I had gall stones and before I ever had a gall bladder attack I was sheduled for surgery and I had it out. I still get nauseaous though and the doctor doesn't know why.

Good luck.

Dianne Pamela s <spirlhelix@...> wrote:

Hi, Dr. GrimWell, it sounds like a good one to rule out.The problem is that you have to have the symptomswhile you are being tested, and I have not really hadan ideal opportunity to do this yet. I usually havethe pain at night when the Doctor's office is notopen. So my plan is to call my internist's answering servicenext time I have the pain, and see if the doctor oncall will call down to the emergency room to tell themwhich tests to run. I hope that will work.Warmly,Pam--- lowerbp2@... wrote:> > In a message dated 11/29/04 3:43:57,> spirlhelix@... writes:> > > > > > Hi, Dr. Grim> > > > I have been given GB function tests, which as I> recall> > were in normal ranges. The shot they gave me

to> evoke> > GB activity made me throw up bile! So I guess my> GB> > works without obstruction. . .> > > > I haven't been told I have pancreatitis. Are> there> > tests for this? I don't think I've ever had any.> > > > Warmly,> > > > Pam> > > > --- lowerbp2@... wrote:> > > > > Give us your FH of Gall bladder disease. Have> you> > > ever been x-rayed for it?> > >> > > Does eating or drinking anything make it better?> > >> > > Ever had a problem with pancreatitis?> > >> > > Please let your Dr. know you are having this> pain> > > and the details.> > >> > > > > > =====> > "I'd rather learn from one bird how to sing, than> to

teach ten thousand > > stars how not to dance."> > > > > > > > > > __________________________________> > Do you ?> > - You care about security. So do we.> > http://promotions./new_mail> > > > > > > > > >

[Guest guest]

Hi, Dianne

I've had a gallbladder ultrasound in the past, in

2000, I believe. I had lots of tiny stones. I've had

doctors express enthusiasm for the idea of removing my

gall bladder, but at that time I actually had

undiagnosed chronic Hepatitis B. I did not feel

gallbladder was the answer; I had unexplained

elevations on my liver tests, and I refused their

thrilling offer of immediate surgery. I was glad I

did not take them up on their offer when I found out

about the hepatitis, as this probably would have made

things worse.

Recently, I had a HIDA scan, which is a nuclear test

(with radioactive dye) which tracks the functioning of

the gallbladder and gives an ejection fraction (you

can see what percentage of the contents of your

gallbladder empties). Mine was in normal ranges;

however, when they gave the injection to stimulate the

gallbladder to empty, instead of having intense pain

as people with an obstructed gallbladder do, I got

very nauseated and threw up a lot of bile. This

proves that my gallbladder is not obstructed. But it

is not a normal reaction to this test, although I

don't know what it might mean.

In reading up on pancreatitis, it turns out that one

of the factors that can predispose someone to it is

viral Hepatitis. I started having this pain at the

same time I began with Hepatitis symptoms, so I'm more

inclined to suspect pancreatitis at this moment.

I'd like to rule out pancreatitis, although it seems

to be a diagnosis of exclusion in many false negative

cases where the tests don't show the expected ranges.

Thanks for the ideas about gallbladder. It tends to

be the first thing doctors think of. For the reasons

above, I really don't think it's the answer. I'm not

anxious to have a surgery that won't help my condition

(funny old me!).

Warmly,

Pam

--- dianne schultz <dianne12315@...> wrote:

> Hi Pam,

>

> Did you ever have an Ultrasound done of your Gall

> Bladder? I had alot of nausea and an ache on my

> right side that went around to my back (shoulder

> blade area). The Ultrasound showed I had gall stones

> and before I ever had a gall bladder attack I was

> sheduled for surgery and I had it out. I still get

> nauseaous though and the doctor doesn't know why.

>

> Good luck.

>

> Dianne

>

> Pamela s <spirlhelix@...> wrote:

>

> Hi, Dr. Grim

>

> Well, it sounds like a good one to rule out.

>

> The problem is that you have to have the symptoms

> while you are being tested, and I have not really

> had

> an ideal opportunity to do this yet. I usually have

> the pain at night when the Doctor's office is not

> open.

>

> So my plan is to call my internist's answering

> service

> next time I have the pain, and see if the doctor on

> call will call down to the emergency room to tell

> them

> which tests to run. I hope that will work.

>

> Warmly,

>

> Pam

>

> --- lowerbp2@... wrote:

>

> >

> > In a message dated 11/29/04 3:43:57,

> > spirlhelix@... writes:

> >

> >

> > >

> > > Hi, Dr. Grim

> > >

> > > I have been given GB function tests, which as I

> > recall

> > > were in normal ranges. The shot they gave me to

> > evoke

> > > GB activity made me throw up bile! So I guess

> my

> > GB

> > > works without obstruction. . .

> > >

> > > I haven't been told I have pancreatitis. Are

> > there

> > > tests for this? I don't think I've ever had

> any.

> > >

> > > Warmly,

> > >

> > > Pam

> > >

> > > --- lowerbp2@... wrote:

> > >

> > > > Give us your FH of Gall bladder disease.

> Have

> > you

> > > > ever been x-rayed for it?

> > > >

> > > > Does eating or drinking anything make it

> better?

> > > >

> > > > Ever had a problem with pancreatitis?

> > > >

> > > > Please let your Dr. know you are having this

> > pain

> > > > and the details.

> > > >

> > >

> > >

> > > =====

> > > " I'd rather learn from one bird how to sing,

> than

> > to teach ten thousand

> > > stars how not to dance. "

> > >

> > >

> > >

> > >

> > > __________________________________

> > > Do you ?

> > > - You care about security. So do we.

> > > http://promotions./new_mail

> > >

> > >

> > >

> > >

> > >

[Guest guest]

Hi Pam,

Your story sounds a little like my mother's except she didn't have Hepatitis B. She had Ulcerative Colitis for many years but never knew what it was until she finally went to the doctor. It wasn't until 1994 when she went into a coma from Liver Failure did we find out she had Primary Scerlosing Cholangitis from the Ulcerative Colitis.

In 2001 she began having intense pain between her shoulder blades and had to be admitted to the hospital for pain management. In the meantime she started vomiting bile and I asked if it was her Gall Bladder and the doctors reassured me it wasn't. After she came home she just got worse and the vomiting continued. Finally I insisted on the GB scan and it was found that her GB was no longer functioning and was full of tiny pebble like stones.

I never had an actual gall bladder attack and I'm so glad I never did because from what people tell me they are not pleasant. I couldn't stand the constant nausea and ache I had though. I'm glad the doctor took mine out before I had the chance to experience a real gall bladder attack.I had mine in 1993 but I still have the nausea at times but it could be my diet.

You are right to be very cautious though because my cousin had to have a hernia operation years ago and nobody knew he had hepatitis and it wasn't a good outcome for him. He was 40.

Take care,

Dianne Pamela s <spirlhelix@...> wrote:

Hi, DianneI've had a gallbladder ultrasound in the past, in2000, I believe. I had lots of tiny stones. I've haddoctors express enthusiasm for the idea of removing mygall bladder, but at that time I actually hadundiagnosed chronic Hepatitis B. I did not feelgallbladder was the answer; I had unexplainedelevations on my liver tests, and I refused theirthrilling offer of immediate surgery. I was glad Idid not take them up on their offer when I found outabout the hepatitis, as this probably would have madethings worse. Recently, I had a HIDA scan, which is a nuclear test(with radioactive dye) which tracks the functioning ofthe gallbladder and gives an ejection fraction (youcan see what percentage of the contents of yourgallbladder empties). Mine was in normal ranges;however, when

they gave the injection to stimulate thegallbladder to empty, instead of having intense painas people with an obstructed gallbladder do, I gotvery nauseated and threw up a lot of bile. Thisproves that my gallbladder is not obstructed. But itis not a normal reaction to this test, although Idon't know what it might mean.In reading up on pancreatitis, it turns out that oneof the factors that can predispose someone to it isviral Hepatitis. I started having this pain at thesame time I began with Hepatitis symptoms, so I'm moreinclined to suspect pancreatitis at this moment.I'd like to rule out pancreatitis, although it seemsto be a diagnosis of exclusion in many false negativecases where the tests don't show the expected ranges.Thanks for the ideas about gallbladder. It tends tobe the first thing doctors think of. For the reasonsabove, I really don't think it's the answer.

I'm notanxious to have a surgery that won't help my condition(funny old me!).Warmly,Pam --- dianne schultz <dianne12315@...> wrote:> Hi Pam,> > Did you ever have an Ultrasound done of your Gall> Bladder? I had alot of nausea and an ache on my> right side that went around to my back (shoulder> blade area). The Ultrasound showed I had gall stones> and before I ever had a gall bladder attack I was> sheduled for surgery and I had it out. I still get> nauseaous though and the doctor doesn't know why.> > Good luck.> > Dianne > > Pamela s <spirlhelix@...> wrote:> > Hi, Dr. Grim> > Well, it sounds like a good one to rule out.> > The problem is that you have to have the symptoms> while you are being tested, and I have not

really> had> an ideal opportunity to do this yet. I usually have> the pain at night when the Doctor's office is not> open. > > So my plan is to call my internist's answering> service> next time I have the pain, and see if the doctor on> call will call down to the emergency room to tell> them> which tests to run. I hope that will work.> > Warmly,> > Pam> > --- lowerbp2@... wrote:> > > > > In a message dated 11/29/04 3:43:57,> > spirlhelix@... writes:> > > > > > > > > > Hi, Dr. Grim> > > > > > I have been given GB function tests, which as I> > recall> > > were in normal ranges. The shot they gave me to> > evoke> > > GB activity made me throw up bile! So I guess> my> >

GB> > > works without obstruction. . .> > > > > > I haven't been told I have pancreatitis. Are> > there> > > tests for this? I don't think I've ever had> any.> > > > > > Warmly,> > > > > > Pam> > > > > > --- lowerbp2@... wrote:> > > > > > > Give us your FH of Gall bladder disease. > Have> > you> > > > ever been x-rayed for it?> > > >> > > > Does eating or drinking anything make it> better?> > > >> > > > Ever had a problem with pancreatitis?> > > >> > > > Please let your Dr. know you are having this> > pain> > > > and the details.> > > >> > > > > > > > > =====> >

> "I'd rather learn from one bird how to sing,> than> > to teach ten thousand > > > stars how not to dance."> > > > > > > > > > > > > > > __________________________________> > > Do you ?> > > - You care about security. So do we.> > > http://promotions./new_mail> > > > > > > > > > > > > > >

[Guest guest]

In a message dated 12/7/04 16:47:46, spirlhelix@... writes:

The problem is that you have to have the symptoms

while you are being tested, and I have not really had

an ideal opportunity to do this yet.  I usually have

the pain at night when the Doctor's office is not

open. 

So my plan is to call my internist's answering service

next time I have the pain, and see if the doctor on

call will call down to the emergency room to tell them

which tests to run.  I hope that will work.

Warmly,

Pam

GB diseaes and stones can be detected witout symptoms at the time.

Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHS

Clinical Professor of Medicine and Epidemiology

Director, Hypertension Diagnosis and Treatment Center

Board Certified in Internal Medicine, Geriatrics and Hypertension

Published over 220 scientific papers, book chapters and 220 abstracts in the area of high blood pressure epidemiology, physiology, endocrinology measurement, treatment and how to detect curable causes.

Listed in Best Doctors in America

Specializing in Difficult to Control High Blood Pressure and the History and Physiology of High Blood pressure in the African Diaspora